FURP.ORG / PUBLIC DATA EXPLORER

DUNCAN REGIONAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DUNCAN REGIONAL HOSPITAL INC (EIN 73-1008550)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-13
IRS object ID
201441339349301924
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-13T09:59:21-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16120 S Yale 1400AddressLine1
CityTulsaCity
StateOKState
ZIP Code741364223ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN731008550EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DUNCAN REGIONAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DOUG VOLINSKIInCareOfName
Name ControlDUNCNameControl
Phone5802518572Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2000AddressLine1
Address Line2SuiteAddressLine2
CityDuncanCity
StateOKState
ZIP Code73534ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDOUG VOLINSKIName
TitleCFOTitle
Phone5808558555Phone
Date Signed2014-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAnne M AdamsName
Phone9185842900Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDouglas VolinskiNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 2000AddressLine1
CityDuncanCity
StateOKState
ZIP Code73534ZIPCode
FieldValueIRS element (for citing)
Gross Receipts128547125GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.duncanregional.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionPROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTHActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1158TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI183998TotalGrossUBI
Net Unrelated Business Txbl Income-59098NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year64992ContributionsGrantsPriorYear
Contributions Grants Current Year123359ContributionsGrantsCurrentYear
Program Service Revenue Prior Year101359295ProgramServiceRevenuePriorYear
Program Service Revenue CY104349392ProgramServiceRevenueCY
Investment Income Prior Year3643603InvestmentIncomePriorYear
Investment Income Current Year2428329InvestmentIncomeCurrentYear
Other Revenue Prior Year3763362OtherRevenuePriorYear
Other Revenue Current Year3762010OtherRevenueCurrentYear
Total Revenue Prior Year108831252TotalRevenuePriorYear
Total Revenue Current Year110663090TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year42312256SalariesEtcPriorYear
Salaries Etc Current Year43984229SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year57941538OtherExpensePriorYear
Other Expenses Current Year53704978OtherExpensesCurrentYear
Total Expenses Prior Year100253794TotalExpensesPriorYear
Total Expenses Current Year97689207TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8577458RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12973883RevenuesLessExpensesCY
Total Assets BOY163230832TotalAssetsBOY
Total Assets EOY178717960TotalAssetsEOY
Total Liabilities BOY50750367TotalLiabilitiesBOY
Total Liabilities EOY49227326TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY112480465NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY129490634NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTHMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense78359964Expense
Grants0Grants
Revenue104349392Revenue
DescriptionPROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTHDescription
Total Program Service Expense78359964TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096106NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1158NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDOUG VOLINSKINamePerson
Telephone Number5802518554TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11407 WHISENANT DRIVEAddressLine1
CityDUNCANCity
StateOKState
ZIP Code73533ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT STONE
SECRETARY2.0XX
SUSAN CAMP
DIRECTOR2.0X
JAMES CURRY
DIRECTOR2.0X
JAMES MCGOURAN MD
DIRECTOR2.0X
TERRY SNIDER
DIRECTOR2.0X
MARILYN HUGON
DIRECTOR2.0X
RYAN SCOTT DDS
CHAIR2.0XX
DR ROBERT WEEDN
VICE-CHAIR2.0XX
DR RON MILLER
DIRECTOR2.0X
JAY JOHNSON
CEO40.0X358195048256
DOUG VOLINSKI
CFO40.0X221596029678
WILLIAM STEWART
VP AND PHYSICIAN40.024544934330X
CYNTHIA RAUH
VP/CNO40.0200059026343X
MARK W RHOADES
VP - HUMAN RESOURCES40.0161722024185X
ROGER NEAL
CIO40.0174696033368X
THOMAS EISER
ORTHOPAEDIC SURGEON40.035561413116722851X
JOHN MCGATH
PHYSICIAN40.0396733029290X
PRESTON WATERS
PHYSICIAN40.0248573961026720X
CHRISTOPHER CRIMMINS
Physician40.0343845026290X
TERRY CRISSMAN
Director of Pharmacy Services40.0154756022896X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2861238TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs140777TotalReportableCompFrmRltdOrgs
Total Other Compensation324207TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB CARE GROUP INC
PO BOX 502096ST LOUISMO631502096INPATIENT REHAB SVCS1301997
DUNCAN CONSTRUCTION
1817 W Bois D Arc AveDUNCANOK73533CONSTRUCTION475994
HOSPITAL CARE CONSULTANTS INC
17304 PRESTON ROAD STE 555DALLASTX75252PHYSICIANS1055633
EAGLE IMAGING MANAGEMENT GROUP LLC
3100 SW 89TH STREETOKLAHOMA CITYOK73159MEDICAL IMAGING713245
NATIONAL WOUND CARE HYPERBARICS
PO BOX 850001 DEPT 0775ORLANDOFL328850775WOUND CARE SVCS580665
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Related Organizations77049RelatedOrganizations
All Other Contributions46310AllOtherContributions
Total Contributions123359TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621300101464649101464649
HITECH STIMULUS INCENTIVE621300322920322920
CLINIC RENT REVENUE531120470848470848
JOINT VENTURE INCOME72232020909752090975
FieldValueIRS element (for citing)
