2021-06-02T06:09:43-05:00 2020-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2019-07-01 731008550 Duncan Regional Hospital Inc % DOUG VOLINSKI DUNC 5802518572 PO Box 2000 Duncan OK 73534 DOUG VOLINSKI CFO 6802518572 2020-11-16 true Jeanette Verrelli P00742631 9727028262 2019 2022-09-23 18:48:47Z DRH Health JAY JOHNSON PO Box 2000 Duncan OK 73534 197951552 false X www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. 9 6 1348 115 301648 0 323551 11631189 149032308 150887438 4964460 5343751 2692389 2427341 157012708 170289719 339035 1468005 0 0 72643015 76532067 0 0 0 78651511 85133014 151633561 163133086 5379147 7156633 223083827 248339213 51099514 74686627 171984313 173652586 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. false false 134667523 1468005 152181839 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 16,683 INPATIENT DAYS, 3,425 SURGERY VISITS, AND 27,651 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR. 134667523 true true false true false false false false false false true false false false false false false true false false false false false false false false true true true false true true false false false false false true false false true false false false false false true true true true false false true 132 0 1348 true true true false false false false false false false false false false false X 9 6 true false false false false false true true true false false true true true true true true true true true false OK X DOUG VOLINSKI 5802518554 1407 N WHISENANT DRIVE DUNCAN OK 73533 X DANNY GILES MD PHYSICIAN - ORTHOPEDIC SURGEON 55.0 0.0 X 1015475 0 31796 MIGUEL ANGEL TOVAR MD PHYSICIAN - OBGYN 55.0 0.0 X 584712 0 51708 RON MILLER MD OPHTHAMOLOGIST 40.0 0.0 X 580026 0 46233 JAY JOHNSON PRESIDENT & CEO 55.0 0.0 X 567326 0 51775 STACIE ELFRINK MD PHYSICIAN - OBGYN 55.0 0.0 X 584397 0 34000 JEFFERY CLYDE JONES MD PHYSICIAN - FAMILY MEDICINE 40.0 0.0 X 529359 0 45978 ROGER NEAL VP OPERATIONS/CIO 55.0 0.0 X 351295 0 51796 DOUG VOLINSKI VP/CFO 55.0 0.0 X 356948 0 45964 WILLIAM STEWART MD PRESIDENT-SOLUTIONS-FAMILY MED 55.0 0.0 X 330074 0 50225 KRISTEN J WEBB RN MSN VP/CHIEF NURSING OFFICER 55.0 0.0 X 177170 0 27217 MARK W RHOADES FORMER VP - HUMAN RESOURCES 0.0 0.0 X 172347 0 23127 RICHARD Gillespie President of JCH 55.0 0.0 X 137893 0 14572 CYNTHIA RAUH FORMER VP/CNO 0.0 0.0 X 139480 0 6741 JAMES MCGOURAN MD Secretary 2.0 0.0 X X 9194 0 0 JAMES CURRY chair 2.0 0.0 X X 0 0 0 JARI ASKINS DIRECTOR 2.0 0.0 X 0 0 0 GREG SHEPHERD vice-chair 2.0 0.0 X X 0 0 0 HARBOUR WHITAKER DIRECTOR 2.0 0.0 X 0 0 0 BRAD SCOTT DIRECTOR 2.0 0.0 X 0 0 0 CHE' MILLER MD DIRECTOR 2.0 0.0 X 0 0 0 NATHAN ELFRINK MD DIRECTOR 2.0 0.0 X 0 0 0 Tanya Case DIRECTOR, Beg: 1/1/2020 2.0 0.0 X 0 0 0 Susan Camp Director, End: 12/31/2019 2.0 0.0 X 0 0 0 5535696 0 481132 115 true true false GE JOHNSON CONTRUCTION CO 25 N CASCADE AVE STE 400 COLORADO SPRINGS CO 80903 CONSTRUCTION COMPANY 7420182 HOSPITAL CARE CONSULTANTS INC 17304 Preston Rd Ste 1400 DALLAS TX 75252 PHYSICIANS 1209000 HOPE EQUIPMENT AND CONSTRUCTION INC 5701 N HWY 81 DUNCAN OK 75333 CONSTRUCTION COMPANY 1015977 SODEXO INC AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY MGMT SERVICE 522543 DIAGNOSTIC LAB OF OK PO BOX 676324 DALLAS TX 752676324 OUTSIDE LAB SERVICES 503899 33 0 10979657 651532 11631189 Net Patient Service Revenue 621300 136603676 136603676 Contract Medical Services 621300 4238532 4238532 Clinic Rent Revenue 531120 827529 827529 Joint Venture Income 621500 4136829 4136829 Pharmacy Revenue 446110 5080872 5080872 150887438 2504356 2504356 0 0 0 0 0 30501228 27661833 2839395 2839395 2839395 0 0 0 0 0 0 0 0 0 Catering Revenue 722320 105362 105362 Non-patient lab 621500 196286 196286 Cafeteria 722210 1132940 1132940 992753 992753 2427341 170289719 151880191 301648 6476691 X 1468005 1468005 0 0 0 0 1908745 564813 1343932 451014 369762 81252 61013200 51325082 9688118 2260499 1846584 413915 6733096 5223112 1509984 4165513 3319016 846497 0 281483 281483 260615 260615 0 0 274704 274704 17739841 15903043 1836798 448931 448931 3283228 1663605 1619623 3823482 3823482 0 2670149 2351876 318273 382099 291352 90747 0 30961 18729 12232 905230 905230 0 7552703 7552703 1125819 1125819 Provision for Bad Debts 24958887 24958887 Medical Supplies 7656701 6150031 1506670 Pharmaceuticals 4312205 4083610 228595 EQUIPMENT RENTAL AND MAINT. 