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            <ZIPCode>55344</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>RADIOLOGY</DescriptionOfServices>
        <Compensation>550031</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>NATIONAL WOUND CARE HYPERBARIC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 850001 DEPT 0775</AddressLine1>
            <City>ORLANDO</City>
            <State>FL</State>
            <ZIPCode>328850775</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>WOUND CARE SVCS</DescriptionOfServices>
        <Compensation>471182</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>26</NumberOfContractorsGT100K>
      <RelatedOrganizations>60329</RelatedOrganizations>
      <AllOtherContributions>84415</AllOtherContributions>
      <NoncashContributions>20333</NoncashContributions>
      <TotalContributions>144744</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE REVENUE</Description>
        <BusinessCode>621300</BusinessCode>
        <TotalRevenueColumn>86203897</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>86203897</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HITECH STIMULUS INCENTIVE</Description>
        <BusinessCode>621300</BusinessCode>
        <TotalRevenueColumn>548965</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>548965</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CLINIC RENT REVENUE</Description>
        <BusinessCode>531120</BusinessCode>
        <TotalRevenueColumn>378862</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>378862</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>JOINT VENTURE INCOME</Description>
        <BusinessCode>722320</BusinessCode>
        <TotalRevenueColumn>2081877</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2081877</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER RELATED REVENUE</Description>
        <BusinessCode>621300</BusinessCode>
        <TotalRevenueColumn>22734</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>22734</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>89236335</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1710980</TotalRevenueColumn>
        <ExclusionAmount>1710980</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>4398</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>4398</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>4398</TotalRevenueColumn>
        <ExclusionAmount>4398</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>20546168</Securities>
        <Other>44993</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>14890365</Securities>
        <Other>42996</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>5655803</Securities>
        <Other>1997</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>5657800</TotalRevenueColumn>
        <ExclusionAmount>5657800</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>CATERING REVENUE</Description>
        <BusinessCode>722320</BusinessCode>
        <TotalRevenueColumn>104608</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>104608</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>NON-PATIENT LAB REVENUE</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>126617</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>126617</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>1041161</TotalRevenueColumn>
        <ExclusionAmount>1041161</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>2251913</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2110857</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>141056</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>3524299</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>100278556</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>91347192</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>231225</UnrelatedBusinessRevenue>
        <ExclusionAmount>8555395</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1142583</Total>
        <ManagementAndGeneral>1142583</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>30533254</Total>
        <ProgramServices>25500991</ProgramServices>
        <ManagementAndGeneral>5032263</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>191444</Total>
        <ProgramServices>159892</ProgramServices>
        <ManagementAndGeneral>31552</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4401445</Total>
        <ProgramServices>3676032</ProgramServices>
        <ManagementAndGeneral>725413</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2150849</Total>
        <ProgramServices>1796362</ProgramServices>
        <ManagementAndGeneral>354487</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>205309</Total>
        <ManagementAndGeneral>205309</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>197244</Total>
        <ManagementAndGeneral>197244</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>16115</Total>
        <ManagementAndGeneral>16115</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>11041763</Total>
        <ProgramServices>9221942</ProgramServices>
        <ManagementAndGeneral>1819821</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>156854</Total>
        <ProgramServices>399</ProgramServices>
        <ManagementAndGeneral>156455</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2013106</Total>
        <ProgramServices>1681321</ProgramServices>
        <ManagementAndGeneral>331785</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>855340</Total>
        <ManagementAndGeneral>855340</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1299746</Total>
        <ProgramServices>1085532</ProgramServices>
        <ManagementAndGeneral>214214</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>198057</Total>
        <ProgramServices>165415</ProgramServices>
        <ManagementAndGeneral>32642</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>20369</Total>
        <ProgramServices>17012</ProgramServices>
        <ManagementAndGeneral>3357</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1761367</Total>
        <ManagementAndGeneral>1761367</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>7099449</Total>
        <ProgramServices>7099449</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>598339</Total>
        <ManagementAndGeneral>598339</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROVISION FOR BAD DEBTS</Description>
        <Total>14361405</Total>
        <ProgramServices>14361405</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DIETARY</Description>
        <Total>1385571</Total>
        <ProgramServices>1157212</ProgramServices>
        <ManagementAndGeneral>228359</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACEUTICALS</Description>
        <Total>1962922</Total>
        <ProgramServices>1962922</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL &amp; MAINTENANCE</Description>
        <Total>3518225</Total>
        <ProgramServices>2938377</ProgramServices>
        <ManagementAndGeneral>579848</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>2812900</Total>
        <ProgramServices>2349299</ProgramServices>
        <ManagementAndGeneral>463601</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>4749180</Total>
        <ProgramServices>3609746</ProgramServices>