Total Program Service Revenue104349392TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1777061TotalRevenueColumn
Exclusion$1,777,061ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3334Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3334Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3334TotalRevenueColumn
Exclusion$3,334ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities18515994Securities
Other19309Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities17875785Securities
Other8250Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities640209Securities
Other11059Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column651268TotalRevenueColumn
Exclusion$651,268ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CATERING REVENUE722320127326127326
NON-PATIENT LAB REVENUE6215005667256672
CAFETERIA7222101131053$1,131,053

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2443625TotalRevenueColumn
Related Or Exempt Function Income2349559RelatedOrExemptFunctionIncome
Exclusion$94,066ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3758676TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column110663090TotalRevenueColumn
Related Or Exempt Function Income106698951RelatedOrExemptFunctionIncome
Unrelated Business Revenue183998UnrelatedBusinessRevenue
Exclusion$3,656,782ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1523738Total
Management And General1523738ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33743445Total
Program Services27569099ProgramServices
Management And General6174346ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1084300Total
Program Services885896ProgramServices
Management And General198404ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5018475Total
Program Services4100199ProgramServices
Management And General918276ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2614271Total
Program Services2135914ProgramServices
Management And General478357ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total78408Total
Management And General78408ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total139143Total
Management And General139143ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total384760Total
Management And General384760ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12786301Total
Program Services10446675ProgramServices
Management And General2339626ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total353989Total
Program Services289216ProgramServices
Management And General64773ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2744574Total
Program Services2242374ProgramServices
Management And General502200ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1426993Total
Management And General1426993ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1694465Total
Program Services1384413ProgramServices
Management And General310052ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total248670Total
Program Services203169ProgramServices
Management And General45501ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22562Total
Program Services18434ProgramServices
Management And General4128ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1294261Total
Management And General1294261ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6476816Total
Program Services6476816ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total746070Total
Management And General746070ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS1012589610125896
DIETARY22100271805638404389
PHARMACEUTICALS18717421871742
EQUIPMENT RENTAL & MAINTENANCE44010033595711805292

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6699298Total
Program Services5208772ProgramServices
Management And General1490526ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total97689207Total
Program Services78359964ProgramServices
Management And General19329243ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3308969BOY
EOY4986158EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10190315BOY
EOY6077752EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12565254BOY
EOY11550472EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2271344BOY
EOY2378162EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1008399BOY
EOY1174413EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis139788127LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec75399501LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY64379849BOY
EOY64388626EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY63441702BOY
EOY73210161EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1851095BOY
EOY10146124EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1620177BOY
EOY1611987EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2593728BOY
EOY3194105EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY163230832BOY
EOY178717960EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8637866BOY
EOY8507603EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY540020BOY
EOY494088EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY41572481BOY
EOY40225635EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50750367BOY
EOY49227326EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY112480465BOY
EOY129490634EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112480465BOY
EOY129490634EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY163230832BOY
EOY178717960EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12973883ReconcilationRevenueExpenses
Reconciliation Unrealized Invest4773198ReconciliationUnrealizedInvest