6293820 5055335 1238485 3132156 2521978 610178 163133086 134667523 28465563 0 5583134 12393547 1284395 24596633 0 0 33241055 24506023 0 132494 0 0 111444 286034 2906530 3214147 1344338 1299671 190132459 114229114 67910248 75903345 102691719 98870933 0 0 2317736 2469998 96842 96842 5596386 4569546 223083827 248339213 17535962 14907905 0 0 11079 20743941 33552473 37194186 0 0 0 0 0 1840595 0 0 0 0 51099514 74686627 X 171984313 173652586 0 0 171984313 173652586 223083827 248339213 X 7156633 -3890261 -32895 -1565204 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16347 16347 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: DUNCAN REGIONAL HOSPITAL IS A MEMBER OF THE OKLAHOMA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IN WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTED TO LOBBYING EXPENSES. 1425993 1425993 101827477 59034666 42792811 480903 366073 114830 67574108 52986705 14587403 18823978 1841670 16982308 75903345 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true false false 2829342 2829342 0.02050 16114365 8643833 7470532 0.05410 18943707 8643833 10299874 0.07460 42 1279 151256 151256 0.00110 10 1000 1500900 1500900 0.01090 52 2279 1652156 1652156 0.01200 52 2279 20595863 8643833 11952030 0.08660 2 2511 2511 15 25 14264 14264 0.00010 1 8377 8377 0.00010 2 3671 3671 1 180 180 0.00000 1 278350 278350 0.00200 22 25 307353 307353 0.00220 false 24958887 31576159 29843990 1732169 X true true DRH IMAGING LLC IMAGING CENTER 0.8 0.022 0.178 DUNCAN REALTY REAL ESTATE 0.4175 0.297 0.2855 2 1 DUNCAN REGIONAL HOSPITAL 1407 N WHISENANT DR DUNCAN OK 73533 WWW.DUNCANREGIONAL.COM 2235 X X X 2 JEFFERSON COUNTY HOSPITAL 910 US 81 US 70 WAURIKA OK 73573 WWW.DUNCANREGIONAL.COM 2233 X X X DUNCAN REGIONAL HOSPITAL 1 false false true X X X X X X X X X 19 true false true true X SEE PART V, SECTION C X X true 19 true SEE PART V, SECTION C false true X 100 300. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false JEFFERSON COUNTY HOSPITAL 2 false false true X X X X X X X X X 19 true false true true X SEE PART V, SECTION C X X true 19 true SEE PART V, SECTION C false true X 100 300. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: THE CHNA FOR DUNCAN REGIONAL HOSPITAL WAS PERFORMED DURING THE 2019 FISCAL YEAR. SIMILARLY TO THE PRIOR CHNA, A COMMITTEE WAS FORMED THAT COMPRISED OF INDIVIDUALS WHO ENCOMPASSED THE DIVERSITY OF STEPHENS COUNTY. THE HOSPITAL PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE PATHWAYS TO A HEALTHY STEPHENS COUNTY COMMITTEE. THE INDIVIDUALS IN THIS COMMITTEE INCLUDED, BUT WERE NOT LIMITED TO, INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: DRH Hospital, Primary Care providers, Behavioral health providers, Stephens county health department, Cameron University, Red River Technology Center, Duncan Chamber of Commerce, City officials of Duncan, Marlow, Comanche, Bray-Doyle, First National bank of Velma, First Baptist church-Marlow, Duncan Police Department and various others. ADDITIONAL INPUT CAME FROM SURVEYS, FOCUS GROUPS, AND COMMUNITY INFORMANT INTERVIEWS. SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS PERFORMED IN THE FALL OF 2018 AND A NEW CHIP COMPLETED THAT BEGAN JULY 1, 2019. THE HOSPITAL HOSTED FOUR COMMUNITY MEETINGS BETWEEN SEPTEMBER, 2018 AND JULY 2019. COMMUNITY MEMBERS WHO PARTICIPATED IN THESE MEETINGS INCLUDED INDIVIDUALS FROM JEFFERSON COUNTY HEALTH DEPARTMENT, WAURIKA PUBLIC SCHOOLS, LOCAL BANKERS, LOCAL BUSINESS OWNERS, RETIRED INDIVIDUALS, WAURIKA NEWSPAPER, A LOCAL PASTOR AND THE WAURIKA CHAMBER OF COMMERCE. ADDITIONAL INPUT CAME FROM SURVEYS THAT WERE MADE AVAILABLE IN BOTH PAPER AND WEB FORMAT. A TOTAL OF 95 SURVEYS FROM THE COMMUNITY WERE COMPLETED. SCHEDULE H, PART V, SECTION B, FACILITY 