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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRAD SCOTT</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATHAN ELFRINK MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG SHEPHERD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA CASE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JARI ASKINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATALIE COLE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>6581392</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>772059</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>127</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GE JOHNSON CONSTRUCTION CO</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80903</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ONESTAFF MEDICAL LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10802 FARNHAM DR</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EMERGENCY MANAGEMENT MIDWEST</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 634850</AddressLine1Txt>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ROBISON MEDICAL RESOURCE GROUP LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 205426</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
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      <TotalContributionsAmt>2262769</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Service Revenue</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>175244695</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>175244695</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621300</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4680797</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Clinic Rent Revenue</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>285504</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>285504</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Joint Venture Income</Desc>
        <BusinessCd>722320</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3837809</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>446110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4051427</RelatedOrExemptFuncIncomeAmt>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>110538</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
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      <NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>590293</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <ProgramServicesAmt>191133</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ManagementAndGeneralAmt>146521</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>353705</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>16471</ManagementAndGeneralAmt>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>291699</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>413046</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1682764</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>4817860</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2082960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>802783</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>319937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61048</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>35801</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1046861</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8804178</ProgramServicesAmt>
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        <ProgramServicesAmt>12751757</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <EOYAmt>82951583</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>3192732</EOYAmt>
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        <EOYAmt>96842</EOYAmt>
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        <BOYAmt>3297899</BOYAmt>
        <EOYAmt>3653117</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>250092395</BOYAmt>
        <EOYAmt>256967676</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>22178338</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>9324</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>35783879</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>675556</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1832160</BOYAmt>
        <EOYAmt>2784228</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>65156931</BOYAmt>
        <EOYAmt>61431325</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>171201425</BOYAmt>
        <EOYAmt>180207216</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>13734039</BOYAmt>
        <EOYAmt>15329135</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>184935464</BOYAmt>
        <EOYAmt>195536351</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>250092395</BOYAmt>
        <EOYAmt>256967676</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5862233</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6130291</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>-20269</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>-1371368</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>16471</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>16471</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ACTIVITIES: DUNCAN REGIONAL HOSPITAL IS A MEMBER OF THE OKLAHOMA HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND THE OKLAHOMA STATE CHAMBER IN WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTED TO LOBBYING EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1425993</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1425993</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>122537833</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>67209786</DepreciationAmt>
        <BookValueAmt>55328047</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>480903</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>411384</DepreciationAmt>