Reconcilation Other Changes-736912ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$7,841GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB7841TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Identifier1Identifier
Return ReferencePart II-B, Line 1FReturnReference
ExplanationDUNCAN 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1219558OtherCostOrOtherBasis
Book Value1219558BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis84385581OtherCostOrOtherBasis
Depreciation37084135Depreciation
Book Value47301446BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2992260OtherCostOrOtherBasis
Depreciation1898405Depreciation
Book Value1093855BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis45857520OtherCostOrOtherBasis
Depreciation36416961Depreciation
Book Value9440559BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5333208OtherCostOrOtherBasis
Book Value5333208BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64388626TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED PARTNERSHIPS8224297C
INVESTMENT IN CCSO1236859C
Investment in HCC100000C
Investment in DRH Realty584968C
FieldValueIRS element (for citing)
Total Of Book Value Program Related10146124TotalOfBookValueProgramRelated

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2283749TotalCommunityBenefitExpense
Direct Offsetting Revenue59336DirectOffsettingRevenue
Net Community Benefit Expense2224413NetCommunityBenefitExpense
Percent Of Total Expense0.02540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense7781437TotalCommunityBenefitExpense
Direct Offsetting Revenue7339434DirectOffsettingRevenue
Net Community Benefit Expense442003NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10065186TotalCommunityBenefitExpense
Direct Offsetting Revenue7398770DirectOffsettingRevenue
Net Community Benefit Expense2666416NetCommunityBenefitExpense
Percent Of Total Expense0.03040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs59NumberOfActivitiesOrPrograms
Persons Served4247PersonsServed
Total Community Benefit Expense143556TotalCommunityBenefitExpense
Direct Offsetting Revenue735DirectOffsettingRevenue
Net Community Benefit Expense142821NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs34NumberOfActivitiesOrPrograms
Total Community Benefit Expense46592TotalCommunityBenefitExpense
Net Community Benefit Expense46472NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs93NumberOfActivitiesOrPrograms
Persons Served4247PersonsServed
Total Community Benefit Expense190148TotalCommunityBenefitExpense
Direct Offsetting Revenue735DirectOffsettingRevenue
Net Community Benefit Expense189293NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs93NumberOfActivitiesOrPrograms
Persons Served4247PersonsServed
Total Community Benefit Expense10255334TotalCommunityBenefitExpense
Direct Offsetting Revenue7399505DirectOffsettingRevenue
Net Community Benefit Expense2855709NetCommunityBenefitExpense
Percent Of Total Expense0.03250PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense48TotalCommunityBuildingExpense
Net Community Building Expense48NetCommunityBuildingExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense4452TotalCommunityBuildingExpense
Net Community Building Expense4452NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served90PersonsServed
Total Community Building Expense790TotalCommunityBuildingExpense
Net Community Building Expense790NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense356TotalCommunityBuildingExpense
Net Community Building Expense356NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense17555TotalCommunityBuildingExpense
Net Community Building Expense17555NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Building Expense3863TotalCommunityBuildingExpense
Net Community Building Expense3863NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Building Expense271449TotalCommunityBuildingExpense
Net Community Building Expense271449NetCommunityBuildingExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served90PersonsServed
Total Community Building Expense298513TotalCommunityBuildingExpense
Net Community Building Expense298513NetCommunityBuildingExpense
Percent Of Total Expense0.00340PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$10,125,896BadDebtExpenseAmount
Amount Reimbursed By Medicare26466200AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare22919551CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3546649MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1DUNCAN REALTY LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityREAL ESTATEDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.36750OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.14250OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.15450PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1DUNCAN REGIONAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11407 WHISENANT DRAddressLine1
CityDUNCANCity
StateOKState
ZIP Code73533ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.DUNCANREGIONAL.COMWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DUNCAN REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1PART III, LINE 4THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. AMOUNTS REPORTED ON LINE 2 ARE BASED UPON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. AMOUNTS REPORTED ON LINE 3 ARE THE ORGANIZATION'S ACTUAL WRITE OFF OF ACCOUNTS OF PATIENTS WHO QUALIFY UNDER THE HOSPITAL'S CHARITY CARE GUIDELINES.
2PART III, LINE 8THE 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.
3PART III, LINE 9BIN 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.