1, LINE 6B CHNA CONDUCTED WITH OTHER ORGANIZATIONS: IN PARTNERSHIP WITH THE STEPHENS COUNTY HEALTH DEPARTMENT, PATHWAYS TO A HEALTHY STEPHENS COUNTY, UNITED WAY OF STEPHENS COUNTY, AND NUMEROUS OTHER ORGANIZATIONS, DUNCAN REGIONAL HOSPITAL PARTICIPATED WITH THESE ORGANIZATIONS TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR STEPHENS COUNTY AND JEFFERSON COUNTY OKLAHOMA, IN THE FALL 2018. SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 6B CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS CONDUCTED WITH THE ASSISTANCE OF THE OKLAHOMA OFFICE OF RURAL HEALTH AND JEFFERSON COUNTY HEALTH DEPARTMENT. THE OKLAHOMA OFFICE OF RURAL HEALTH AND JEFFERSON COUNTY HEALTH DEPARTMENT WORKED CLOSELY WITH THE HOSPITAL TO DEVELOP AN ECONOMIC IMPACT OF THE LOCAL HEALTH SECTOR, DEVELOP AND ANALYZE SURVEYS, AND GATHER LOCAL HEALTH DATA. SCHEDULE H, PART V, SECTION B, FACILITY 1&2, LINES 7A, 7D & 10a WEBSITE WHERE CHNA CAN BE FOUND: THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) CAN BE FOUND AT THE FOLLOWING ADDRESS: https://www.duncanregional.com/about-the-hospital/community-involvement/ THE CHNA/CHIP REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL. SCHEDULE H, PART V, SECTION B, FACILITY 1 & 2, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED IN IMPLEMENTATION STRATEGY: THROUGH CONDUCTING THE CHNA, 4 HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY. THESE NEEDS WERE: - BEHAVIORAL HEALTH/ SUBSTANCE ABUSE - HEALTHY LIVING (HEART DISEASE, PHYSICAL ACTIVITY, HEALTHY FOODS) - SAFETY/INJURY PREVENTION - CANCER AWARENESS/ EDUCATION THE IMPLEMENTATION STRATEGY PRIORITIZED THE FIRST 4 ITEMS LISTED ABOVE TO BE ADDRESSED IN THE HEALTH IMPROVEMENT PLAN. MENTAL HEALTH, HEALTHY LIVING, SAFETY/INJURY PREVENTION AND CANCER WERE CHOSEN BASED ON COMMUNITY HEALTH DATA AND IDENTIFIABLE GAPS IN AVAILABLE CARE SERVICES. IT WAS DETERMINED THAT THESE FOUR ISSUES WOULD ULTIMATELY HAVE THE GREATEST IMPACT ON THE COMMUNITYS OVERALL HEALTH WHILE ALSO TAKING INTO ACCOUNT THE HOSPITAL'S AVAILABLE RESOURCES. IN THE MOST RECENT CHNA, THE FOUR PRIORITIES WERE IDENTIFIED AS: 1. Behavioral Health/Substance Abuse: The hospital plans to increase the level of community involvement and awareness in both Stephens and Jefferson counties, including increasing collaborations with Pathways BHC and providing education to the community through social media disposal trainings. More community based referrals from local mental health providers will help increase the mental health services to the youth in Stephens county, and we plan to continue creating guidance programs to address mental health and substance abuse, including suicide prevention training. 2. HEALTHY LIVING: THE HOSPITAL PLANS TO PROMOTE THE IMPORTANCE OF PHYSICAL ACTIVITY, HEALTHY EATING, AND EDUCATION OF THE ATTENTION NEEDED TOWARDS ANNUAL CHILD HEALTH CHECKS. IN ORDER TO PROMOTE PHYSICAL ACTIVITY IN COMMUNITIES, THE HOSPITAL WILL PARTNER WITH ORGANIZATIONS SUCH AS DRH HEALTH FOUNDATION AND THE SIMMONS CENTER TO SPONSOR 5K EVENTS IN STEPHENS AND JEFFERSON COUNTIES ALONG WITH A KID'S MARATHON. IN ORDER TO PROMOTE HEALTHY EATING, NOT ONLY WILL THE HOSPITAL PARTNER WITH 3 SCHOOLS IN JEFFERSON AND STEPHENS COUNTIES TO HOST HEALTHY EATING EVENTS AND CREATE A CONTAINER GARDEN FOR EASY ACCESS TO FRUITS AND VEGETABLES, IT WILL ALSO INCREASE THE NUMBER OF HEALTHY CERTIFIED BUSINESSES FROM 30 TO 40 BY 2021. ALONG WITH INCREASING THE OPPORTUNITIES OF IMMUNIZATIONS, THE HOSPITAL PLANS TO EDUCATE THE COMMUNITIES OVER THE IMPORTANCE OF ANNUAL CHILD HEALTH CHECK UPS. 3. SAFETY INJURY PREVENTION: THE HOSPITAL PLANS TO EDUCATE AND PREPARE THE COMMUNITIES ON HOW TO AVOID UNINTENTIONAL INJURIES BY CONDUCTING AT LEAST 10 PRESENTATIONS PER YEAR TO CIVIC ORGANIZATIONS, CHURCHES, BUSINESSES, AND SCHOOLS. THE HOSPITAL WILL PARTNER WITH OTHER PATHWAYS COMMITTEES TO HELP HIGHLIGHT INJURY IMPACT (SUICIDE, DOMESTIC VIOLENCE, ELDER ABUSE, ETC) IN ORDER TO DECREASE THE PERCENTAGE OF UNINTENTONAL INJURIES. 