        <BookValueAmt>69519</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>80935065</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>63618789</DepreciationAmt>
        <BookValueAmt>17316276</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>11788519</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2976771</DepreciationAmt>
        <BookValueAmt>8811748</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>82951583</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Third Party</Desc>
        <Amt>2784228</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2784228</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>3609081</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3609081</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02020</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>34584116</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>14329355</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>20254761</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11350</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>38193197</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>14329355</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>23863842</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.13370</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>18</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3088</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>128288</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>128288</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00070</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>211402</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>211402</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>22</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3088</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>339690</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>339690</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>22</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3088</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>38532887</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>14329355</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>24203532</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.13560</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <EconomicDevelopmentGrp>
        <ActivitiesOrProgramsCnt>3</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>10759</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>10759</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>18</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3479</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>95045</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>95045</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </CommunitySupportGrp>
      <LeadershipDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>4710</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4710</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>2</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>468</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>3582</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3582</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CoalitionBuildingGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>244584</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>244584</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00130</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>25</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3947</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>358680</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>358680</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00210</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>12751757</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>38869030</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>36697015</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>2172015</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>DRH IMAGING LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>IMAGING CENTER</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.82812</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.022</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.14988</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>DUNCAN REALTY</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.4175</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.297</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.2855</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DUNCAN REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1407 N WHISENANT DR</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73533</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.DUNCANREGIONAL.COM</WebsiteAddressTxt>
        <StateLicenseNum>2235</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>1</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>JEFFERSON COUNTY HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>910 US 81 US 70</AddressLine1Txt>
          <CityNm>WAURIKA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73573</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.DUNCANREGIONAL.COM</WebsiteAddressTxt>
