2023-05-12T09:09:32-05:00 2022-06-30 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-07-01 731008550 Duncan Regional Hospital Inc % DOUG VOLINSKI DUNC 6802518572 PO Box 2000 Duncan OK 73534 DOUG VOLINSKI CFO 6802518572 2023-05-15 true DOUG VOLINSKI 999009999 Jeanette Verrelli P00742631 9727028262 2 2021 2023-04-26 12:10:37Z DRH HEALTH JAY JOHNSON PO Box 2000 Duncan OK 73534 233899916 false X www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. 9 6 1400 74 697572 0 7924908 5433272 165993124 182207657 7398302 12188380 2582995 1253340 183899329 201082649 397444 2276313 0 0 80163565 98346399 0 0 0 90406581 86867014 170967590 187489726 12931739 13592923 274524146 250092395 74741554 65156931 199782592 184935464 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. false false 151831950 2276313 182795875 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 20,994 INPATIENT DAYS, 3,974 SURGERY VISITS, AND 31,990 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR. 151831950 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false true false false true false false false false false true true true true false false true 139 0 true 1400 true true true false false false false false false false false false false false X 9 6 false false false false false false true true true false false true true true true true true true true true true OK X DOUG VOLINSKI 5802518554 1407 N WHISENANT DRIVE DUNCAN OK 73533 X DANNY GILES MD PHYSICIAN - ORTHOPEDIC SURGEON 55.0 0.0 X 1051617 0 46823 BRENDA MULLINS MD PHYS-Interventional Cardiology 55.0 0.0 X 705431 0 44310 KRYSTAL M VONFELDT MD PHYSICIAN-family practice 55.0 0.0 X 585542 0 35040 MIGUEL ANGEL TOVAR MD PHYSICIAN - OBGYN 55.0 0.0 X 533058 0 68674 JAY JOHNSON PRESIDENT & CEO 55.0 0.0 X 534755 0 66823 MIGUEL SABEDRA MD DIRECTOR 55.0 0.0 X 476551 0 57948 MELISSA MARIE HURST MD PHYSICIAN-Family Practice 55.0 0.0 X 465363 0 66565 WILLIAM STEWART MD PRESIDENT-SOLUTIONS-FAMILY-MED 55.0 0.0 X 367465 0 68775 ROGER NEAL VP OPERATIONS/CIO 55.0 0.0 X 306034 0 63525 DOUG VOLINSKI VP/CFO 55.0 0.0 X 307323 0 56441 KRISTEN J WEBB RN MSN VP/CHIEF NURSING OFFICER 55.0 0.0 X 223748 0 57802 MICHELLE JENEAN BIVANS VP/CHRO 55.0 0.0 X 182996 0 41904 RICHARD GILLESPIE PRESIDENT OF JCH 55.0 0.0 X 186825 0 19510 GREG SHEPHERD CHAIR 2.0 0.0 X X 0 0 0 JAMES CURRY Director 2.0 0.0 X 0 0 0 CHE' MILLER MD VICE-CHAIR 2.0 0.0 X X 0 0 0 HARBOUR WHITAKER SECRETARY 2.0 0.0 X X 0 0 0 JARI ASKINS DIRECTOR 2.0 0.0 X 0 0 0 TANYA CASE DIRECTOR 2.0 0.0 X 0 0 0 BRAD SCOTT DIRECTOR 2.0 0.0 X 0 0 0 JUDY GILBRETH MD CHIEF OF STAFF 2.0 0.0 X 0 0 0 NATHAN ELFRINK MD DIRECTOR 2.0 0.0 X 0 0 0 5926708 0 694140 154 false true false CRAWFORD ROOFING PO BOX 1496 CHICKASHA OK 73023 CONSTRUCTION 1293010 HOSPITAL CARE CONSULTANTS INC 17304 PRESTON RD STE 1400 DALLAS TX 75252 PHYSICIANS 1358283 EMERGENCY MANAGEMENT MIDWEST PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 1515026 HOPE EQUIPMENT AND CONSTRUCTION INC 4701 N HWY 81 DUNCAN OK 73533 CONSTRUCTION 3372732 GE JOHNSON CONSTRUCTION CO STE 400 25 N CASCADE AVE COLORADO SPRINGS CO 80903 CONSTRUCTION 4513573 36 5134850 298422 21939 5433272 Net Patient Service Revenue 621300 171061688 171061688 Contract Medical Services 621300 4356740 4356740 Clinic Rent Revenue 531120 908750 908750 Joint Venture Income 722320 2453338 2453338 Pharmacy Revenue 446110 2600694 2600694 826447 826447 182207657 2358400 2358400 0 0 0 0 0 42647247 32817267 9829980 9829980 9829980 0 0 0 0 0 0 0 0 0 Catering Revenue 722320 110564 110564 CAFETERIA 722210 554558 554558 NON-PATIENT LAB SERVICES 621500 