4. CANCER: THE HOSPITAL HAS IDENTIFIIED CANCER AS THE 6TH MAJOR RISK AFFECTING STEPHENS COUNTY. IT WILL EDUCATE ON THE BEHAVIORS THAT INCREASE THE RISK OF CANCER AND ADVOCATE THE IMPORTANCE OF EARLY DETECTION. BY PARTNERING WITH CANCER CENTERS OF SOUTHWEST OKLAHOMA AND DUNCAN REGIONAL HOSPITAL, THEY WILL PROMOTE EARLY DETECTION BY PROVIDING FREE SCREENINGS. SCHEDULE H, PART V, SECTION B, FACILITIES 1 & 2, LINES 16A, 16B, & 16C WEBSITE WHERE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND: https://www.duncanregional.com/patients-visitors/billing-finance/ 20 CANCER CENTERS OF SOUTHWEST OKLAHOMA LLC 3401 WEST GORE BOULEVARD LAWTON OK 73502 CANCER CENTER DRH IMAGING LLC 1407 N WHISENANT DR DUNCAN OK 73533 IMAGING CENTER DUNCAN FAMILY CARE 1324 N HARVILLE DUNCAN OK 73533 FAMILY PRACTICE DUNCAN FAMILY MEDICINE 2120 W ELK SUITE 26 DUNCAN OK 73533 FAMILY PRACTICE & PSYCHIATRY DUNCAN MEDICAL ASSOCIATES 2515 W ELK DUNCAN OK 73533 FAMILY PRACTICE DUNCAN ALLERGY ENT 1401 DUNCAN REGIONAL LOOP DUNCAN OK 73533 Otolaryngology DUNCAN ORTHOPEDICS 2945 W ELK AVE DUNCAN OK 73533 ORTHOPEDICS CHICKASHA OBGYN 2100 W IOWA CHICKASHA OK 73018 OBSTETRICS & GYNECOLOGY SANFORD CHILDREN'S CLINIC 2502 W ELK DUNCAN OK 73533 PEDIATRICS DUNCAN BONE & JOINT 2000 W ELK DUNCAN OK 73533 ORTHOPEDICS ELGIN FAMILY CARE 8148 State Hwy 17 ELGIN OK 73532 FAMILY PRACTICE Marlow Family Care 501 N 4th St MARLOW OK 73055 FAMILY PRACTICE WAURIKA FAMILY CARE 9172 US Hwy 70 WAURIKA OK 73573 FAMILY PRACTICE COMANCHE FAMILY CARE 303 N Hwy 81 COMANCHE OK 73529 FAMILY PRACTICE RINGLING FAMILY CARE 108 S 5th St RINGLING OK 73456 FAMILY PRACTICE RYAN FAMILY CARE 1104 6TH ST RYAN OK 73565 FAMILY PRACTICE VELMA FAMILY CARE 404 W Main VELMA OK 73491 FAMILY PRACTICE WALTERS FAMILY CARE 402 N BROADWAY WALTERS OK 73572 FAMILY PRACTICE MILLER EYE CARE 1311 JACKIE RD DUNCAN OK 73533 OPHTHALMOLOGY PAVILLION CLINIC 2115 DUNCAN REGIONAL LOOP 100 300 DUNCAN OK 73533 OBSTETRICS, GYNECOLOGY, UROLOGY & PULMONOLOGY CLINiCS SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT AS COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. During 2020, the Hospitals write-offs decreased approximately $1,194,000 from approximately $36,033,000 for the year ended June 30, 2019 to approximately $34,839,000 for the year ended June 30, 2020. This decrease was the result of positive trends experienced in the collection of amounts from self-pay patients and other financial classes in fiscal year 2020 and a cleanup of old accounts during 2020. Additionally, during 2019, the Hospitals write-offs increased approximately $9,422,000 from approximately $26,361,000 for the year ended June 30, 2018, to approximately $36,033,000 for the year ended June 30, 2019. This increase was the result of negative trends experienced in the collection of amounts from self-pay patients and other financial classes in fiscal year 2019. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE ORGANIZATION UTILIZES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED UPON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS, AND THE ANCILLARY PORTION IS APPORTIONED BASED UPON PROGRAM CHARGES TO TOTAL CHARGES. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: IN SUPPORT OF ITS MISSION, THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED MEDICALLY INDIGENT IN ACCORDANCE WITH THE HOSPITAL'S WRITTEN CHARITY CARE CRITERIA. NO FURTHER COLLECTION EFFORTS ARE MADE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ON GOING BASIS, AND EVERY THREE YEARS, THROUGH INVOLVEMENT WITH COMMUNITY PARTNERS AND SURVEYS WITH PHYSICIANS. THE HOSPITAL WILL UNDERGO THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN UNDER THE 501R REQUIREMENTS BY THE REQUIRED TIME. ALSO, PATHWAYS TO A HEALTHY LIVING, A COUNTY HEALTH IMPROVEMENT ORGANIZATION HOLDS MONTHLY COMMUNITY PARTNER MEETINGS VIA WEBEX TO STAY UP TO DATE ON THE NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: DUNCAN REGIONAL HOSPITAL PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON THE HOSPITAL'S WEBSITE, BROCHURES ARE AVAILABLE AT EVERY REGISTRATION POINT, PRE-ADMISSION LETTERS