2018-04-19T14:37:37-05:00 2017-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2016-07-01 731008550 Duncan Regional Hospital Inc % DOUG VOLINSKI DUNC 5802518572 PO Box 2000 Duncan OK 73534 DOUG VOLINSKI CFO 5802518572 2018-05-15 true JEANETTE VERRELLI P00742631 9727028262 167.68.126.162 73023320181095000002 2018-04-19 P 6B6B7147154A948B4527E667F6B6E018C9F66305 ACBA2431EF37DEF71821A9057AFD5F2E9C389335 2016 2021-01-29 14:40:06Z JAY JOHNSON PO BOX 2000 DUNCAN OK 73534 164057709 false X WWW.DUNCANREGIONAL.COM X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. 9 6 1140 142 163092 -75883 306199 317489 119155624 125190231 3409207 4682166 5434458 5919093 128305488 136108979 46961 709121 0 0 55461849 58755545 0 0 0 68215642 68186786 123724452 127651452 4581036 8457527 192554091 205871868 43765980 45203163 148788111 160668705 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. false false 103537567 709121 129750934 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 18,803 INPATIENT DAYS, 3,598 SURGERY VISITS, AND 30,339 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR. 103537567 true true false true false false false false false false true false false false false false false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 108 0 1140 true true true 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 false OK X DOUG VOLINSKI 6802518572 1407 N WHISENANT DRIVE DUNCAN OK 73533 X RON MILLER MD VICE CHAIR - Opthamologist 40.0 0.0 X X 426518 0 43931 SCOTT STONE CHAIR - END 12/31/2016 2.0 0.0 X X 0 0 0 SUSAN CAMP CHAIR - START 1/1/2017 2.0 0.0 X X 0 0 0 JAMES CURRY SECRETARY 2.0 0.0 X X 0 0 0 HARBOUR WHITAKER DIRECTOR 2.0 0.0 X 0 0 0 GREG SHEPHERD DIRECTOR 2.0 0.0 X 0 0 0 JARI ASKINS DIRECTOR 2.0 0.0 X 0 0 0 JAMES MCGOURAN MD DIRECTOR - Family Medicine 2.0 0.0 X 11780 0 0 ROBERT WEEDN MD DIRECTOR-END 12/16-Gen Surgery 2.0 0.0 X 0 0 0 RICHARD ALBERTSON MD DIRECTOR-START 1/17-gen surg 2.0 0.0 X 0 0 0 JAY JOHNSON PRESIDENT & CEO 40.0 0.0 X 449714 0 51046 WILLIAM STEWART MD PRESIDENT-SOLUTIONS-family med 40.0 0.0 X 318042 0 50095 DOUG VOLINSKI VP/CFO 40.0 0.0 X 259998 0 41043 CYNTHIA RAUH VP/CNO 40.0 0.0 X 235819 0 33211 ROGER NEAL vp operations/cio 40.0 0.0 X 231685 0 36404 MARK W RHOADES VP - HUMAN RESOURCES 40.0 0.0 X 206852 0 34796 STACIE ELFRINK MD PHYSICIAN - OBGYN 40.0 0.0 X 536757 0 33569 THOMAS EISER MD PHYSICIAN - Orthopaedic 40.0 0.0 X 475907 0 40687 JOHN MCGATH MD PHYSICIAN - ENT 40.0 0.0 X 454843 0 51605 CHRISTOPHER HERNDON MD PHYSICIAN - Family Medicine 40.0 0.0 X 419290 0 46726 JEFFERY JONES MD PHYSICIAN - Family Medicine 40.0 0.0 X 411250 0 49114 4438455 0 512227 49 false true false ANGELICA TEXTILE SERVICE INC PO BOX 535122 ATLANTA GA 303535122 LAUNDRY SERVICES 444930 EMERGENCY MANAGEMENT MIDWEST PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 538926 SODEXO INC AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY MGMT SVCS 