587008 587008 1210 1210 1253340 201082649 182208867 697572 12742938 X 2276313 2276313 0 0 0 3207444 1229746 1977698 886344 730699 155645 79196439 67042539 12153900 2357719 1931311 426408 7675369 6001135 1674234 5023084 3927517 1095567 0 189024 189024 429154 429154 0 0 340688 340688 19903244 17846609 2056635 446030 446030 2997550 1357085 1640465 4556132 4556132 0 3611143 2580718 1030425 320961 268605 52356 0 29480 19742 9738 1060957 1060957 0 8598787 8598787 1415127 1415127 Provision for Bad Debts 13457784 13457784 Medical Supplies 9061487 7983171 1078316 Pharmaceuticals 6647487 6535109 112378 EQUIPMENT RENTAL AND MAINT. 7019555 6184229 835326 6782424 3860851 2921573 187489726 151831950 35657776 0 8828428 4079509 10489294 3151543 0 0 29016010 33307127 84941 65275 0 0 484541 799938 3778938 4165995 2926066 3302547 209344211 126015923 80644214 83328288 131874598 111225004 0 0 2695394 3272428 96842 96842 3604880 3297899 274524146 250092395 19531587 23448965 0 0 10862933 1098012 39634592 37731621 0 0 0 0 1440168 1046173 0 0 3272274 1832160 74741554 65156931 X 185364222 171201425 14418370 13734039 199782592 184935464 274524146 250092395 X 13592923 -26613005 -18114 -1808932 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14385 14385 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: DUNCAN REGIONAL HOSPITAL IS A MEMBER OF THE OKLAHOMA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IN WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTED TO LOBBYING EXPENSES. 1425993 1425993 118431999 62818649 55613350 480903 396739 84164 76277554 59880309 16397245 12727762 2920226 9807536 83328288 0 EST. AMOUNTS DUE TO THIRD PARTY 1832160 1832160 SCHEDULE D, PART X, LINE, 2 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. true true X true X true X true true false false 699656 699656 0.00950 11458257 10875545 582712 0.00790 12157913 10875545 1282368 0.01740 21 1646 145514 145514 0.00200 5 2294427 2294427 0.03100 26 1646 2439941 2439941 0.03300 26 1646 14597854 10875545 3722309 0.05040 4 4284 4284 0.00010 18 3189 52126 52126 0.00070 1 14825 14825 0.00020 3 5478 5478 0.00010 1 258 258 1 296741 296741 0.00400 28 3189 373712 373712 0.00510 false 13457784 36306437 37861379 -1554942 X true true DRH IMAGING LLC IMAGING CENTER 0.8 0.022 0.178 DUNCAN REALTY REAL ESTATE 0.4175 0.297 0.2855 2 1 DUNCAN REGIONAL HOSPITAL 1407 N WHISENANT DR DUNCAN OK 73533 WWW.DUNCANREGIONAL.COM 2235 X X X 1 2 JEFFERSON COUNTY HOSPITAL 910 US 81 US 70 WAURIKA OK 73573 WWW.DUNCANREGIONAL.COM 2233 X X X 2 DUNCAN REGIONAL HOSPITAL 1 false false true X X X X X X X X X 19 true false true true X SEE PART V, SECTION C X X true 19 true SEE PART V, SECTION C false true X 100 300. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false JEFFERSON COUNTY HOSPITAL 2 false false true X X X X X X X X X 19 true false true true X SEE PART V, SECTION C X X true 19 true SEE PART V, SECTION C false true X 100 300. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: THE CHNA FOR DUNCAN REGIONAL HOSPITAL WAS PERFORMED DURING THE 2019 FISCAL YEAR. SIMILARLY TO THE PRIOR CHNA, A COMMITTEE WAS FORMED THAT COMPRISED OF INDIVIDUALS WHO ENCOMPASSED THE DIVERSITY OF STEPHENS COUNTY. 