ARE PROVIDED TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE GIVEN TO UNINSURED PATIENTS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: DUNCAN REGIONAL HOSPITAL IS ACTIVELY DELIVERING CARE TO THE STEPHENS COUNTY AREA. ACCORDING TO THE 2010 CENSUS, STEPHENS COUNTY IS A RURAL COUNTY WITH A POPULATION OF 45,048. THIS INCLUDES THE CITY OF DUNCAN WHERE THE HOSPITAL IS LOCATED WITH A POPULATION OF 23,431 RESIDENTS. THE SECOND MOST POPULATED AREA IS MARLOW WITH A POPULATION OF 5,000. THE MEDIAN AGE OF THE POPULATION IS 40.6 YEARS OLD WITH APPROXIMATELY ONE QUARTER OF THE POPULATION UNDER THE AGE OF 19. THROUGH JEFFERSON COUNTY HOSPITAL, DUNCAN IS ALSO ACTIVELY DELIVERING CARE TO THE JEFFERSON COUNTY AREA. THE ESTIMATED POPULATION OF THE COUNTY IS 6,377 WITH A MEDIAN AGE OF 41.6 YEARS OLD. APPROXIMATELY 39.3% OF THE COUNTY'S ADULT POPULATION SUFFERS FROM OBESITY RESULTING IN $2,740 IN ADDITIONAL MEDICAL COSTS PER PERSON AGED 18 & OVER. THE HOSPITAL HAS AN AVERAGE OF 95 DISCHARGES FOR PATIENTS WITH HEART DISEASE AND 12 DISCHARGES FOR PATIENTS WITH DIABETES. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: DUNCAN REGIONAL HOSPITAL PROMOTES THE OVERALL HEALTH OF THE COMMUNITY BY CONTINUALLY WORKING TO BRING QUALITY PHYSICIANS TO PARTICIPATE IN OUR OPEN MEDICAL STAFF. SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO IMPROVE THE QUALITY OF SERVICES TO THE COMMUNITY. In 2018 and 2019 additional partners participated in the Certified Healthy Oklahoma initiative sponsored in collaboration with the Oklahoma State Department of Health. Included were again Early Childhood Centers, daycare centers, Cameron University-Duncan, Congregations, all Duncan schools, Solutions physician clinics, Jefferson county rural health clinics and other local businesses. In May 2018, The "Stop the Stigma" campaign was started to provide education on the stigma regarding mental health/illness. Community partners were provided information at various community events and council meetings and presented an opportunity to take a pledge to work to help stop the stigma in their communities. As of January 2019, almost 990 pledges had been accepted. In 2019 THE HOSPITAL PARTNERED WITH AREA SCHOOLS OF STEPHENS AND JEFFERSON COUNTIES TO BRING HEALTHY SNACKS/ PREPARATION TO 5TH GRADE STUDENTS IN COLLABORATION WITH DRH EXECUTIVE CHEF CRAIG. However, due to COVID 19, outside personnel were not allowed to visit schools for activities so our cooking classes were put on hold until further notice from the administrators. Our plan is to start those back in FY 22 if approved with school administration. Video and virtual classes have been explored during the pandemic in 2020. THE HOSPITAL IMPLEMENTED A COUNTY WIDE MEDIA CAMPAIGN USING THE PATHWAYS WEBSITE TO LAUNCH A "VEG UP" CAMPAIGN SITE. THE CAMPAIGN PROMOTES THE NEED FOR HEALTHY EATING AND ENCOURAGING HEALTHY SNACK ITEMS THAT DO NOT SABOTAGE A PERSON'S DIET. THE DEVELOPMENT OF THE FARMER'S MARKET IN STEPHENS COUNTY CONTINUES TO DEVELOP AND PROSPER. THE FARMER'S MARKET INCREASES THE AWARENESS OF THE VALUE OF CHOOSING FRESH FRUIT AND VEGETABLES OVER STORE BOUGHT AND PROCESSED FOOD ITEMS. THE FARMER'S MARKET INCREASES THE AVAILABILITY OF FRESH PRODUCE TO THE PEOPLE OF STEPHENS COUNTY. A NEW COMMUNITY GARDEN WAS CREATED IN 2017 WHERE MEMBERS OF THE COMMUNITY CAN LEASE A RAISED BED IN THE GARDEN FOR A YEAR. THE HOSPITAL PARTNERED WITH MULTIPLE ORGANIZATIONS TO PROMOTE AND SPONSOR FAMILY FRIENDLY ACTIVITIES THAT PROMOTE PHYSICAL ACTIVITY. THERE WAS AN ASCOG SENIOR DAY AT THE FAIRGROUNDS AND A STAMPEDE 5K AND HALF MARATHON In June of 2020 with attendance over 200. THERE IS AN ACTIVITY CALENDAR FOUND AT DUNCANCALENDAR.COM TO INCREASE AWARENESS OF OPPORTUNITIES FOR FAMILIES TO BE ACTIVE. THE HOSPITAL DEVELOPED A STEPHENS COUNTY MENTAL HEALTH TASK FORCE TO INCREASE COMMUNITY INVOLVEMENT. A COMMUNITY BASED REFERRAL SYSTEM WAS IMPLEMENTED USING LOCAL SCHOOLS. The OPNA was completed with several area schools in 2020 to address risk factors with school aged children in 6th, 8th, 