623207 QUEST DIAGNOSTICS PO BOX 51048 LOS ANGELES CA 900741048 LAB TESTS 647768 HOSPITAL CARE CONSULTANTS INC 17304 PRESTON RD STE 1400 DALLAS TX 75252 PHYSICIANS 1249200 25 317489 317489 NET PATIENT SERVICE REVENUE 621300 119144573 119144573 HITECH STIMULUS INCENTIVE 621300 96876 96876 CLINIC RENT REVENUE 531120 655403 655403 JOINT VENTURE INCOME 621500 5293379 5293379 125190231 2482791 2482791 0 0 0 0 0 30148105 0 27941978 6752 2206127 -6752 2199375 2199375 0 0 0 0 0 0 0 0 0 CATERING REVENUE 722320 141954 141954 NON-PATIENT LAB REVENUE 621500 21138 21138 CAFETERIA 722210 1195298 1195298 4560703 4560703 5919093 136108979 129750934 163092 5877464 X 709121 709121 0 0 0 2411408 2411408 0 46231806 38894930 7336876 1705264 1213607 491657 5085736 3961085 1124651 3321331 2628109 693222 0 101122 101122 228472 228472 0 0 389565 389565 14375805 13378571 997234 373583 373583 3591363 2296391 1294972 2822215 2822215 0 2197036 1938253 258783 307670 190104 117566 0 39490 26654 12836 447141 447141 0 7583821 7583821 904062 904062 BAD DEBT EXPENSE 15629393 15629393 0 MEDICAL SUPPLIES 8218361 6601169 1617192 PHARMACEUTICALS 2420338 2420338 EQUIPMENT RENTAL & MAINT 5466054 4390455 1075599 3091295 1675566 1415729 127651452 103537567 24113885 0 4884131 6046703 2341612 3949181 0 0 17433277 21505376 0 0 0 0 0 0 3131255 2797747 2288355 2146716 161054416 97568144 65474667 63486272 92292756 100254998 0 0 2193499 2617464 28870 28870 2485669 3038541 192554091 205871868 10389450 13497432 0 0 9530 10731 33367000 31695000 0 0 0 0 0 0 0 0 0 0 43765980 45203163 X 148788111 160668705 0 0 0 0 148788111 160668705 192554091 205871868 X 8457527 5328348 -34869 -1870412 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10375 10375 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. 1219558 1219558 93543233 50497920 43045313 431314 318832 112482 61662176 44735714 16926462 4198135 2015678 2182457 63486272 SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT FUNDS ARE HELD BY THE COMMUNITIES FOUNDATION OF OKLAHOMA FOR THE SUPPORT OF THE CHISHOLM TRAIL HOSPICE. THE CHISHOLM TRAIL HOSPICE IS A PROGRAM WITHIN DUNCAN REGIONAL HOSPITAL AS A RESULT OF A MERGER IN 1997. THE FUNDS ARE INTENDED TO SUPPORT THE HOSPICE'S OPERATIONS OF OFFERING COMPREHENSIVE PROGRAMS FOR PALLIATIVE AND SUPPORTIVE CARE FOR STEPHENS COUNTY AND THE SURROUNDING AREAS. 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 3225597 3225597 0.02880 13228821 8828535 4400286 0.03930 16454418 8828535 7625883 0.06810 41 1787 165190 165190 0.00150 13 1005 799336 799336 0.00710 54 2792 964526 964526 0.00860 54 2792 17418944 8828535 8590409 0.07670 3 9175 9175 0.00010 16 51 24596 24596 0.00020 1 6136 6136 0.00010 5 10253 10253 0.00010 1 275 191 191 2 315530 315530 0.00280 28 326 365881 365881 0.00330 false 15629393 34901329 32006974 2894355 X true true DRH IMAGING LLC IMAGING CENTER 0.82067 0.01282 0.16651 DUNCAN REALTY LLC REAL ESTATE 0.4175 0.01288 0.56962 2 1 DUNCAN REGIONAL HOSPITAL 1407 N WHISENANT DR DUNCAN OK 73533 WWW.DUNCANREGIONAL.COM 2235 X X X 2 JEFFERSON COUNTY HOSPITAL 910 US 81 US 70 WAURIKA OK 73573 WWW.JCHOK.COM 2233 X X X DUNCAN REGIONAL HOSPITAL 1 false false true X X X X X X X X X 15 true false true true X SEE PART V, SECTION B X X true 15 true SEE PART V SECTION C false true X 100 300. 