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 COUNTY HEALTH DEPARTMENT, 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. SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS PERFORMED IN THE FALL OF 2018 AND A NEW CHIP COMPLETED THAT BEGAN JULY 1, 2019. THE HOSPITAL HOSTED FOUR COMMUNITY MEETINGS BETWEEN SEPTEMBER, 2018 AND JULY 2019. COMMUNITY MEMBERS WHO PARTICIPATED IN THESE MEETINGS INCLUDED INDIVIDUALS FROM JEFFERSON COUNTY HEALTH DEPARTMENT, WAURIKA 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. A TOTAL OF 95 SURVEYS FROM THE COMMUNITY WERE COMPLETED. SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 6B CHNA CONDUCTED WITH OTHER ORGANIZATIONS: IN PARTNERSHIP WITH THE STEPHENS COUNTY HEALTH DEPARTMENT, PATHWAYS TO A HEALTHY STEPHENS COUNTY, UNITED WAY OF STEPHENS 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 2018. SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 6B CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS CONDUCTED WITH THE ASSISTANCE OF THE OKLAHOMA OFFICE OF RURAL HEALTH AND JEFFERSON COUNTY HEALTH DEPARTMENT. THE OKLAHOMA OFFICE OF RURAL HEALTH AND JEFFERSON COUNTY HEALTH DEPARTMENT WORKED CLOSELY WITH THE HOSPITAL TO DEVELOP AN ECONOMIC IMPACT OF THE LOCAL HEALTH SECTOR, DEVELOP AND ANALYZE SURVEYS, AND GATHER LOCAL HEALTH DATA. SCHEDULE H, PART V, SECTION B, FACILITY 1 & 2, LINES 7A, 7D & 10A 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. SCHEDULE H, PART V, SECTION B, FACILITY 1 & 2, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED IN IMPLEMENTATION STRATEGY: THROUGH CONDUCTING THE CHNA, 4 HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY. THESE NEEDS WERE: - BEHAVIORAL HEALTH/ SUBSTANCE ABUSE - HEALTHY LIVING (HEART DISEASE, PHYSICAL ACTIVITY, HEALTHY FOODS) - SAFETY/INJURY PREVENTION - CANCER AWARENESS/ EDUCATION THE IMPLEMENTATION STRATEGY PRIORITIZED THE FIRST 4 ITEMS LISTED ABOVE TO BE ADDRESSED IN THE HEALTH IMPROVEMENT PLAN. MENTAL HEALTH, HEALTHY LIVING, SAFETY/INJURY PREVENTION AND CANCER WERE CHOSEN BASED ON COMMUNITY HEALTH DATA AND IDENTIFIABLE GAPS IN AVAILABLE CARE SERVICES. IT WAS DETERMINED THAT THESE FOUR 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 FOUR 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: Partnership with local resources to offer support through Pathways Hope Centers - Continuing: Collaboration with Hope Navigators in both counties - Planning: Safe kids coalition - In partnership with Safe Kids Oklahoma - Duncan High School/Pathways Youth Coalition (alcohol/tobacco/vaping) - Red Ribbon Week activities x 2 counties. October 2021 - Planning of two additional school youth coalitions (Jefferson county and one additional in Stephens county) - Co-Host with partner, WMPN 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. 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 4. CANCER: PROMOTED SCREENINGS TO THE COMMUNITY THROUGH FLYERS, SOCIAL MEDIA AND LOCAL PRESS. UNABLE TO HOST LOCAL IN PERSON EVENT DUE TO COVID PANDEMIC RESTRICTIONS. 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. SCHEDULE H, PART V, SECTION B, FACILITIES 1 & 2, LINES 16A, 16B, & 16C WEBSITE WHERE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/ 19 CANCER CENTER OF SOUTHWEST OKLAHOMA LLC 3401 WEST GORE BOULEVARD LAWTON OK 73502 CANCER CENTER DRH IMAGING LLC 1407 N WHISENANT DR DUNCAN OK 73533 IMAGING CENTER DUNCAN FAMILY CARE 1324 N HARVILLE DUNCAN OK 73533 FAMILY PRACTICE DUNCAN FAMILY MEDICINE 2120 W ELK SUITE 2 6 DUNCAN OK 73533 FAMILY PRACTICE & PSYCHIATRY DUNCAN MEDICAL ASSOCIATES 2515 W ELK DUNCAN OK 73533 FAMILY PRACTICE DUNCAN ALLERGY ENT 1401 DUNCAN REGIONAL LOOP DUNCAN OK 73533 OTOLARYNGOLOGY DUNCAN ORTHOPEDICS 2945 W ELK AVE DUNCAN OK 73533 ORTHOPEDICS CHICKASHA OBGYN 2100 W IOWA CHICKASHA OK 73018 OBSTETRICS & GYNECOLOGY SANFORD CHILDREN'S CLINIC 2502 W ELK DUNCAN OK 73533 PEDIATRICS ELIGIN FAMILY CARE 8148 STATE HWY 17 ELGIN OK 73532 FAMILY PRACTICE MARLOW FAMILY CARE 501 N 4TH ST