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        <Other>4157902</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>1082937</Securities>
        <Other>-1444</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1081493</TotalRevenueColumn>
        <ExclusionAmount>1081493</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>133308</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>133308</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>NON-PATIENT LAB REVENUE</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>193049</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>193049</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>1015706</TotalRevenueColumn>
        <ExclusionAmount>1015706</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>3121896</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2979816</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>142080</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>4463959</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>93931885</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>89148089</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>326357</UnrelatedBusinessRevenue>
        <ExclusionAmount>4363952</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>250</Total>
        <ProgramServices>250</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1098519</Total>
        <ManagementAndGeneral>1098519</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>30498858</Total>
        <ProgramServices>25617041</ProgramServices>
        <ManagementAndGeneral>4881817</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4731603</Total>
        <ProgramServices>3974236</ProgramServices>
        <ManagementAndGeneral>757367</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2011104</Total>
        <ProgramServices>1689195</ProgramServices>
        <ManagementAndGeneral>321909</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>153218</Total>
        <ManagementAndGeneral>153218</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>140536</Total>
        <ManagementAndGeneral>140536</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>349453</Total>
        <ManagementAndGeneral>349453</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>12371994</Total>
        <ProgramServices>10391664</ProgramServices>
        <ManagementAndGeneral>1980330</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>210618</Total>
        <ProgramServices>176905</ProgramServices>
        <ManagementAndGeneral>33713</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2008198</Total>
        <ProgramServices>1686755</ProgramServices>
        <ManagementAndGeneral>321443</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1179228</Total>
        <ManagementAndGeneral>1179228</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1099229</Total>
        <ProgramServices>923280</ProgramServices>
        <ManagementAndGeneral>175949</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>236610</Total>
        <ProgramServices>198737</ProgramServices>
        <ManagementAndGeneral>37873</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>1681626</Total>
        <ManagementAndGeneral>1681626</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>7375079</Total>
        <ProgramServices>7375079</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>579242</Total>
        <ManagementAndGeneral>579242</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROVISION FOR BAD DEBTS</Description>
        <Total>13708370</Total>
        <ProgramServices>13708370</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DIETARY</Description>
        <Total>1407839</Total>
        <ProgramServices>1182492</ProgramServices>
        <ManagementAndGeneral>225347</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACEUTICALS</Description>
        <Total>2241466</Total>
        <ProgramServices>2241466</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL &amp; MAINTENANCE</Description>
        <Total>3266250</Total>
        <ProgramServices>2743436</ProgramServices>
        <ManagementAndGeneral>522814</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>4296049</Total>
        <ProgramServices>3608399</ProgramServices>
        <ManagementAndGeneral>687650</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>3716026</Total>
        <ProgramServices>3045453</ProgramServices>
        <ManagementAndGeneral>670573</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>94361365</Total>
        <ProgramServices>78562758</ProgramServices>
        <ManagementAndGeneral>15798607</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2852953</BOY>
        <EOY>4286931</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>16239982</BOY>
        <EOY>9705303</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>16150180</BOY>
        <EOY>11337120</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>1720556</BOY>
        <EOY>1697267</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>360257</BOY>
        <EOY>510266</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>127611802</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>56958643</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>72442718</BOY>
        <EOY>70653159</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>42820090</BOY>
        <EOY>48890545</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsProgramRelated>
        <BOY>9874411</BOY>
        <EOY>4605515</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>474408</BOY>
        <EOY>375171</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>4680773</BOY>
        <EOY>5349846</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>167616328</BOY>
        <EOY>157411123</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>10221564</BOY>
        <EOY>6328174</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>678757</BOY>
        <EOY>635839</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>48733234</BOY>
        <EOY>47573733</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>7132273</BOY>
        <EOY>2475289</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2900000</BOY>
        <EOY>860000</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>69665828</BOY>
        <EOY>57873035</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>97950500</BOY>
        <EOY>99538088</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>97950500</BOY>
        <EOY>99538088</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>167616328</BOY>
        <EOY>157411123</EOY>
      </TotalLiabNetAssetsFundBalances>
      <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>6990</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>6990</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>1129493</OtherCostOrOtherBasis>