        <StateLicenseNum>2233</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>2</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>DUNCAN REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>JEFFERSON COUNTY HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>2</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSONS WHO REPRESENT THE COMMUNITY: THE CHNA FOR DUNCAN REGIONAL HOSPITAL WAS PERFORMED DURING THE MONTHS OF NOVEMBER AND DECEMBER 2021 AND JANUARY 2022. SIMILARLY, TO THE PRIOR CHNA, A COMMITTEE WAS FORMED THAT COMPRISED OF INDIVIDUALS WHO ENCOMPASSED THE DIVERSITY OF STEPHENS AND JEFFERSON COUNTIES. THE HOSPITAL PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE PATHWAYS TO A HEALTHY STEPHENS COUNTY COMMITTEE. THE INDIVIDUALS IN THIS COMMITTEE INCLUDED, BUT WERE NOT LIMITED TO, INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: DRH HOSPITAL, PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH PROVIDERS, STEPHENS AND JEFFERSON COUNTY HEALTH DEPARTMENTS, CAMERON UNIVERSITY, RED RIVER TECHNOLOGY CENTER, DUNCAN CHAMBER OF COMMERCE, CITY OFFICIALS OF DUNCAN, MARLOW, COMANCHE, BRAY-DOYLE, FIRST NATIONAL BANK OF VELMA, FIRST BAPTIST CHURCH-MARLOW, DUNCAN POLICE DEPARTMENT AND VARIOUS OTHERS. ADDITIONAL INPUT CAME FROM SURVEYS, FOCUS GROUPS, AND COMMUNITY INFORMANT INTERVIEWS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSONS WHO REPRESENT THE COMMUNITY: THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS PERFORMED IN THE FALL OF 2021 AND JANUARY 2022 AND A NEW CHIP COMPLETED THAT BEGAN JULY 1, 2022. COMMUNITY MEMBERS WHO PARTICIPATED IN THESE MEETINGS INCLUDED INDIVIDUALS FROM JEFFERSON COUNTY HEALTH DEPARTMENT, JEFFERSON COUNTY PUBLIC SCHOOLS, LOCAL BANKERS, LOCAL BUSINESS OWNERS, RETIRED INDIVIDUALS, WAURIKA NEWSPAPER, A LOCAL PASTOR AND THE WAURIKA CHAMBER OF COMMERCE. ADDITIONAL INPUT CAME FROM SURVEYS THAT WERE MADE AVAILABLE IN BOTH PAPER AND WEB FORMAT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHNA CONDUCTED WITH OTHER ORGANIZATIONS: IN PARTNERSHIP WITH THE STEPHENS COUNTY HEALTH DEPARTMENT, PATHWAYS TO A HEALTHY STEPHENS COUNTY, UNITED WAY OF STEPHENS COUNTY, WICHITA MOUNTAINS PREVENTION NETWORK, PUBLIC SCHOOLS WITHIN THE COUNTY AND NUMEROUS OTHER ORGANIZATIONS, DUNCAN REGIONAL HOSPITAL PARTICIPATED WITH THESE ORGANIZATIONS TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR STEPHENS COUNTY AND JEFFERSON COUNTY OKLAHOMA, IN THE FALL 2021 THROUGH JANUARY 2022.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS CONDUCTED WITH THE JEFFERSON COUNTY HEALTH DEPARTMENT. JEFFERSON COUNTY HEALTH DEPARTMENT WORKED CLOSELY WITH THE HOSPITAL AND PATHWAYS TO DEVELOP AND ANALYZE SURVEYS, AND GATHER LOCAL HEALTH DATA AND DEVELOP THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2022-2025.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, FACILITY 1 &amp; 2, LINES 7A, 7D &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>WEBSITE WHERE CHNA CAN BE FOUND: THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) CAN BE FOUND AT THE FOLLOWING ADDRESS: HTTPS://WWW.DUNCANREGIONAL.COM/ABOUT-THE-HOSPITAL/COMMUNITY-INVOLVEMENT/ THE CHNA/CHIP REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, FACILITY 1 &amp; 2, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ADDRESSED AND NOT ADDRESSED IN IMPLEMENTATION STRATEGY: THROUGH CONDUCTING THE CHNA, 3 BROAD HEALTH PRIORITIES WERE IDENTIFIED FOR THE COMMUNITIES. THESE NEEDS WERE: - BEHAVIORAL HEALTH/SUBSTANCE USE/ABUSE - HEALTHY LIVING (HEART DISEASE, PHYSICAL ACTIVITY, HEALTHY FOODS, CANCER AWARENESS/EDUCATION) - SAFETY/INJURY PREVENTION THE IMPLEMENTATION STRATEGY PRIORITIZED THE ITEMS LISTED ABOVE TO BE ADDRESSED IN THE HEALTH IMPROVEMENT PLAN. MENTAL HEALTH, HEALTHY LIVING/CANCER EDUCATION AND SAFETY/INJURY PREVENTION WERE CHOSEN BASED ON COMMUNITY HEALTH DATA AND IDENTIFIABLE GAPS IN AVAILABLE CARE AND EDUCATION SERVICES. IT WAS DETERMINED THAT THESE THREE ISSUES WOULD ULTIMATELY HAVE THE GREATEST IMPACT ON THE COMMUNITY'S OVERALL HEALTH WHILE ALSO TAKING INTO ACCOUNT THE HOSPITAL'S AVAILABLE RESOURCES. IN THE MOST RECENT CHNA, THE THREE PRIORITIES WERE IDENTIFIED AS: 1. BEHAVIORAL HEALTH/SUBSTANCE ABUSE: - BEHAVIORAL HEALTH COMMITTEE MEETS MONTHLY THE SECOND WEDNESDAY OF THE MONTH AT NOON. COMMITTEE MEETING IS HELD ON THE CAMPUS OF DRH HEALTH. - INCREASE EDUCATION: HANDLE WITH CARE INTRODUCTION AND TRAINING/N.E.A.R. SCIENCE/ACE'S. CO-PRESENTED WITH REPRESENTATIVES FROM THE CHICKASAW NATION TO LOCAL SCHOOLS AND COALITION MEETING. - HOPE RISING OK INITIATIVE WITH FIRST LADY SARAH STITT AND CHAN HELLMAN (ONGOING COLLABORATION) - PLANNING HAS PROGRESSED TROUGH PARTNERSHIP WITH LOCAL AND STATE RESOURCES TO OFFER SUPPORT THROUGH PATHWAYS HOPE CENTERS/FAMILY RESOURCE CENTERS - CONTINUING: PROVIDE UPDATES WITH HOPE NAVIGATORS IN BOTH COUNTIES AS PLANNING FOR FAMILY RESOURCE CENTERS PROGRESSES - PLANNING: SAFE KIDS COALITION - IN PARTNERSHIP WITH SAFE KIDS OKLAHOMA - APPLICATION NOT AVAILBALE YET.PROJECTED TO BE 2024 - DUNCAN HIGH SCHOOL/PATHWAYS YOUTH COALITION (ALCOHOL/TOBACCO/VAPING) - RED RIBBON WEEK ACTIVITIES X 2 COUNTIES. OCTOBER 2022 - PLANNING OF TWO ADDITIONAL SCHOOL YOUTH COALITIONS (JEFFERSON COUNTY AND ONE ADDITIONAL IN STEPHENS COUNTY) RYAN AND MARLOW PUBLIC SCHOOLS HAVE EXPRESSED INTEREST. PARTNERSHIP WITH WMPN AS LEAD FOR YOUTH COALITIONS BASED ON GRANTS AWARDED THORUGH ODMHSAS. - CO-HOST WITH PARTNER, WMPN MULITIPLE DRUG TAKE BACK EVENTS IN BOTH COUNTIES 2. HEALTHY LIVING: - HEALTHY LIVING COMMITTEE MEETS MONTHLY AT 9:00AM AT DRH HEALTH FOUNDATION BOARD ROOM. - WELLNESS WORKS CHALLENGE - MAY 9 - JUNE 24. SEVEN WEEK CHALLENGE OPEN TO GREATER COMMUNITY OF STEPHENS AND JEFFERSON COUNTIES TO FOCUS ON TOBACCO USE PREVENTION, MINDFULNESS, PHYSICAL ACTIVITY, WATER CONSUMPTION, HEALTHY FRUITS/VEGETABLES AND SLEEP. PROMOTED WALKING TRAILS AND FUN FAMILY FRIENDLY RUNNING/WALKING EVENTS. - ANNUAL EVENT: STAMPEDE THE TRAIL - HALF MARATHON AND 5K (PARTNERSHIP WITH DRH HEALTH FOUNDATION) - GRADE SCHOOL COOKING CLASSES - PARTNERING WITH OSU EXT OFFICE TWO-BITE CLUB. TWO BITE CLUB, USDA PROGRAM ENCOURAGED KIDS TO TRY FOODS FROM EACH OF THE FOOD GROUPS BY EATING JUST TWO BITES! - SPRING YOUTH WELLNESS EVENT: SIMMONS CENTER COLLABORATION - ANNUAL EVENT: WOMEN'S HEALTH EVENT / YOUTH AND FAMILIES' HEALTH EVENTS HELD FALL OF 2022 - PROMOTION OF CERTIFIED HEALTHY OKLAHOMA INITIATIVE / EDUCATION / TECHNICAL ASSISTANCE: APPLICATIONS COMPLETED NOV 2021. AWARDS LUNCHEON HELD SPRING (MARCH) 2022 - PROMOTE/EDUCATE ON IMPORTANCE OF IMMUNIZATIONS INCLUDING COVID AND FLU VACCINES. PARTICIPATED WITH PUBLIC HEALTH INST OF OK AND OU RESEARCH CENTER TO HOST SEVERAL COVID 19 TESTING SITES AND OFFER COVID 19 AND FLU SHOTS IN BOTH STEPHENS AND JEFFERSON COUNTIES. - PROMOTE VARIOUS CANCER SCREENING OPPORTUNITIES THROUGH CCSWOK AND COMMUNITY HEALTH FAIR EVENTS. GLOBAL MULTIMEDIA OUTLETS WITHIN DRH HEALTH SYSTEM FOR PATIENTS, FAMILY MEMBERS AND VISITORS. SOCIAL MEDIA OUTLETS TO GREATER COMMUNITY OF STEPHENS AND JEFFERSON COUNTIES. CANCER: PROMOTED SCREENINGS TO THE COMMUNITY THROUGH FLYERS, SOCIAL MEDIA AND LOCAL PRESS. 