4PART VI, LINE 2THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ONGOING BASIS, THROUGH INVOLVEMENT IN COMMUNITY PROGRAMS AND SURVEYS WITH OUR PHYSICIANS. THE HOSPITAL WILL UNDERGO THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT UNDER THE 501R REQUIREMENTS BY THE REQUIRED TIME.
5PART VI, LINE 3DUNCAN 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.
6PART VI, LINE 4DUNCAN REGIONAL HOSPITAL IS ACTIVELY DELIVERING CARE TO THE STEPHENS COUNTY AREA WITH A BROAD RANGE OF DEMOGRAPHICS.
7PART VI, LINE 5DUNCAN 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.
8PART V, LINE 20ON KNOWN FAP=ELIGIBLE PATIENTS, THE AMOUNT CHARGED IS BASED ON INCOME LEVELS AND INSURANCE STATUS. THE PATIENT WOULD COMPLETE A CHARITY APPLICATION. FROM THAT INFORMATION, WE WOULD DETERMINE WHERE THEIR INCOME FELL ON THE FEDERAL POVERTY GUIDELINE GRID. 100% OF FPG = 100% DISCOUNT 101% - 125% = 75% DISCOUNT 126% - 150% = 50% DISCOUNT 151% - 175% = 25% DISCOUNT 176% - 300% = MEDICARE RATE INCOME LEVELS COMPARED WITH FEDERAL POVERTY GUIDELINE (SEE #10 & #11).
9Schedule H, Part V, line 3A COMMITTEE WAS FORMED THAT COMPRISED 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 INPUT CAME FROM SURVEYS, FOCUS GROUPS, AND COMMUNITY INFORMANT INTERVIEWS.
10SCHEDULE H, PART V, LINE 7In partnership with the Stephens County Health department, United Way of Stephens County, and numerous other organizations, Duncan Regional Hospital participated in the Pathways to a Healthy Stephens County committee to complete the Community Health Needs Assessment for Stephens County, Oklahoma, in early 2012. From the data and analysis, the county at large had four key areas of health concern: 1. Healthy living and the lack of exercise opportunities, fruit and vegetable consumption, increasing obesity rate, increasing cardiovascular disease, diabetes, sexual health and the dental health needs of the community. 2. Mental Health/Substance Abuse Services and the lack of trained, qualified, mental health/substance abuse programs and access in Stephens County. 3. Safety/Injury prevention education and opportunities for providing better shelter, safety and options during inclement weather, after tornado effects, safety at local schools and other needs of the community during adverse situations. 4. Prevention, education, and needs of the community around cancer and the need to decrease the number of preventable cancer deaths in our county. (Full assessment can be found at: http://duncanregional.com/magazine/stephenscohealth/stephenscohealth/ index.html) Pathways to a Healthy Stephens County discussed the four areas and selected two (2) main areas of focus for the next three (3) years. Pathways, as a whole, selected to concentrate on the two heaviest areas of concern reported by our citizens: (1) Healthy Living and (2) Mental Health/Substance Abuse. The Pathways group approved tackling these two areas instead of all four areas so the organizations and community could focus on the two greatest areas of concern. The plan has been to work on our key areas and as momentum increases and the community sees sustainable results, come back to the other two areas for re-evaluation within our county. The areas identified in the Community Health Needs Assessment that will not be tackled are (3) Safety/Injury prevention and (4) Cancer. While we feel both areas need to be worked on, the limitations available to us as a community and within DRH limit the number of items we can effectively tackle at one time. DRH and the Pathways group both plan to work together in support of these two areas at a later date but cannot effectively manage these within the scope of what is available to us at this time. As part of the Pathways group, Duncan Regional Hospital has been extremely supportive of taking on the two key areas of citizen concern only. Duncan Regional Hospital has committed resources, both human and financial, meeting space, food, advertising, and numerous other items to the Pathways group in support of programs to improve the two key areas of focus. At this time, DRH is one of the main partners in the Pathways group and has two of our top executives serving as committee chairs over working task forces over both major areas of focus. Duncan Regional Hospital is committed to working with the Pathways group to help formalize, fund, and monitor results in both major areas for the improvement of health in Stephens County. formalize, fund, and monitor results in both major areas for the improvement of health in Stephens County.