        <ManagementAndGeneral>1139434</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>92672836</Total>
        <ProgramServices>76783308</ProgramServices>
        <ManagementAndGeneral>15889528</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4286931</BOY>
        <EOY>2812191</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>9705303</BOY>
        <EOY>8558298</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>11337120</BOY>
        <EOY>9854293</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>1697267</BOY>
        <EOY>2010491</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>510266</BOY>
        <EOY>795496</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>130919925</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>63412128</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>70653159</BOY>
        <EOY>67507797</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>48890545</BOY>
        <EOY>59696836</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsProgramRelated>
        <BOY>4605515</BOY>
        <EOY>2776951</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>375171</BOY>
        <EOY>1631097</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>5349846</BOY>
        <EOY>3744559</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>157411123</BOY>
        <EOY>159388009</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>6328174</BOY>
        <EOY>7991187</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>635839</BOY>
        <EOY>587769</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>47573733</BOY>
        <EOY>42853494</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2475289</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>860000</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>57873035</BOY>
        <EOY>51432450</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>99538088</BOY>
        <EOY>107955559</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>99538088</BOY>
        <EOY>107955559</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>157411123</BOY>
        <EOY>159388009</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>7605720</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>811751</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>6821</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>6821</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>1</Identifier>
        <ReturnReference>PART II-B, LINE 1F</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>1219558</OtherCostOrOtherBasis>
        <BookValue>1219558</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>82992228</OtherCostOrOtherBasis>
        <Depreciation>30275886</Depreciation>
        <BookValue>52716342</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2987561</OtherCostOrOtherBasis>
        <Depreciation>1643054</Depreciation>
        <BookValue>1344507</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>43341469</OtherCostOrOtherBasis>
        <Depreciation>31493188</Depreciation>
        <BookValue>11848281</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>379109</OtherCostOrOtherBasis>
        <BookValue>379109</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>67507797</TotalOfBookValueLandBuildings>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1133016</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>75453</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1057563</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01350</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>6861580</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6933146</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-71566</NetCommunityBenefitExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>7994596</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7008599</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>985997</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01350</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>19</NumberOfActivitiesOrPrograms>
        <PersonsServed>2231</PersonsServed>
        <TotalCommunityBenefitExpense>28786</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>28786</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CommunityHealthServices>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <PersonsServed>915</PersonsServed>
        <TotalCommunityBenefitExpense>35287</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>35287</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>23</NumberOfActivitiesOrPrograms>
        <PersonsServed>3146</PersonsServed>
        <TotalCommunityBenefitExpense>64073</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>64073</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>23</NumberOfActivitiesOrPrograms>
        <PersonsServed>3146</PersonsServed>
        <TotalCommunityBenefitExpense>8058669</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7008599</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1050070</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01440</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3968056</BadDebtExpenseAmount>
      <AmountAttributableTo>566983</AmountAttributableTo>
      <AmountReimbursedByMedicare>6933146</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>6861568</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>71578</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>DUNCAN REGIONAL HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1407 WHISENANT DR</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73533</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>DUNCAN REGIONAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>1</Identifier>
        <ReturnReference>PART III, LINE 4</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>2</Identifier>
        <ReturnReference>PART III, LINE 8</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>3</Identifier>
        <ReturnReference>PART III, LINE 9B</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>4</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>5</Identifier>
        <ReturnReference>PART VI, LINE 3</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>6</Identifier>
        <ReturnReference>PART VI, LINE 4</ReturnReference>
        <Explanation>DUNCAN REGIONAL HOSPITAL IS ACTIVELY DELIVERING CARE TO THE STEPHENS COUNTY AREA WITH A BROAD RANGE OF DEMOGRAPHICS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>7</Identifier>
        <ReturnReference>PART VI, LINE 5</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>8</Identifier>
        <ReturnReference>Part 1, Line 7, column (f)</ReturnReference>
        <Explanation>Amount reported as bad debt expense on Form 990, Part IX, line 25 is $14,361,405. This amount was excluded for purposes of calculating the percentage in line 7 column f.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <TravelForCompanions>X</TravelForCompanions>
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>true</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DR WILLIAM STEWART</NamePerson>
        <BaseCompensationFilingOrg>160827</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>SCOTT STREET</NamePerson>