3. SAFETY INJURY PREVENTION: - THE SHIP COMMITTEE MEETS THE SECOND TUESDAY OF THE MONTH AT THE DRH HEALTH FOUNDATION BOARD ROOM. - HOST SPRING AND FALL A ONE DAY SAFETY EVENT FOR LOCAL 4TH AND 5TH GRADERS - BOTH COUNTIES; FOCUS ON SAFETY AND UNINTENTIONAL INJURIES (FIRE, BICYCLE, WEATHER, VEHICLE, ATV, DRUGS/ALCOHOL/MARIJUANA) - EDUCATIONAL SOCIAL MEDIA FOCUSED ON K - 12 SCHOOLS - LOCAL MUNICIPAL POLICY REVIEW IN PARTNERSHIP WITH WICHITA MOUNTAINS PREVENTION NETWORK - CO-HOST / SPONSOR OF COMMUNITY BABY SHOWER: EDUCATION FOR NEW PARENTS AND PARENTS TO BE - CAR SEAT SAFETY CHECKS AT SCHOOL / COMMUNITY EVENTS - EXPLORE OPPORTUNITIES TO APPLY FOR A SAFE KIDS COALITION - APPLICATION DID NOT OPEN IN 2022 LOCAL COUNTY HEALTH DEPARTMENT OF STEPHENS AND JEFFERSON COUNTIES, DRH HEALTH, DRH HEALTH FOUNDATION, LOCAL CHAMBER OF COMMERCE, POTTS FAMILY FOUNDATION, EVOLUTION FOUNDATION, WICHITA MOUNTAIN PREVENTION NETWORK, AND PUBLIC HEALTH INSTITUTE OF OKLAHOMA/OU RESEARCH PARTNERS AND SEVERAL SCHOOL DISTRICTS IN BOTH COUNTIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, FACILITIES 1 &amp; 2, LINES 16A, 16B, &amp; 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>WEBSITE WHERE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>19</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CANCER CENTER OF SOUTHWEST OKLAHOMA LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3401 WEST GORE BOULEVARD</AddressLine1Txt>
            <CityNm>LAWTON</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73502</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DRH IMAGING LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1407 N WHISENANT DR</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DUNCAN FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1324 N HARVILLE</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DUNCAN FAMILY MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2120 W ELK SUITE 2 6</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE &amp; PSYCHIATRY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DUNCAN MEDICAL ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2515 W ELK</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DUNCAN ALLERGY ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1401 DUNCAN REGIONAL LOOP</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>OTOLARYNGOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DUNCAN ORTHOPEDICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2945 W ELK AVE</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>ORTHOPEDICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHICKASHA OBGYN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2100 W IOWA</AddressLine1Txt>
            <CityNm>CHICKASHA</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73018</ZIPCd>
          </USAddress>
          <FacilityTxt>OBSTETRICS &amp; GYNECOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SANFORD CHILDREN'S CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2502 W ELK</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ELIGIN FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8148 STATE HWY 17</AddressLine1Txt>
            <CityNm>ELIGN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73532</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARLOW FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 N 4TH ST</AddressLine1Txt>
            <CityNm>MARLOW</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73055</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WAURIKA FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9172 US HWY 70</AddressLine1Txt>
            <CityNm>WAURIKA</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73573</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMANCHE FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>303 N HWY 81</AddressLine1Txt>
            <CityNm>COMANCHE</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73529</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RINGLING FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>108 S 5TH ST</AddressLine1Txt>
            <CityNm>RINGLING</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73456</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RYAN FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1104 6TH ST</AddressLine1Txt>
            <CityNm>RYAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73565</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VELMA FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>404 W MAIN</AddressLine1Txt>
            <CityNm>WALTERS</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73572</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WALTERS FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>402 N BROADWAY</AddressLine1Txt>
            <CityNm>WALTERS</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73572</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MILLER EYE CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1311 JACKIE RD</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>OPTHALMOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PAVILLION CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2115 DUNCAN REG LOOP 100 200 300</AddressLine1Txt>
            <CityNm>DUNCAN</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73533</ZIPCd>
          </USAddress>