MARLOW OK 73055 FAMILY PRACTICE WAURIKA FAMILY CARE 9172 US HWY 70 WAURIKA OK 73573 FAMILY PRACTICE COMANCHE FAMILY CARE 303 N HWY 81 COMANCHE OK 73529 FAMILY PRACTICE RINGLING FAMILY CARE 108 S 5TH ST RINGLING OK 73456 FAMILY PRACTICE RYAN FAMILY CARE 1104 6TH ST RYAN OK 73565 FAMILY PRACTICE VELMA FAMILY CARE 404 W MAIN WALTERS OK 73572 FAMILY PRACTICE WALTERS FAMILY CARE 402 N BROADWAY WALTERS OK 73572 FAMILY PRACTICE MILLER EYE CARE 1311 JACKIE RD DUNCAN OK 73533 OPTHALMOLOGY PAVILLION CLINIC 2115 DUNCAN REGIONAL LOOP 100 300 DUNCAN OK 73533 OBSTETRICS, GYNECOLOGY, INTERNAL MED, PULMONARY & CARDIOLOGY CLINICS SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: BAD DEBT IS DETERMINED BY EVALUATING THE COLLECTIBILITY OF THE SELF-PAY BALANCES BASED ON THE AGING ACCOUNTS RECEIVABLES BALANCE. SCHEDULE H, PART III, SECTION A, LINE 3 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. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 2014-09 TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS SCHEDULE H, PART III, SECTION B, LINE 8 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. SCHEDULE H, PART III, SECTION C, LINE 9B 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. SCHEDULE H, PART VI, LINE 2 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. SCHEDULE H, PART VI, LINE 3 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. SCHEDULE H, PART VI, LINE 4 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 & OVER. THE HOSPITAL HAS AN AVERAGE OF 95 DISCHARGES FOR PATIENTS WITH HEART DISEASE AND 12 DISCHARGES FOR PATIENTS WITH DIABETES. SCHEDULE H, PART VI, LINE 5 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 HOSPITAL PARTNERS WITH AND PARTICIPATES IN THE CERTIFIED HEALTHY OKLAHOMA INITIATIVE. OVERALL THE HOSPITAL ASSISTED WITH AND OR HAD ENTITIES TOTALING 31 TO BE CERTIFIED HEALTHY. INCLUDED WERE CERTIFIED HEALTHY BUSINESSES, SCHOOLS, CONGREGATIONS, EARLY CHILDHOOD CENTERS AND RESTAURANTS. AMONG THE ORGANIZATIONS CERTIFIED WERE 5 EARLY CHILDHOOD CENTERS, THE ATRIUM CAF', CAMERON UNIVERSITY-DUNCAN, 4 PUBLIC SCHOOLS, 2 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. 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 WERE HELD VIRTUAL DUE TO COVID PANDEMIC. 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 COMPLETED ACE'S N.E.A.R. SCIENCE TRAINING. THIS EDUCATION WAS 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. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A SCHEDULE H, PART II 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. SCHEDULE H, PART I, LINE 7, COLUMN F 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 $13,457,784. SCHEDULE H, PART I, LINE 7 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. SCHEDULE H, PART I, LINE 3C 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 true DUNCAN REGIONAL HOSPITAL HEALTH FOUNDATION 1407 WHISENANT DRIVE DUNCAN OK 73533 202772056 501(C)(3) 2193604 NURSING SCHOLARSHIPS & STIPENDS BEAUTIFUL DAY FOUNDATION 807 W MAIN DUNCAN OK 73533 464630628 501(C)(3) 41262 FMV FOOD COMMUNITY SUPPORT DUNCAN COMMUNITY RESIDENCE PO BOX 1474 DUNCAN OK 73534 237451608 501(C)(3) 16767 FMV FOOD COMMUNITY SUPPORT 3 SCHEDULE I, PART I, LINE 2 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. X true true X X X X false true false false false false false true false MIGUEL SABEDRA MD DIRECTOR 476551 0 0 0 0 0 34500 0 23448 0 534499 0 0 0 JAY JOHNSON PRESIDENT & CEO 461659 0 73096 0 0 0 34500 0 32323 0 601578 0 0 0 WILLIAM STEWART MD PRESIDENT-SOLUTIONS-FAMILY-MED 336159 0 31306 0 0 0 34500 0 34275 0 436240 0 0 0 DOUG VOLINSKI