11SCHEDULE H, PART V, LINE 5A&CURL where CHNA can be found: http://duncanregional.com/magazine/stephenscohealth/stephenscohealth/ index.html THE CHNA REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs
JAY JOHNSON
CEO3113120468830389669290406451000
WILLIAM STEWART
VP AND PHYSICIAN2454490025040929027977900
DOUG VOLINSKI
CFO20237401922202398856902512740000000
CYNTHIA RAUH
VP/CNO18355601650302065356902264020000000
MARK W RHOADES
VP - HUMAN RESOURCES14747001425201849556901859070000000
ROGER NEAL
CIO159881014815019179141892080640000000
THOMAS EISER
ORTHOPAEDIC SURGEON35561413116700171615690378465131167000000
JOHN MCGATH
PHYSICIAN3967330002000092904260230000000
PRESTON WATERS
PHYSICIAN24857396100012531141892752939610000000
CHRISTOPHER CRIMMINS
Physician3438450001700092903701350000000
TERRY CRISSMAN
Director of Pharmacy Services15475600011515113811776520000000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1PART I, LINE 1ATHE ORGANIZATION PAID THE CEO'S COUNTRY CLUB DUES. ANY PERSONAL USE IS REIMBURSED TO THE HOSPITAL BY THE CEO.
2PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICPIATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): JAY JOHNSON DOUG VOLINSKI CYNTHIA RAUH MARK RHOADES ROGER NEAL
3PART I, LINE 4CTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A 409(A) PLAN: WILLIAM STEWART
4SCHEDULE J, PART I, LINE 7SENIOR 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY
A731083741678910CB42004-01-0730368690BONDS 2003Afalsefalsefalse
THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY
B73108374167909PBG92008-10-3120000000BONDS 2008falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A86800000303686902425118000225000027719734002005falsefalsetruetrue
B00200239200004165390019607382002009falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest
Afalsefalsefalsefalse0falsefalsetrue
Bfalsefalsefalsefalse0falsefalsetruefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsetruefalsefalsefalsefalse0falsetrue
0
Bfalsefalsetruefalsetruefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1FORM 990, PART VI, LINE 11THE 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.
2FORM 990, PART VI, LINE 12CBOARD 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 MAY LEAVE THE BOARD MEETING AND THE REMAINING BOARD DISCUSSES AND VOTES ON IF A CONFLICT OF INTEREST EXISTS. IF ITS 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.
3FORM 990, PART VI, LINE 15THE COMPENSATION COMMITTEE OF THE BOARD SETS THE EXECUTIVE TEAM'S SALARY. THEY RELY HEAVILY ON SALARY SURVEY DATA AND RECOMMENDATIONS FROM A NATIONAL CONSULTING FIRM.
4FORM 990, PART VI, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
5FORM 990, PART X1, LINE 5EQUITY IN ADVANCED MEDICAL SUPPLY (486,062) EQUITY IN SOLUTIONS PHYS PRACTICE MGMT (250,850) ----------- (736,912)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOLUTIONS PHYS PRACTICE MGMT
2210 DUNCAN REGIONAL LOOP ROADDUNCANOK73533260618405PRACTICE MGMTOK50961461072416NA
ADVANCED MEDICAL SUPPLY LLC
1503 NORTH HIGHWAY 81 SUITE ADUNCANOK73533731539867DMEOK21310801195490NA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1DRH HEALTH FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114407 WHISENANT DRIVEAddressLine1
CityDUNCANCity
StateOKState
ZIP Code73533ZIPCode
FieldValueIRS element (for citing)
EIN202772056EIN
Primary ActivitiesSUPPORT. ORGPrimaryActivities
Legal Domicile StateOKLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status13PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
DRH IMAGING LLC
1407 WHISENANT DRIVEDUNCANOK73534208849754RADIOLOGY SVCOKNARELATED2087198469743false$0false0.82067
DUNCAN HEALTHCARE REALTY LLC
1407 WHISENANT DRDUNCANOK73534208849833REAL ESTATEOKNAINVESTMENT77735799544false$0false0.36750
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DRH IMAGING LLC
S2297869CASH
DUNCAN HEALTHCARE REALTY LLC
S118481CASH