          <FacilityTxt>OBSTETRICS, GYNECOLOGY, INTERNAL MED, PULMONARY, &amp; CARDIOLOGY CLINICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE: BAD DEBT IS DETERMINED BY EVALUATING THE COLLECTIBILITY OF THE SELF-PAY BALANCES BASED ON THE AGING ACCOUNTS RECEIVABLES BALANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT AS COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 2014-09 TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION B, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY: THE ORGANIZATION UTILIZES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED UPON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS, AND THE ANCILLARY PORTION IS APPORTIONED BASED UPON PROGRAM CHARGES TO TOTAL CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION POLICY: IN SUPPORT OF ITS MISSION, THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED MEDICALLY INDIGENT IN ACCORDANCE WITH THE HOSPITAL'S WRITTEN CHARITY CARE CRITERIA. NO FURTHER COLLECTION EFFORTS ARE MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ON GOING BASIS, AND EVERY THREE YEARS, THROUGH INVOLVEMENT WITH COMMUNITY PARTNERS AND SURVEYS WITH PHYSICIANS. THE HOSPITAL WILL UNDERGO THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN UNDER THE 501R REQUIREMENTS BY THE REQUIRED TIME. ALSO, PATHWAYS TO A HEALTHY LIVING, A COUNTY HEALTH IMPROVEMENT ORGANIZATION HOLDS MONTHLY COMMUNITY PARTNER MEETINGS VIA WEBEX TO STAY UP TO DATE ON THE NEEDS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: DUNCAN REGIONAL HOSPITAL PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON THE HOSPITAL'S WEBSITE, BROCHURES ARE AVAILABLE AT EVERY REGISTRATION POINT, PRE-ADMISSION LETTERS ARE PROVIDED TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE GIVEN TO UNINSURED PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION: DUNCAN REGIONAL HOSPITAL IS ACTIVELY DELIVERING CARE TO THE STEPHENS COUNTY AREA. ACCORDING TO THE 2010 CENSUS, STEPHENS COUNTY IS A RURAL COUNTY WITH A POPULATION OF 45,048. THIS INCLUDES THE CITY OF DUNCAN WHERE THE HOSPITAL IS LOCATED WITH A POPULATION OF 23,431 RESIDENTS. THE SECOND MOST POPULATED AREA IS MARLOW WITH A POPULATION OF 5,000. THE MEDIAN AGE OF THE POPULATION IS 40.6 YEARS OLD WITH APPROXIMATELY ONE QUARTER OF THE POPULATION UNDER THE AGE OF 19. THROUGH JEFFERSON COUNTY HOSPITAL, DUNCAN IS ALSO ACTIVELY DELIVERING CARE TO THE JEFFERSON COUNTY AREA. THE ESTIMATED POPULATION OF THE COUNTY IS 6,377 WITH A MEDIAN AGE OF 41.6 YEARS OLD. APPROXIMATELY 39.3% OF THE COUNTY'S ADULT POPULATION SUFFERS FROM OBESITY RESULTING IN $2,740 IN ADDITIONAL MEDICAL COSTS PER PERSON AGED 18 &amp; OVER. THE HOSPITAL HAS AN AVERAGE OF 95 DISCHARGES FOR PATIENTS WITH HEART DISEASE AND 12 DISCHARGES FOR PATIENTS WITH DIABETES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH: DUNCAN REGIONAL HOSPITAL PROMOTES THE OVERALL HEALTH OF THE COMMUNITY BY CONTINUALLY WORKING TO BRING QUALITY PHYSICIANS TO PARTICIPATE IN OUR OPEN MEDICAL STAFF. SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO IMPROVE THE QUALITY OF SERVICES TO THE COMMUNITY. THE HEALTH SYSTEM CONTINUES TO FUND HALF OF THE SALARY FOR THE POSITION OF EXECUTIVE DIRECTOR TO FACILITATE THE CHNA AND CHIP PROCESS AND OVERSEE THE DAY TO DAY OPERATIONS AND PROGRAMS PRESENTED IN THE COUNTIES SERVED. THE EXECUTIVE DIRECTOR ALSO MAINTAINS LOCAL AND STATEWIDE PARTNERSHIPS AND COLLABORATION OPPORTUNITIES WITH STATE KEY STAKEHOLDERS. THE HOSPITAL PARTNERS WITH AND PARTICIPATES IN THE CERTIFIED HEALTHY OKLAHOMA INITIATIVE. INCLUDED WERE CERTIFIED HEALTHY BUSINESSES, SCHOOLS, CONGREGATIONS, EARLY CHILDHOOD CENTERS AND RESTAURANTS. AMONG THE ORGANIZATIONS CERTIFIED WERE ALL DRH/JCH CLINICS, EARLY CHILDHOOD CENTERS, THE ATRIUM CAF', CAMERON UNIVERSITY-DUNCAN, SEVERAL PUBLIC SCHOOL SITES, CONGREGATIONS AND OTHER LOCAL BUSINESSES. IN MAY 2018, THE "STOP THE STIGMA" CAMPAIGN WAS STARTED TO PROVIDE EDUCATION ON THE STIGMA REGARDING MENTAL HEALTH/ILLNESS. COMMUNITY PARTNERS WERE PROVIDED INFORMATION AT VARIOUS COMMUNITY EVENTS AND COUNCIL MEETINGS AND PRESENTED AN OPPORTUNITY TO TAKE A PLEDGE TO WORK TO HELP STOP THE STIGMA IN THEIR COMMUNITIES. THIS INITIATIVE IS STIL ACTIVE AND BEING PROMOTED TO THE COMMUNITY THROUGH SOCIAL MEDIA AND COMMUNITY HEALTH EVENTS. THE JEFFERSON COUNTY PATHWAYS COALITION MET WITH VARIOUS COMMUNITY PARTNERS ATTENDING MEETINGS FROM THE COUNTY (SCHOOLS, LAW ENFORCEMENT, PRIVATE SECTOR, AND OTHER NONPROFIT ORGANIZATIONS). MEETINGS CONTINUE TO BE HELD VIRTUAL BY CONSENSUS OF THE GROUP. THE MEETING IS HELD THE LAST TUESDAY OF THE MONTH AT 5:30PM. ADDITIONAL INFORMATION ON LEADERSHIP IN THE COMMUNITY: LEADERS FROM DRH SERVES ON VARIOUS BOARDS WITHIN THE COUNTY INCLUDING BUT NOT LIMITED TO THE FOLLOWING: ROTARY, KIWANIS, LIONS CLUB, SIMMONS CENTER, SAFE CENTER (FORMERLY WOMEN'S HAVEN), BEAUTIFUL DAY (POSITIVE RECOGNITION PROGRAM FOR ELEMENTARY CHILDREN), DUNCAN ENHANCEMENT TRUST AUTHORITY (UNDER DUNCAN CITY COUNCIL), STEPHENS COUNTY HEALTH DEPARTMENT, LEADERSHIP DUNCAN AND ALSO THE LOANED EXECUTIVE PROGRAM THROUGH UNITED WAY. PARTNERED WITH LOCAL PARTNERS AND LEGISLATORS TO DISSEMINATE CENSUS 2020 DATA TO COMMUNITY. COMMUNITY BENEFIT DIRECTOR IDENTIFIED TWO PARTNER LEADERS TO COMPLETE ACE'S N.E.A.R. SCIENCE TRAINING IN 2023. THIS EDUCATION WILL CONTINUE TO BE PRESENTED TO SCHOOLS, FAITH BASED AND GREATER COMMUNITY TO IMPROVE KNOWLEDGE OF ACE'S, RESILIENCE AND HOPE AND IS PART OF THE SELF HEALING COMMUNITIES' STATEWIDE INITIATIVE LEAD BY THE POTTS FAMILY FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEM: N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE FILING OF COMMUNITY BENEFIT REPORT: N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES: DUNCAN REGIONAL HOSPITAL ENCOURAGES ITS LEADERSHIP TEAM MEMBERS TO PARTICIPATE IN LOCAL NOT-FOR-PROFIT AGENCIES. LEADERS FROM DRH SERVE ON VARIOUS BOARDS WITHIN THE COUNTY INCLUDING BUT NOT LIMITED TO