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 15 true false true true X SEE PART V, SECTION C X X true 15 true SEE PART V SECTION C false true X 100 300. 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 FOR THE 2015 TAX 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: BRAY-DOYLE PUBLIC SCHOOLS, CAMERON UNIVERSITY-DUNCAN, CITY OFFICIALS OF CENTRAL HIGH, COMANCHE, DUNCAN, AND MARLOW, THE DUNCAN POLICE DEPARTMENT, DUNCAN FAMILY CARE, STEPHENS COUNTY HEALTH DEPARTMENT, FIRST BAPTIST CHURCH-MARLOW, FIRST NATIONAL BANK OF VELMA 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 FOR THE 2015 TAX YEAR. THE HOSPITAL HOSTED FOUR COMMUNITY MEETINGS BETWEEN MAY 12, 2015 AND JUNE 16, 2015. 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, OKLAHOMA, IN EARLY 2016. 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. THE OKLAHOMA OFFICE OF RURAL HEALTH 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, LINE 7A&D WEBSITE WHERE CHNA CAN BE FOUND: THE CHNA FOR DUNCAN REGIONAL HOSPITAL CAN BE FOUND AT THE FOLLOWING ADDRESS: HTTP://DUNCANREGIONAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA THE CHNA REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL. SCHEDULE H, PART V, SECTION B, FACILITY 2, LINES 7A, 7D & 10A WEBSITE WHERE CHNA CAN BE FOUND: THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR JEFFERSON COUNTY HOSPITAL CAN BE FOUND AT THE FOLLOWING ADDRESS: http://www.jchok.com/Documents/HealthNeeds.pdf 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, LINE 10A WEBSITE WHERE IMPLEMENTATION STRATEGY CAN BE FOUND: THE IMPLEMENTATION STRATEGY FOR DUNCAN REGIONAL HOSPITAL CAN BE FOUND AT THE FOLLOWING ADDRESS: HTTP://DUNCANREGIONAL.COM/COMMUNITY-HEALTH-PLANNING-INFORMATION SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED IN IMPLEMENTATION STRATEGY: THROUGH CONDUCTING THE CHNA, 6 HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY. THESE NEEDS WERE: - MENTAL HEALTH AND SUBSTANCE ABUSE - HEALTHY LIVING - SAFETY/INJURY PREVENTION - CANCER - ALCOHOL, TOBACCO, AND OTHER DRUG ABUSE (ATODA) - PHYSICAL ACTIVITY AND NUTRITION 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 COMMUNITYS OVERALL HEALTH. THE COUNTY AT LARGE PLANS TO ADDRESS THE 4 PRIORITIZED NEEDS WITH THEIR ACTION PLAN OVER THE NEXT 3 YEARS. SOME OF THESE PLANS INCLUDE: 1. MENTAL HEALTH/SUBSTANCE THE COUNTY PARTNERS PLAN TO INCREASE THE LEVEL OF COMMUNITY INVOLVEMENT AND AWARENESS BY INCREASING THE NUMBER OF PARTNERS INVOLVED TO THE ADDRESS THE ISSUES. THEY ALSO PLAN TO