VP/CFO 279601 0 27722 0 0 0 32993 0 23448 0 363764 0 0 0 ROGER NEAL VP OPERATIONS/CIO 280582 0 25452 0 0 0 31957 0 31568 0 369559 0 0 0 KRISTEN J WEBB RN MSN VP/CHIEF NURSING OFFICER 208277 0 15471 0 0 0 23628 0 34174 0 281550 0 0 0 MICHELLE JENEAN BIVANS VP/CHRO 176490 0 6506 0 0 0 19728 0 22176 0 224900 0 0 0 DANNY GILES MD PHYSICIAN - ORTHOPEDIC SURGEON 1051617 0 0 0 0 0 14500 0 32323 0 1098440 0 0 0 BRENDA MULLINS MD PHYS-Interventional Cardiology 705431 0 0 0 0 0 34500 0 9810 0 749741 0 0 0 KRYSTAL M VONFELDT MD PHYSICIAN-family practice 585542 0 0 0 0 0 34500 0 540 0 620582 0 0 0 MIGUEL ANGEL TOVAR MD PHYSICIAN - OBGYN 533058 0 0 0 0 0 34500 0 34174 0 601732 0 0 0 RICHARD GILLESPIE PRESIDENT OF JCH 169108 0 17717 0 0 0 17785 0 1725 0 206335 0 0 0 MELISSA MARIE HURST MD PHYSICIAN-Family Practice 465363 0 0 0 0 0 34500 0 32065 0 531928 0 0 0 SCHEDULE J, PART I, LINE 1A 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. SCHEDULE J, PART I, LINE 7 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. SCHEDULE J, PART I, LINE 4B 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 $18,691 ROGER NEAL NONE $18,752 KRISTEN WEBB NONE $13,805 MICHELLE BIVANS NONE $10,306 KRYSTAL M VONFELDT NONE $20,000 MIGUEL SABEDRA NONE $20,000 RICHARD GILLESPIE NONE $11,073 BRENDA MULLINS NONE $20,000 MELISSA HURST NONE $20,000 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 ANGEL TOVAR NONE $20,000 A THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 XXXXXXXXX 2020-11-01 25732000 REFINANCE SERIES 2013A & 2013B false false false B THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 XXXXXXXXX 2018-11-05 15000000 SERIES 2018 - HEALTH FACILITIES false false false A 2424008 0 25732000 0 0 25559233 172767 0 0 0 0 0 2021 true false true true B 576371 0 15000000 0 20479 0 0 0 0 14979521 0 0 2021 false false true true A false false true true false 0 false false false true B false false true true false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true CHE' MILLER DIRECTOR OF BOARD COMPENSATION ADVANCE X 99563 65275 false true true 65275 DR CHRISTOPHER HERNDON FAMILY MEMBER OF BOARD (ELFRINK) 286777 SALARIES/WAGES false STACIE ELFRINK FAMILY MEMBER OF BOARD (ELFRINK) 471867 SALARIES/WAGES false JACQUELINE GILLESPIE FAMILY MEMBER OF OFFICER (GILLESPIE) 127700 SALARIES/WAGES false SCHEDULE L, PART II 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. FORM 990, PART VI, SECTION A, LINE 7B 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. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. FORM 990, PART VI, SECTION B, LINE 16B 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. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: INTERCOMPANY EXPENSE - ADVANCED MEDICAL SUPPLY $(714,956) INTERCOMPANY EXPENSE - SOLUTIONS (1,015,940) INTERCOMPANY EXPENSE - DHP (59,974) OTHER CHANGES (18,062) -------------- TOTAL $(1,808,932) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:13912368 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5035521 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:955355 SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MGMT OK 6203729 -4084561 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK 1435710 1348994 DRH DUNCAN HEALTH PARTNERS LLC 1407 N WHISENANT DR DUNCAN OK 73533 464527302 HEALTHCARE OK 0 58257 DRH DRH IMAGING LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH RELATED 2030657 387668 false 0 false 0.81113 false false false false false false false false false false false false false false false false false false true DRH IMAGING LLC S 2800000 CASH