THE FOLLOWING: ROTARY, KIWANIS, LIONS CLUB, SIMMONS CENTER, SAFE CENTER (FORMERLY WOMENS HAVEN), BEAUTIFUL DAY (FOR ELEMENTARY CHILDREN), DUNCAN ENHANCEMENT TRUST AUTHORITY, STEPHENS COUNTY HEALTH DEPARTMENT, LEADERSHIP DUNCAN PROGRAM AND ALSO THE LOANED EXECUTIVE PROGRAM THROUGH UNITED WAY. EMPLOYEES PARTICIPATE IN VARIOUS HEALTH EVENTS OFFERED TO THE COMMUNITIES OF STEPHENS AND JEFFERSON COUNTIES SUCH AS THE DOUGLAS SR CENTER HEALTH FAIR, JEFFERSON COUNTY HEALTH FAIR, LADIES FALL HEALTH EVENT, STAMPEDE THE TRAIL, AND WALK TO REMEMBER. THEY ALSO PROVIDE FREE BLOOD PRESSURE/GLUCOSE SCREENINGS AT SENIOR CENTERS AND NURSING HOMES. WE HAVE SOME PHYSICIANS AND NURSES THAT ALSO VOLUNTEER AT THE COMPASSION CLINIC IN DUNCAN. THE HOSPITAL ENCOURAGES PARTICIPATION BY COMPENSATING THE TEAM MEMBERS WHILE THEY ARE PERFORMING THIS WORK OUTSIDE OF THE HOSPITAL. WORKFORCE DEVELOPMENT COSTS REPRESENT THE COSTS OF MAINTAINING A BUILDING USED BY A STATE UNIVERSITY TO EDUCATE NURSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $12,751,757.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY FOR COMMUNITY BENEFIT COSTS: THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. WORKSHEETS 4 AND 8 WERE COMPLETED USING THE HOSPITAL'S DIRECT COSTS AND INCOME STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -ASSET LEVEL -INSURANCE STATUS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DUNCAN REGIONAL HOSPITAL HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1407 WHISENANT DRIVE</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73533</ZIPCd>
        </USAddress>
        <RecipientEIN>202772056</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>98500</CashGrantAmt>
        <PurposeOfGrantTxt>NURSING SCHOLARSHIPS &amp; STIPENDS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BEAUTIFUL DAY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>807 W MAIN</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73533</ZIPCd>
        </USAddress>
        <RecipientEIN>464630628</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>24634</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FOOD</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>COMMUNITY SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DUNCAN COMMUNITY RESIDENCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1474</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73534</ZIPCd>
        </USAddress>
        <RecipientEIN>237451608</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <NonCashAssistanceAmt>46670</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FOOD</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>COMMUNITY SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE HOSPITAL REQUESTS AND RECEIVES PERIODIC REPORTS TO ENSURE THE GRANT FUNDS ARE BEING USED FOR THEIR INTENDED PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAY JOHNSON</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>516959</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>79930</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2563</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31975</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>666677</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM STEWART MD</PersonNm>
        <TitleTxt>PHYSICIAN-SOLUTIONS-FAMILY-MED</TitleTxt>
        <BaseCompensationFilingOrgAmt>263775</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>107241</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11244</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34017</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>451527</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUG VOLINSKI</PersonNm>
        <TitleTxt>VP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>329842</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>29398</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4647</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23202</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>422339</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROGER NEAL</PersonNm>
        <TitleTxt>VP OPERATIONS/CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>315868</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34415</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1539</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33922</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23202</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>408946</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTEN J WEBB RN MSN</PersonNm>
        <TitleTxt>VP/CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>252643</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21321</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>774</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27245</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33928</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335911</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE JENEAN BIVANS</PersonNm>
        <TitleTxt>VP/CHRO</TitleTxt>
        <BaseCompensationFilingOrgAmt>235641</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34052</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2231</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30342</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21929</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>324195</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANNY GILES MD</PersonNm>
        <TitleTxt>PHYSICIAN - ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>1060138</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4394</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32065</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1111847</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENDA MULLINS MD</PersonNm>
        <TitleTxt>PHYS-INTERVENTIONAL CARDIOLOGY</TitleTxt>