INCREASE THE COMMUNITY BASED REFERRAL SYSTEMS THROUGH VARIOUS LOCAL MENTAL HEALTH PROVIDERS TO INCREASE THE NUMBER OF YOUTH REFERRALS. IN ADDITION TO INCREASING THE ACCESS TO MENTAL HEALTH SERVICES TO COMMUNITY YOUTH, THE PARTNERS PLAN TO CONTINUE DEVELOPMENTAL GUIDANCE PROGRAMS TO EDUCATE KIDS ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE. THERE ARE ALSO PLANS FOR FIRST AID CLASSES TO INCREASE AWARENESS AND EDUCATE ON SUPPORT INTERVENTIONS. 2. HEALTHY LIVING THE COUNTY PARTNERS WANT TO INCREASE THE NUMBER OF CERTIFIED HEALTHY BUSINESSES, CAMPUSES AND COMMUNITIES FROM 22 TO 30 BY 2019. THEY PLAN ON PARTNERING WITH MULTIPLE ORGANIZATIONS TO PROMOTE HEALTHY FAMILY ACTIVITIES, INCLUDING CREATING PHYSICAL ACTIVITY CALENDAR FOR THE COUNTY, AND THE LACK OF EXERCISE OPPORTUNITIES. THE HOSPITAL ALSO PLANS TO CONTINUE THE COUNTY-WIDE VEGUP CAMPAIGN TO INCREASE AWARENESS AND CONSUMPTION OF FRUITS AND VEGETABLES. GREATER PROMOTION FOR THE COUNTY FARMERS MARKET AND A COMMUNITY HEALTH FAIR ARE ALSO PLANNED. ALSO, JOY G., DRH OUTPATIENT DIETICIAN, HAS A MONTHLY WEB SERIES, "COOKING WITH JOY" THAT PROVIDES QUICK AND HEALTHY RECIPES ON THE VEGUP WEBSITE. 3. SAFETY/INJURY PREVENTION THE COUNTY PARTNERS PLAN TO INCREASE THE NUMBER OF SAFETY EVENTS AND CAMPAIGNS, INCLUDING A CAR SEAT SAFETY EVENT, A COVER YOUR KIDS CAMPAIGN, AND A PLEDGE TO DECREASE TEXTING AND DRIVING. 4. CANCER THE COUNTY HOPES TO PARTNER WITH CANCER CENTERS OF SOUTHWEST OKLAHOMA TO PROMOTE EARLY DETECTION AND SET UP FREE CANCER SCREENINGS. SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED IN IMPLEMENTATION STRATEGY: THROUGH CONDUCTING THE CHNA, 7 HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY. THESE NEEDS WERE: - ACCESS TO CARE - ACCESS TO MENTAL HEALTH SERVICES - BECOMING A COUNTY HEALTH IMPROVEMENT ORGANIZATION - AGING POPULATION - SCHOOL NURSE - HEALTH EDUCATION - POVERTY 1. ACCESS TO CARE/AGING POPULATION THOSE AGED OVER 65 ACCOUNT FOR 19.1% OF THE JEFFERSON COUNTY POPULATION. TWO NEW PROVIDERS STARTED IN 2015 TO HELP ALLEVIATE THE TRAVEL AND ACCESS BARRIERS TO MANY SOUTHERN JEFFERSON COUNTY RESIDENTS. ONE OF THE NEW PROVIDERS ALSO MAKES HOUSE CALLS TO THE AGING POPULATION. 2. ACCESS TO MENTAL HEALTH SERVICES THE HOSPITAL IS ACTIVELY TRYING TO RECRUIT A NEW PROVIDER TO THE WAURIKA AREA TO HELP WITH ACCESS TO THIS SERVICE. 3. BECOMING A COUNTY HEALTH IMPROVEMENT ORGANIZATION THE HOSPITAL IS WORKING TO DEVELOP A GROUP TO MOVE TOWARD BECOMING THIS TYPE OF ORGANIZATION. THE HOSPITALS NEXT STEP IS TO CREATE A CORE COMMITTEE TO FURTHER ENGAGE THE COMMUNITY TO MAKE LASTING IMPROVEMENTS TO HEALTH. THE PATHWAYS BOARD IS WORKING ON RE-BRANDING IN ORDER TO MEETH THE NEEDS OF THE COMMUNITIES SERVED IN THE STEPHENS AND JEFFERSON COUNTIES. 4. SCHOOL NURSE THE LOCAL PUBLIC SCHOOL ADMINISTRATION IDENTIFIED A NEED FOR A SCHOOL NURSE. CONTACT HAS BEEN MADE TO THE MARIETTA HOSPITAL CEO WHO PROVIDES SCHOOL NURSE SERVICES THROUGH THE HOSPITAL FACILITY. 