        <BaseCompensationFilingOrg>165059</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>CYNTHIA RAUH</NamePerson>
        <BaseCompensationFilingOrg>159469</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GARY BROWN</NamePerson>
        <BaseCompensationFilingOrg>166965</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS EISER</NamePerson>
        <BaseCompensationFilingOrg>381869</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>5009</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>386878</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PRESTON WATERS</NamePerson>
        <BaseCompensationFilingOrg>212264</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10613</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>222877</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEHANGIR GOWANI</NamePerson>
        <BaseCompensationFilingOrg>213013</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6672</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>219685</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MATTHEW IVORY</NamePerson>
        <BaseCompensationFilingOrg>176210</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20091</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6672</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>202973</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LARRY GOSS</NamePerson>
        <BaseCompensationFilingOrg>194519</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6672</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>201191</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>1</Identifier>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>TRAVEL WAS PROVIDED TO THE CEO'S SPOUSE AND THE CFO'S SPOUSE IN FYE 2010. THE AMOUNTS WERE INCLUDED IN TAXABLE COMPENSATION ON THE OFFICERS' W-2S. THE CEO ALSO RECEIVED GROSS UP PAYMENTS, SOCIAL CLUB DUES AND INITIATION FEES. ALL OF THESE WERE TAXABLE COMPENSATION ON THE CEO'S W-2.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>2</Identifier>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): GARY BROWN</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>3</Identifier>
        <ReturnReference>PART I, LINE 4C</ReturnReference>
        <Explanation>MATTHEW IVORY PARTICIPATED IN A 409(A) PLAN.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>731083741</IssuerEIN>
        <CUSIPNumber>678910CB4</CUSIPNumber>
        <DateIssued>2004-01-07</DateIssued>
        <IssuePrice>30368690</IssuePrice>
        <DescriptionOfPurpose>BONDS 2003A</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>731083741</IssuerEIN>
        <CUSIPNumber>67909PBG9</CUSIPNumber>
        <DateIssued>2008-10-31</DateIssued>
        <IssuePrice>20000000</IssuePrice>
        <DescriptionOfPurpose>BONDS 2008</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>7415000</AmountRetired>
        <TotalProceeds>30368690</TotalProceeds>
        <AmountInReserveFund>2425118</AmountInReserveFund>
        <IssuanceCostsFromProceeds>225000</IssuanceCostsFromProceeds>
        <CapitalExpenditures>27719734</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>20023920</TotalProceeds>
        <IssuanceCostsFromProceeds>416539</IssuanceCostsFromProceeds>
        <CapitalExpenditures>19607382</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>1</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11</ReturnReference>
        <Explanation>THE FORM 990 WAS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE 990 WAS THEN REVIEWED INTERNALLY BY MANAGEMENT AND THE FINANCE COMMITTEE PRIOR TO FILING WITH THE IRS. THE FORM 990 WAS ALSO PROVIDED TO THE GOVERNING BOARD FOR REVIEW THE WEEK THE RETURN WAS SUBMITTED TO THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c</ReturnReference>
        <Explanation>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 TO 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>5</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>BOOK/TAX DIFFERENCE ON PARTNERSHIPS 1,912,701 UNREALIZED GAIN/LOSS (2,724,452) (811,751)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOLUTIONS PHYS PRACTICE MGMT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2210 DUNCAN REGIONAL LOOP ROAD</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73533</ZIPCode>
        </AddressUS>
        <EIN>260618405</EIN>
        <PrimaryActivities>PRACTICE MGMT</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <TotalIncome>4347030</TotalIncome>
        <EOYAssets>1225216</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVANCED MEDICAL SUPPLY LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1503 NORTH HIGHWAY 81 SUITE A</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73533</ZIPCode>
        </AddressUS>
        <EIN>731539867</EIN>
        <PrimaryActivities>DME</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <TotalIncome>2094206</TotalIncome>
        <EOYAssets>1258461</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DRH HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>14407 WHISENANT DRIVE</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73533</ZIPCode>
        </AddressUS>
        <EIN>202772056</EIN>
        <PrimaryActivities>SUPPORT. ORG</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>13</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DRH IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1407 WHISENANT DRIVE</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73534</ZIPCode>
        </AddressUS>
        <EIN>208849754</EIN>
        <PrimaryActivity>RADIOLOGY SVC</PrimaryActivity>
        <LegalDomicileState>OK</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1337327</ShareOfTotalIncome>
        <ShareOfEOYAssets>605129</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.81726</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DUNCAN HEALTHCARE REALTY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1407 WHISENANT DR</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73534</ZIPCode>
        </AddressUS>
        <EIN>208849833</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>OK</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>INVESTMENT</PredominantIncomeType>
        <ShareOfTotalIncome>170344</ShareOfTotalIncome>
        <ShareOfEOYAssets>1832088</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.85405</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ADVANCED MEDICAL SUPPLY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1503 NORTH HIGHWAY 81 SUITE A</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73533</ZIPCode>
        </AddressUS>
        <EIN>731539867</EIN>
        <PrimaryActivity>DME</PrimaryActivity>
        <LegalDomicileState>OK</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>591862</ShareOfTotalIncome>
        <ShareOfEOYAssets>916452</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.60000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DRH IMAGING LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1723400</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DUNCAN HEALTHCARE REALTY LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>232806</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVANCED MEDICAL SUPPLY LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>110527</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>