        <BaseCompensationFilingOrgAmt>695463</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>9856</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21304</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>761873</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA MARIE HURST MD</PersonNm>
        <TitleTxt>PHYSICIAN-FAMILY PRACTICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>653015</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>419</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31975</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>720659</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIGUEL ANGEL TOVAR MD</PersonNm>
        <TitleTxt>PHYSICIAN - OBGYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>601129</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>465</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34018</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>670862</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JUAN ADRIAN CORNEJO</PersonNm>
        <TitleTxt>PHYSICIAN- GYNECOLOGY SURGERY</TitleTxt>
        <BaseCompensationFilingOrgAmt>586814</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1070</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32065</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>655199</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN P EDGAR</PersonNm>
        <TitleTxt>PRESIDENT OF JCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>146064</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11885</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1203</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17216</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23202</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>199570</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIGUEL SABEDRA MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>423601</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>35250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23202</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>482053</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH OR SOCIAL CLUB DUES: COUNTRY CLUB DUES ARE PAID BY THE CEO. THE DUES AND ANY EXPENSES INCURRED FOR THE HOSPITAL'S BENEFIT ARE REIMBURSED TO THE CEO BY THE HOSPITAL. THE MEMBERSHIP IS USED BY OTHER EMPLOYEES OF THE ORGANIZATION, INCLUDING THE PHYSICIAN RECRUITER. FOR THIS REASON, THE DUES ARE NOT INCLUDED IN THE CEO'S W-2 AS TAXABLE INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS: SENIOR MANAGEMENT IS PAID VARIABLE COMPENSATION BASED UPON GOALS APPROVED BY THE GOVERNING BOARD ANNUALLY. THE GOALS VARY YEAR TO YEAR. THERE IS A FIXED PERCENTAGE SET AT THE BEGINNING OF THE YEAR WHEN THE GOALS ARE APPROVED. A PERCENTAGE OF THAT AMOUNT IS PAID BASED ON THE ACHIEVEMENT OF THOSE GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: JAY JOHNSON NONE $20,000 DOUG VOLINSKI NONE $20,000 ROGER NEAL NONE $20,000 KRISTEN WEBB NONE $16,854 MICHELLE BIVANS NONE $16,550 MIGUEL SABEDRA NONE $20,000 BRENDA MULLINS NONE $20,000 MELISSA HURST NONE $20,000 JOHN EDGAR NONE $9,049 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED IN 409(A): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: WILLIAM STEWART NONE $20,000 MIGUEL TOVAR NONE $20,000 JUAN CORNEJO NONE $20,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>731083741</BondIssuerEIN>
        <CUSIPNum>XXXXXXXXX</CUSIPNum>
        <BondIssuedDt>2020-11-01</BondIssuedDt>
        <IssuePriceAmt>25732000</IssuePriceAmt>
        <PurposeDesc>REFINANCE SERIES 2013A &amp; 2013B</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>731083741</BondIssuerEIN>
        <CUSIPNum>XXXXXXXXX</CUSIPNum>
        <BondIssuedDt>2018-11-15</BondIssuedDt>
        <IssuePriceAmt>15000000</IssuePriceAmt>
        <PurposeDesc>SERIES 2018 - HEALTH FACILITIES</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3985214</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>25732000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>25701189</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>30811</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>958602</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>15000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>44046</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>14955954</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Che' Miller</PersonNm>
        <RelationshipWithOrgTxt>Director of Board</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Compensation advance</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>99563</OriginalPrincipalAmt>
        <BalanceDueAmt>45413</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>false</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>false</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>45413</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>STACIE ELFRINK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF BOARD-ELFRINK</RelationshipDescriptionTxt>
        <TransactionAmt>535533</TransactionAmt>
        <TransactionDesc>SALARIES/WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DR CHRISTOPHER HERNDON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF BOARD-ELFRINK</RelationshipDescriptionTxt>
        <TransactionAmt>265518</TransactionAmt>