5. HEALTH EDUCATION JEFFERSON COUNTY HOSPITAL IS CURRENTLY EXPLORING OPPORTUNITIES TO COLLABORATE WITH THE HEALTH DEPARTMENT TO OFFER VARIOUS HEALTH EDUCATION TO THE PUBLIC. IN THE PAST, COOKING CLASSES FOR TYPE II DIABETES PATIENTS WERE OFFERED, AND THEY PLAN TO OFFER THIS CLASS AGAIN. THE HOSPITAL IS ALSO PLANNING TO HAVE A BOOTH AT LOCAL FESTIVALS TO OFFER BLOOD PRESSURE CHECKS ALONG WITH EDUCATION PIECES. 6. POVERTY THE COUNTY HAS A LOWER OVERALL EDUCATED COMMUNITY WITH LOWER COLLEGE ATTENDANCE. POVERTY IS A DETRIMENT OF HEALTH. WHILE THE RIPPLE EFFECTS OF THIS ITEM IMPACTS THE HOSPITAL, IT IS BEYOND THE SCOPE OF THE SERVICES THE HOSPITAL PROVIDES TO DIRECTLY ADDRESS AT THIS TIME. SCHEDULE H, PART V, SECTION B, FACILITIES 1 & 2, LINES 16A, 16B, & 16C WEBSITE WHERE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND: http://duncanregional.com/financial-assistance-program or http://www.jchok.com/ SCHEDULE H, PART V, SECTION B COMPLIANCE WITH 501R: DUNCAN REGIONAL HOSPITAL IDENTIFIED A COUPLE OF AREAS WHERE THEY WERE NOT YET FULLY COMPLIANT WITH THE FINAL 501R REGULATIONS. THE ADDENDUM MENTIONED IN THE FINANCIAL ASSISTANCE POLICY (FAP) WAS NOT INCLUDED ON THE WEBSITE. ONCE NOTIFIED OF THIS ERROR, THE ADDENDUM WAS ADDED IN BOTH ENGLISH AND SPANISH. THE HOSPITAL HAD THE ADDENDUM AVAILABLE FOR PATIENTS' REFERENCE, BUT THERE WAS SIMPLY AN ERROR IN POSTING TO THE WEBSITE. WHILE THE HOSPITAL DID HAVE LANGUAGE IN THE FAP REGARDING EFFORTS MADE TO NOTIFY PATIENTS BEFORE INITIATING COLLECTION ACTIONS, THE PLAIN LANGUAGE SUMMARY WAS NOT SENT WITH THE WRITTEN NOTICE. THIS NOTICE DID INCLUDE THE ACTIONS THAT WILL BE TAKEN IN THE EVENT OF CONTINUED NON-PAYMENT, HOWEVER, IT DID NOT INCLUDE THE OUTSTANDING ITEMS NEEDED TO PROCESS AN APPLICATION. THE HOSPITAL HAS NOW SET UP A PROCESS TO DISTRIBUTE NOTICES THAT ARE 501R COMPLIANT ALONG WITH THE PLAIN LANGUAGE SUMMARY. DUNCAN REGIONAL PERSONNEL ARE WORKING DILIGENTLY TOWARD COMPLIANCE AND WILL CORRECT ANY ADDITIONAL FAILURES TO COMPLY AS THEY ARE IDENTIFIED. TOP MANAGEMENT WILL MONITOR THE WEBSITE QUARTERLY TO CONFIRM THE HOSPITAL CONTINUES TO STAY COMPLIANT WITH THE WIDELY PUBLICIZED REQUIREMENTS UNDER 501R. 2 CANCER CENTERS 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 SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. 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: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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. 