10th, and 12th grades. The ABLE commission, a partner with Pathways to address alcohol and nicotine use, completed alcohol compliance checks within Stephens county with a 90% success rate. THE HOSPITAL PARTNERED WITH THE CANCER CENTER OF SOUTHWEST OKLAHOMA FOR A MEDIA CAMPAIGN TO INCREASE AWARENESS AND PROVIDE EDUCATION AND OPPORTUNITIES FOR CANCER SCREENING. SCREENINGS ARE OFFERED MULTIPLE TIMES PER YEAR AND INCLUDE BREAST, LUNG, PROSTATE AND SKIN. Pathways brought in the Executive team from Blue Zones to introduce Duncan Regional to their global efforts and local opportunities for Stephens county. They presented to various leaders in the community about overall health, mental health, physical activity and nutrition. The health fairs scheduled for 2020 in Stephens and Jefferson counties were canceled due to the Covid 19 pandemic. The hospital partnered with area prevention representatives to hold a drive through drug take back event in 2020. Handle with Care initiative and education to local area schools and law enforcement started the end of 2019 and prior to covid restrictions in 2020. The initiative provides information to address children of a recent traumatic event for Pre K-high school. The hospital partnered with the OK to Quit initiative via social media outlets and paper media as well. The safety and injury prevention priority area work plan involves several community activities. The decision was made to put those activities on hold due to limits related to the COVID 19 pandemic and safety of all involved. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: DUNCAN REGIONAL HOSPITAL ENCOURAGES ITS LEADERSHIP TEAM MEMBERS TO PARTICIPATE IN LOCAL NOT-FOR-PROFIT AGENCIES. Leaders from DRH serve on various boards within the county including but not limited to the following: Rotary, Kiwanis, Lions club, Simmons Center, Safe Center (formerly Womens Haven), Beautiful Day (for elementary children), Duncan Enhancement Trust Authority, Stephens County Health department, Leadership Duncan program and also the loaned executive program through United Way. Employees participate in various health events offered to the communities of Stephens and Jefferson Counties such as the Douglas Sr Center health fair, Jefferson County health fair, Ladies Fall Health Event, Stampede the Trail, and Walk to Remember. They also provide free blood pressure/glucose screenings at senior centers and nursing homes. We have some physicians and nurses that also volunteer at the Compassion clinic in Duncan. THE HOSPITAL ENCOURAGES PARTICIPATION BY COMPENSATING THE TEAM MEMBERS WHILE THEY ARE PERFORMING THIS WORK OUTSIDE OF THE HOSPITAL. WORKFORCE DEVELOPMENT COSTS REPRESENT THE COSTS OF MAINTAINING A BUILDING USED BY A STATE UNIVERSITY TO EDUCATE NURSES. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $24,958,887. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY FOR COMMUNITY BENEFIT COSTS: THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. Worksheets 4 and 8 were completed using the hospital's direct costs and income statement. SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL - INSURANCE STATUS true BEAUTIFUL DAY FOUNDATION 807 W MAIN DUNCAN OK 73533 464630628 501(C)(3) 28954 FMV FOOD COMMUNITY SUPPORT DUNCAN COMMUNITY RESIDENCE PO BOX 1474 DUNCAN OK 73534 237451608 501(C)(3) 21599 FMV FOOD COMMUNITY SUPPORT DUNCAN REGIONAL HOSPITAL HEALTH FOUNDATION 1407 WHISENaNT DRIVE DUNCAN OK 73533 202772056 501(C)(3) 1400750 NURSING SCHOLARSHIPS & STIPENDS 3 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE HOSPITAL REQUESTS AND RECEIVES PERIODIC REPORTS TO ENSURE THE GRANT FUNDS ARE BEING USED FOR THEIR INTENDED PURPOSE. X true true X X X X false true false false false false false true false JAY JOHNSON PRESIDENT & CEO 406959 0 48309 0 112058 0 34000 0 17775 0 619101 0 112058 0 WILLIAM STEWART MD PRESIDENT-SOLUTIONS-FAMILY MED 307097 0 22977 0 0 0 32517 0 17708 0 380299 0 0 0 DOUG VOLINSKI VP/CFO 241640 21637 93671 34000 11964 402912 93671 CYNTHIA RAUH FORMER VP/CNO 63673 0 0 0 75807 0 6741 