        <BookValue>1129493</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>82724365</OtherCostOrOtherBasis>
        <Depreciation>26861658</Depreciation>
        <BookValue>55862707</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2794850</OtherCostOrOtherBasis>
        <Depreciation>1517231</Depreciation>
        <BookValue>1277619</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>40945480</OtherCostOrOtherBasis>
        <Depreciation>28579754</Depreciation>
        <BookValue>12365726</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>17614</OtherCostOrOtherBasis>
        <BookValue>17614</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>70653159</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Care Payment Liability</Description>
        <Amount>860000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>860000</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>1</Identifier>
        <ReturnReference>Part X, Line 2</ReturnReference>
        <Explanation>Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</Explanation>
      </Form990ScheduleDPartXIV>
    </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>1669329</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1669329</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01770</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>1669329</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1669329</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01770</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>19</NumberOfActivitiesOrPrograms>
        <PersonsServed>2231</PersonsServed>
        <TotalCommunityBenefitExpense>28786</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>28786</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunityHealthServices>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <PersonsServed>915</PersonsServed>
        <TotalCommunityBenefitExpense>35287</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>35287</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>23</NumberOfActivitiesOrPrograms>
        <PersonsServed>3146</PersonsServed>
        <TotalCommunityBenefitExpense>64073</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>64073</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>23</NumberOfActivitiesOrPrograms>
        <PersonsServed>3146</PersonsServed>
        <TotalCommunityBenefitExpense>1733402</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1733402</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01840</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>4357</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>4357</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>2187</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2187</NetCommunityBuildingExpense>
      </CommunitySupport>
      <Total>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>6544</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6544</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>5206439</BadDebtExpenseAmount>
      <AmountAttributableTo>1801391</AmountAttributableTo>
      <AmountReimbursedByMedicare>25563412</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>18131234</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>7432178</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <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>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <PercentOfTotalExpenseExpln>AMOUNT OF BAD DEBT EXPENSE NOT INCLUDED IN PERCENTAGE FOR LINE 7, COLUMN (F) IS $13,708,370.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>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.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>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.</DebtCollectionPolicy>
        <NeedsAssessment>THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ONGOING BASIS, THROUGH INVOLVEMENT IN COMMUNITY PROGRAMS AND SURVEYS WITH OUR PHYSICIANS.</NeedsAssessment>
        <PatientEducationAssistance>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.</PatientEducationAssistance>
        <CommunityInformation>DUNCAN REGIONAL HOSPITAL IS ACTIVELY DELIVERING CARE TO THE STEPHENS COUNTY AREA WITH A BROAD RANGE OF DEMOGRAPHICS.</CommunityInformation>
        <CommunityBuildingActivities>Community Building Activities include participation during paid working hours, including reimbursement of expenses, for employees at the Duncan Area Economic Development Foundation Board and United Way of Stephens County Board as well as participation in fundraising activities for the Duncan Community and United Way Day of Caring.</CommunityBuildingActivities>
        <OtherInformation>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.</OtherInformation>
      </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>
      <Form990ScheduleJPartII>
        <NamePerson>Dr William Stewart</NamePerson>
        <BaseCompensationFilingOrg>180843</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20444</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6653</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>207940</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Scott Street</NamePerson>
        <BaseCompensationFilingOrg>519463</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <NamePerson>Larry Goss</NamePerson>
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        <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>
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        <Identifier>2</Identifier>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>The following individuals received payments from a supplemental nonqualified retirement plan described in 457(f). Scott Street $182,078 Melissa Walker $30,024 Cindy Rauh $32,444 Mark Rhoades $56,421</Explanation>
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        <Identifier>3</Identifier>
        <ReturnReference>Part I, Line 4c</ReturnReference>
        <Explanation>The following individuals participated in a 409(a) plan: Dr. William Stewart Matthew Ivory</Explanation>
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      <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>
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      <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 makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
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        </NameOfDisregardedEntity>
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          <AddressLine1>2210 DUNCAN REGIONAL LOOP ROAD</AddressLine1>
          <City>DUNCAN</City>
          <State>OK</State>
          <ZIPCode>73533</ZIPCode>
        </AddressUS>
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          <City>DUNCAN</City>
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</Return>