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 INCREASED THE NUMBER OF CERTIFIED HEALTH BUSINESSES, SCHOOLS, ETC. THE HOSPITAL HAD 31 ORGANIZATIONS CERTIFIED HEALTHY FOR 2017. AMONG THE ORGANIZATIONS CERTIFIED WERE 5 EARLY CHILDHOOD CENTERS, THE ATRIUM CAF, THE DUNCAN CAMPUS OF CAMERON UNIVERSITY, 4 PUBLIC SCHOOLS AND 12 OTHER LOCAL BUSINESSES. THE HOSPITAL IMPLEMENTED A COUNTY WIDE MEDIA CAMPAIGN USING THE PATHWAYS WEBSITE TO LAUNCH A "VEG UP" CAMPAIGN SITE. THE CAMPAIGN PROMOTES THE NEED FOR HEALTHY EATING AND ENCOURAGING HEALTHY SNACK ITEMS THAT DO NOT SABOTAGE A PERSON'S DIET. THE DEVELOPMENT OF THE FARMER'S MARKET IN STEPHENS COUNTY CONTINUES TO DEVELOP AND PROSPER. THE FARMER'S MARKET INCREASES THE AWARENESS OF THE VALUE OF CHOOSING FRESH FRUIT AND VEGETABLES OVER STORE BOUGHT AND PROCESSED FOOD ITEMS. THE FARMER'S MARKET INCREASES THE AVAILABILITY OF FRESH PRODUCE TO THE PEOPLE OF STEPHENS COUNTY. A NEW COMMUNITY GARDEN WAS CREATED IN 2017 WHERE MEMBERS OF THE COMMUNITY CAN LEASE A RAISED BED IN THE GARDEN FOR A YEAR. THE HOSPITAL PARTNERED WITH MULTIPLE ORGANIZATIONS TO PROMOTE AND SPONSOR FAMILY FRIENDLY ACTIVITIES THAT PROMOTE PHYSICAL ACTIVITY. THERE WAS AN ASCOG SENIOR DAY AT THE FAIRGROUNDS AND A STAMPEDE 5K AND HALF MARATHON THROWN. THERE IS AN ACTIVITY CALENDAR FOUND AT DUNCANCALENDAR.COM TO INCREASE AWARENESS OF OPPORTUNITIES FOR FAMILIES TO BE ACTIVE. THE HOSPITAL DEVELOPED A STEPHENS COUNTY MENTAL HEALTH TASK FORCE TO INCREASE COMMUNITY INVOLVEMENT. A COMMUNITY BASED REFERRAL SYSTEM WAS IMPLEMENTED USING LOCAL SCHOOLS. THE HOSPITAL PARTNERED WITH THE CANCER CENTER OF SOUTHWEST OKLAHOMA FOR A MEDIA CAMPAIGN TO INCREASE AWARENESS AND PROVIDE EDUCATION AND OPPORTUNITIES FOR CANCER SCREENING. SCREENINGS ARE OFFERED MULTIPLE TIMES PER YEAR AND INCLUDE BREAST, LUNG, PROSTATE AND SKIN. Pathways brought in the Executive team from Blue Zones to introduce Duncan Regional to their global efforts and local opportunities for Stephens county. They presented to various leaders in the community about overall health, mental health, physical activity and nutrition. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTHCARE 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, INCLUDING BOARD MEMBERSHIP AND VOLUNTEERING AT EVENTS 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 $15,629,393. 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: - INSURANCE STATUS true BEAUTIFUL DAY FOUNDATION 807 W MAIN DUNCAN OK 73533 DUNCAN OK 73533 464630628 501(C)(3) 24863 FMV FOOD community support DUNCAN COMMUNITY RESIDENCE PO BOX 1474 DUNCAN OK 73534 237451608 501(C)(3) 22931 FMV FOOD community support CAMERON UNIVERSITY FOUNDATION 2800 W GORE BLVD LAWTON OK 73505 237168952 501(C)(3) 500000 scholarship support duncan regional hospital health foundation 1407 N whisenant drive duncan OK 73533 202772056 501(c)(3) 141750 OK City University Scholarships 4 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 X false true false false false false false true false JAY JOHNSON PRESIDENT & CEO 380925 0 68789 0 0 0 33250 0 17796 0 500760 0 0 0 WILLIAM STEWART MD PRESIDENT-SOLUTIONS-family med 290802 0 27240 0 0 0 32299 0 17796 0 368137 0 0 0 DOUG VOLINSKI VP/CFO 231587 0 28411 0 0 0 29079 0 11964 0 301041 0 0 0 CYNTHIA RAUH VP/CNO 