0 0 0 146221 0 75807 0 MARK W RHOADES FORMER VP - HUMAN RESOURCES 103822 0 0 0 68525 0 19139 0 3988 0 195474 0 68525 0 ROGER NEAL VP OPERATIONS/CIO 240615 0 26600 0 84080 0 34000 0 17796 0 403091 0 84080 0 KRISTEN J WEBB RN MSN VP/CHIEF NURSING OFFICER 165041 0 12129 0 0 0 19504 0 7713 0 204387 0 0 0 DANNY GILES MD PHYSICIAN - ORTHOPEDIC SURGEON 1015475 0 0 0 0 0 14000 0 17796 0 1047271 0 0 0 STACIE ELFRINK MD PHYSICIAN - OBGYN 584397 0 0 0 0 0 34000 0 0 618397 0 0 0 MIGUEL ANGEL TOVAR MD PHYSICIAN - OBGYN 584712 0 0 0 0 0 34000 0 17708 0 636420 0 0 0 RON MILLER MD OPHTHAMOLOGIST 580026 0 0 0 0 0 28694 0 17539 0 626259 0 0 0 JEFFERY CLYDE JONES MD PHYSICIAN - FAMILY MEDICINE 529359 0 0 0 0 0 34000 0 11978 0 575337 0 0 0 RICHARD Gillespie President of JCH 137893 0 0 0 0 0 14572 0 0 0 152465 0 0 0 SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES: COUNTRY CLUB DUES ARE PAID BY THE CEO. THE DUES AND ANY EXPENSES INCURRED FOR THE HOSPITAL'S BENEFIT ARE REIMBURSED TO THE CEO BY THE HOSPITAL. THE MEMBERSHIP IS USED BY OTHER EMPLOYEES OF THE ORGANIZATION, INCLUDING THE PHYSICIAN RECRUITER. FOR THIS REASON, THE DUES ARE NOT INCLUDED IN THE CEO'S W-2 AS TAXABLE INCOME. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: SENIOR MANAGEMENT IS PAID VARIABLE COMPENSATION BASED UPON GOALS APPROVED BY THE GOVERNING BOARD ANNUALLY. THE GOALS VARY YEAR TO YEAR. THERE IS A FIXED PERCENTAGE SET AT THE BEGINNING OF THE YEAR WHEN THE GOALS ARE APPROVED. A PERCENTAGE OF THAT AMOUNT IS PAID BASED ON THE ACHIEVEMENT OF THOSE GOALS. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: JAY JOHNSON $112,058 $20,000 DOUG VOLINSKI $93,671 $20,000 CYNTHIA RAUH $75,807 $3,820 ROGER NEAL $84,080 $20,000 MARK RHOADES $68,525 $10,439 KRISTEN WEBB NONE $10,638 RICHARD GILLESPIE NONE $8,218 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED IN 409(A): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: STACIE ELFRINK, MD NONE $20,000 RON MILLER, MD NONE $20,000 Miguel Tovar, MD NONE $20,000 William Stewart, MD NONE $18,615 JEFFERY JONES, MD NONE $20,000 A THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 XXXXXXXXX 2013-12-03 17388000 REFINANCE SERIES 2003A BOND false false false B THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 xxxxxxxxx 2013-12-03 20000000 REFINANCE SERIES 2008 BOND false false false C THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 xxxxxxxxx 2018-11-05 15000000 Series 2018 - Health Facilities false false false A 1744000 0 17388000 0 0 17243870 144130 0 0 0 0 0 2004 true false true true B 0 0 20000000 0 0 19834220 165780 0 0 0 0 0 2009 true false true true C 0 0 15000000 0 0 0 0 0 0 4171790 0 10828210 2021 false false false true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false false false true false false 0 false 0 false true B false false false true true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true Schedule K, Part IV, Line 2c No Rebate Due: the Series 2003A and 2008 refinanced bonds, did not require a rebate due as they were refinanced at the end of 2020. Che' Miller MD Director of Board Compensation Advance X 83007 83007 false true true James McGouran MD Secretary of Board Compensation Advance X 49487 49487 false true true 132494 DR CHRISTOPHER HERNDON FAMILY MEMBER OF BOARD MEMBER (ELFRINK) 451014 SALARIES/WAGES false SCHEDULE L, PART II LOANS TO INTERESTED PERSONS: The DRH Health Board of Directors elected to retain all employees and compensate them at base pay levels throughout much of the COVID pandemic. This included maintaining employed provider compensation at historic levels. We offered the independent providers on our medical staff the ability to maintain their income at historic levels over a six month period of April 2020 through September 2020 as well through loans than may be forgiven over a 60 month period subsequent to the loan period as long as they maintain their active practice in our community over the 60 month period of forgiveness. Two of the independent providers who elected to participate in the loan program are members of the DRH Health Board of Directors. The loan program was approved by the Board and the physician Board Members did abstain on the vote. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED TO PERSONS OTHER THAN THE GOVERNING BODY: THE BOARD DELEGATES DECISIONS FOR REVIEW AND APPROVAL OF COMPENSATION PACKAGES TO A SUBCOMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE CONSISTS OF NO LESS THAN THREE INDEPENDENT DIRECTORS, APPOINTED BY THE BOARD ON THE RECOMMENDATION OF THE NOMINATING/GOVERNANCE COMMITTEE. THE BOARD SHALL APPOINT ONE MEMBER OF THE COMPENSATION COMMITTEE AS ITS CHAIR. THE BOARD MAY REPLACE COMPENSATION COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW 990: THE FORM 990 WAS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED INTERNALLY BY MANAGEMENT. PRIOR TO FILING, COPIES OF THE 990 WERE DISTRIBUTED TO BOARD MEMBERS AT A BOARD MEETING. TIME WAS PROVIDED FOR REVIEW AND QUESTIONS AT THE MEETING. BOARD MEMBERS WERE OFFERED COPIES TO TAKE WITH THEM AFTER THE MEETING. THE 990 IS ALSO UPLOADED TO A BOARD PORTAL FOR REVIEW YEAR-ROUND. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS, OFFICERS AND HIGHEST COMPENSATED EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IF A BOARD MEMBER BELIEVES THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST, THEN THE CONFLICT SHOULD BE IMMEDIATELY DISCLOSED. THE BOARD MEMBER IS THEN TOLD TO LEAVE THE BOARD MEETING AND THE REMAINING BOARD DISCUSSES AND VOTES ON IF A CONFLICT OF INTEREST EXISTS. IF IT IS DECIDED THAT A CONFLICT EXISTS, THE AFFECTED BOARD MEMBER SHOULD ABSTAIN FROM ANY ACTION TO THE INTEREST AND SHOULD ABSENT HIMSELF OR HERSELF FROM ANY PORTION OF ANY PROCEEDINGS AT WHICH ACTION IS CONSIDERED OR TAKEN REGARDING THE INTEREST. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: THE BOARD OF DIRECTORS APPOINTS THE COMPENSATION COMMITTEE TO DISCHARGE THE BOARD'S RESPONSIBILITIES RELATING TO COMPENSATION OF THE HOSPITAL'S EXECUTIVE OFFICERS AND OTHER INDIVIDUALS DEFINED AS DISQUALIFIED PERSONS UNDER THE INTERNAL REVENUE CODE. THE COMPENSATION COMMITTEE ESTABLISHES THE COMPENSATION AND BENEFIT ARRANGEMENTS PROVIDED TO THE EXECUTIVE OFFICERS OF THE HOSPITAL. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE ANNUAL BASE SALARY, THE ANNUAL INCENTIVE COMPENSATION AND OTHER BENEFITS OFFERED OR PAID TO THE EXECUTIVE MANAGEMENT OF THE HOSPITAL. THE COMPENSATION COMMITTEE OF THE BOARD SETS THE CEO'S SALARY. THEY RELY HEAVILY ON SALARY SURVEY DATA AND RECOMMENDATIONS FROM A NATIONAL CONSULTING FIRM. REVIEWS ARE CONDUCTED IN SEPTEMBER OR OCTOBER OF EACH YEAR AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 16B WRITTEN POLICY TO EVALUATE PARTICIPATION IN JOINT VENTURES: ALTHOUGH THE HOSPITAL DOES NOT HAVE A WRITTEN POLICY, ALL POTENTIAL JOINT VENTURES ARE REVIEWED AND EVALUATED BY THE BOARD OF DIRECTORS ON A CASE BY CASE BASIS. THE HOSPITAL DOES NOT ENTER INTO A JOINT VENTURE WITHOUT THE BOARD'S APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: INTERCOMPANY EXPENSE - ADVANCED MEDICAL SUPPLY $ (717,995) INTERCOMPANY EXPENSE - SOLUTIONS (755,654) INTERCOMPANY EXPENSE - DHP (91,561) OTHER CHANGES 6 ------------- TOTAL $ (1,565,204) FORM 990, PART VI, SECTION A, LINE 2 RELATIONSHIPS OF OFFICERS, DIRECTORS, AND TRUSTEES: NATHAN ELFRINK (DIRECTOR) AND STACIE ELFRINK (PHYSICIAN - OBGYN) HAVE A FAMILY RELATIONSHIP. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:12400149 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:4488180 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:851512 SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MGMT OK 5753396 -1871401 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK 1795877 709278 DRH DUNCAN HEALTH PARTNERS LLC 1407 N WHISENANT DR DUNCAN OK 73533 464527302 HEALTHCARE OK 0 12380 DRH DRH IMAGING LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH RELATED 1682583 403282 false 0 false 0.80000 false false false false false false false false false false false false false false false false false false true DRH IMAGING LLC s 1600000 CASH