        <TransactionDesc>SALARIES/WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>LOANS TO INTERESTED PERSONS: THE DRH HEALTH BOARD OF DIRECTORS ELECTED TO RETAIN ALL EMPLOYEES AND COMPENSATE THEM AT BASE PAY LEVELS THROUGHOUT MUCH OF THE COVID PANDEMIC. THIS INCLUDED MAINTAINING EMPLOYED PROVIDER COMPENSATION AT HISTORIC LEVELS. WE OFFERED THE INDEPENDENT PROVIDERS ON OUR MEDICAL STAFF THE ABILITY TO MAINTAIN THEIR INCOME AT HISTORIC LEVELS OVER A SIX MONTH PERIOD OF APRIL 2020 THROUGH SEPTEMBER 2020 AS WELL THROUGH LOANS THAN MAY BE FORGIVEN OVER A 60 MONTH PERIOD SUBSEQUENT TO THE LOAN PERIOD AS LONG AS THEY MAINTAIN THEIR ACTIVE PRACTICE IN OUR COMMUNITY OVER THE 60 MONTH PERIOD OF FORGIVENESS. ONE OF THE INDEPENDENT PROVIDERS WHO ELECTED TO PARTICIPATE IN THE LOAN PROGRAM IS A MEMBER OF THE DRH HEALTH BOARD OF DIRECTORS. THE LOAN PROGRAM WAS APPROVED BY THE BOARD AND THE PHYSICIAN BOARD MEMBER DID ABSTAIN ON THE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE DECISIONS RESERVED TO PERSONS OTHER THAN THE GOVERNING BODY: THE BOARD DELEGATES DECISIONS FOR REVIEW AND APPROVAL OF COMPENSATION PACKAGES TO A SUBCOMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE CONSISTS OF NO LESS THAN THREE INDEPENDENT DIRECTORS, APPOINTED BY THE BOARD ON THE RECOMMENDATION OF THE NOMINATING/GOVERNANCE COMMITTEE. THE BOARD SHALL APPOINT ONE MEMBER OF THE COMPENSATION COMMITTEE AS ITS CHAIR. THE BOARD MAY REPLACE COMPENSATION COMMITTEE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW 990: THE FORM 990 WAS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED INTERNALLY BY MANAGEMENT. PRIOR TO FILING, COPIES OF THE 990 WERE DISTRIBUTED TO BOARD MEMBERS AT A BOARD MEETING. TIME WAS PROVIDED FOR REVIEW AND QUESTIONS AT THE MEETING. BOARD MEMBERS WERE OFFERED COPIES TO TAKE WITH THEM AFTER THE MEETING. THE 990 IS ALSO UPLOADED TO A BOARD PORTAL FOR REVIEW YEAR-ROUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS, OFFICERS AND HIGHEST COMPENSATED EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IF A BOARD MEMBER BELIEVES THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST, THEN THE CONFLICT SHOULD BE IMMEDIATELY DISCLOSED. THE BOARD MEMBER IS THEN TOLD TO LEAVE THE BOARD MEETING AND THE REMAINING BOARD DISCUSSES AND VOTES ON IF A CONFLICT OF INTEREST EXISTS. IF IT IS DECIDED THAT A CONFLICT EXISTS, THE AFFECTED BOARD MEMBER SHOULD ABSTAIN FROM ANY ACTION TO THE INTEREST AND SHOULD ABSENT HIMSELF OR HERSELF FROM ANY PORTION OF ANY PROCEEDINGS AT WHICH ACTION IS CONSIDERED OR TAKEN REGARDING THE INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW: THE BOARD OF DIRECTORS APPOINTS THE COMPENSATION COMMITTEE TO DISCHARGE THE BOARD'S RESPONSIBILITIES RELATING TO COMPENSATION OF THE HOSPITAL'S EXECUTIVE OFFICERS AND OTHER INDIVIDUALS DEFINED AS DISQUALIFIED PERSONS UNDER THE INTERNAL REVENUE CODE. THE COMPENSATION COMMITTEE ESTABLISHES THE COMPENSATION AND BENEFIT ARRANGEMENTS PROVIDED TO THE EXECUTIVE OFFICERS OF THE HOSPITAL. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE ANNUAL BASE SALARY, THE ANNUAL INCENTIVE COMPENSATION AND OTHER BENEFITS OFFERED OR PAID TO THE EXECUTIVE MANAGEMENT OF THE HOSPITAL. THE COMPENSATION COMMITTEE OF THE BOARD SETS THE CEO'S SALARY. THEY RELY HEAVILY ON SALARY SURVEY DATA AND RECOMMENDATIONS FROM A NATIONAL CONSULTING FIRM. REVIEWS ARE CONDUCTED IN SEPTEMBER OR OCTOBER OF EACH YEAR AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 16B</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN POLICY TO EVALUATE PARTICIPATION IN JOINT VENTURES: ALTHOUGH THE HOSPITAL DOES NOT HAVE A WRITTEN POLICY, ALL POTENTIAL JOINT VENTURES ARE REVIEWED AND EVALUATED BY THE BOARD OF DIRECTORS ON A CASE BY CASE BASIS. THE HOSPITAL DOES NOT ENTER INTO A JOINT VENTURE WITHOUT THE BOARD'S APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS: THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS: INTERCOMPANY EXPENSE - ADVANCED MEDICAL SUPPLY $(680,141) INTERCOMPANY EXPENSE - SOLUTIONS (1,042,375) INTERCOMPANY EXPENSE - DUNCAN HEALTH PTR (260,319) OTHER CHANGES 611,467 ------------ TOTAL $(1,371,368)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:13864033</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5023988</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION SERVICES TOTAL FEES:953169</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOLUTIONS PHYS PRACTICE MGMT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2210 DUNCAN REGIONAL LOOP ROAD</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73533</ZIPCd>
        </USAddress>
        <EIN>260618405</EIN>
        <PrimaryActivitiesTxt>PRACTICE MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <TotalIncomeAmt>6201327</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-5369033</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>drh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL SUPPLY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1503 NORTH HIGHWAY 81 SUITE A</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73533</ZIPCd>
        </USAddress>
        <EIN>731539867</EIN>
        <PrimaryActivitiesTxt>DME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <TotalIncomeAmt>1558676</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1786027</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>drh</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DUNCAN HEALTH PARTNERS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1407 WHISENANT DR</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73533</ZIPCd>
        </USAddress>
        <EIN>464527302</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <TotalIncomeAmt>260319</TotalIncomeAmt>
        <EndOfYearAssetsAmt>317075</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DRH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DRH IMAGING LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1407 WHISENANT DRIVE</AddressLine1Txt>
          <CityNm>DUNCAN</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73534</ZIPCd>
        </USAddress>
        <EIN>208849754</EIN>
        <PrimaryActivitiesTxt>RADIOLOGY SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DRH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>2578124</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>965793</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.82813</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DRH IMAGING LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>2000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