211623 0 24196 0 0 0 25774 0 7437 0 269030 0 0 0 ROGER NEAL vp operations/cio 212750 0 18935 0 0 0 25904 0 10500 0 268089 0 0 0 MARK W RHOADES VP - HUMAN RESOURCES 178777 0 28075 0 0 0 22832 0 11964 0 241648 0 0 0 STACIE ELFRINK MD PHYSICIAN - OBGYN 536757 0 0 0 0 0 33250 0 319 0 570326 0 0 0 THOMAS EISER MD PHYSICIAN - Orthopaedic 475907 0 0 0 0 0 33250 0 7437 0 516594 0 0 0 JOHN MCGATH MD PHYSICIAN - ENT 454843 0 0 0 0 0 33250 0 18355 0 506448 0 0 0 RON MILLER MD VICE CHAIR - Opthamologist 426518 0 0 0 0 0 26392 0 17539 0 470449 0 0 0 CHRISTOPHER HERNDON MD PHYSICIAN - Family Medicine 419290 0 0 0 0 0 33250 0 13476 0 466016 0 0 0 JEFFERY JONES MD PHYSICIAN - Family Medicine 411250 0 0 0 0 0 33250 0 15864 0 460364 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 $15,861 CYNTHIA RAUH NONE $14,058 ROGER NEAL NONE $14,129 MARK RHOADES NONE $12,264 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED IN 409(A): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: WILLIAM STEWART, MD NONE $19,049 THOMAS EISER, MD NONE $20,000 JOHN MCGATH, MD NONE $20,000 STACIE ELFRINK, MD NONE $20,000 CHRISTOPHER HERNDON, MD NONE $20,000 JEFFERY JONES, MD NONE $20,000 RON MILLER, MD NONE $20,000 A THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 XXXXXXXXX 2013-12-03 17388000 REFINANCE SERIES 2003A BOND false false false B THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 XXXXXXXXX 2013-12-03 20000000 REFINANCE SERIES 2008 BOND false false false A 1672000 0 17388000 0 0 17243870 144130 0 0 0 0 0 2004 true false true true B 0 0 20000000 0 0 19834220 165780 0 0 0 0 0 2009 true 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 true false 0 false 0 false true A true B true AM Surgery Director - 50% owner 361900 purchased services false 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 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, LINE 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 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 EXPNESE - ADVANCED MEDICAL SUPPLY (858,734) INTERCOMPANY EXPENSE - SOLUTIONS (1,041,309) OTHER CHANGES IN NET ASSETS 29,631 ------------- TOTAL $(1,870,412) 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 IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:10048688 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3637079 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:690038 SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MGMT OK 12272594 2653895 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK 1377519 806530 DRH DUNCAN HEALTH PARTNERS LLC 1407 N WHISENANT DR DUNCAN OK 73533 464527302 HEALTHCARE OK 0 57312 DRH DRH IMAGING LLC 1407 N WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH RELATED 1853864 1523091 false 0 false 0.82066 false false false false false false false false false false false false false false false false false false true DRH IMAGING LLC S 2051675 CASH