2020-06-26T10:06:03-05:00 2019-06-30 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2018-07-01 731008550 Duncan Regional Hospital Inc % DOUG VOLINSKI DUNC 6802518572 PO Box 2000 Duncan OK 73534 DOUG VOLINKSI CFO 6802518572 2020-05-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 73023320201785000001 2020-06-26 P BC2C8F7F1C2AD12471C74E6F8C925013EDB3E05D EB976710118F518B8933A72D91D1D85239D99EDA 2018 2020-09-22 18:59:49Z JAY JOHNSON PO Box 2000 Duncan OK 73534 201656931 false X www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. 10 8 1317 137 354304 0 2145616 323551 137979229 149032308 4625292 4964460 6655375 2692389 151405512 157012708 786522 339035 0 0 66202314 72643015 0 0 0 76079585 78651511 143068421 151633561 8337091 5379147 223344991 223083827 54016072 51099514 169328919 171984313 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. false false 123567383 339035 150473647 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 18,514 INPATIENT DAYS, 3,651 SURGERY VISITS, AND 32,244 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR. 123567383 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 181 0 1317 true true true false false false false false false false false false false false X 10 8 false false true false false false true true true false false true true true true true true true true true false OK X DOUG VOLINSKI 6802518572 1407 N WHISENANT DRIVE DUNCAN OK 73533 X SUSAN CAMP CHAIR 2.0 0.0 X X 0 0 0 JAMES CURRY SECRETARY 2.0 0.0 X X 0 0 0 JAMES MCGOURAN MD DIRECTOR - FAMILY MEDICINE 2.0 0.0 X 9194 0 0 RON MILLER MD - End 1218 VICE CHAIR-OPTHAMOLOGIST 55.0 0.0 X X 432120 0 44017 RICHARD ALBERTSON MD DIRECTOR-GENERAL SURGERY 2.0 0.0 X 0 0 0 JARI ASKINS DIRECTOR 2.0 0.0 X 0 0 0 GREG SHEPHERD DIRECTOR 2.0 0.0 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 - start 119 DIRECTOR 2.0 0.0 X 0 0 0 JAY JOHNSON President & CEO 55.0 0.0 X 421414 0 51589 WILLIAM STEWART MD President-Solutions-Family Med 55.0 0.0 X 305664 0 49483 DOUG VOLINSKI VP/CFO 55.0 0.0 X 252334 0 40226 CYNTHIA RAUH VP/Chief Nursing Officer 55.0 0.0 X 191849 0 27675 MARK W RHOADES VP - HUMAN RESOURCES 55.0 0.0 X 190682 0 33155 ROGER NEAL VP OPERATIONS/CIO 55.0 0.0 X 251379 0 38414 KRISTEN J WEBB RN MSN VP/CHIEF NURSING OFFICER 55.0 0.0 X 125125 0 16541 THOMAS EISER ORTHOPAEDIC SURGEON 55.0 0.0 X 451297 0 42099 DANNY GILES MD PHYSICIAN - Orthopedic surgeon 55.0 0.0 X 1032046 0 31546 STACIE ELFRINK MD PHYSICIAN - OBGYN 55.0 0.0 X 564139 0 33750 MIGUEL ANGEL TOVAR MD PHYSICIAN - OBGYN 55.0 0.0 X 532635 0 51226 MIGUEL REY SABEDRA MD PHYSICIAN - Family Practice 55.0 0.0 X 464076 0 43828 5223954 0 503549 103 false true false SODEXO PO BOX 360170 PITTSBURGH PA 152516170 DIETARY MGMT SERVICE 524571 EMERGENCY MANAGEMENT MIDWEST PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 587848 ADG PC 920 WEST MAIN OKLAHOMA CITY OK 73106 ARCHITECT SERVICES 771080 GE JOHNSON CONSTRUCTION CO 25N CASCADE AVE STE 400 COLORADO SPRINGS CO 80903 CONSTRUCTION COMPANY 1105255 HOSPITAL CARE CONSULTANTS INC 17304 PRESTON RD STE 1400 DALLAS TX 75252 PHYSICIANS 1249775 31 323551 323551 Net Patient Service Revenue 621110 139911694 139911694 CONTRACT MEDICAL SERVICES 621110 4192811 4192811 Clinic Rent Revenue 531120 674906 674906 Joint Venture Income 621500 2747294 2747294 PHARMACY REVENUE 446110 1505603 1505603 149032308 2944339 2944339 0 0 0 0 0 46523342 141002 44197521 446702 2325821 -305700 2020121 2020121 0 0 0 0 0 0 0 0 0 Catering Revenue 722320 158018 158018 NON-PATIENT LAB 621500 196286 196286 Cafeteria 722210 1251050 1251050 1087035 1087035 2692389 157012708 150119343 354304 6215510 X 339035 339035 0 0 0 2941376 1098942 1842434 0 56881437 47741581 9139856 2054270 1673469 380801 6783148 5222954 1560194 3982784 3157266 825518 0 129487 129487 271735 271735 0 0 411325 411325 15262150 14093288 1168862 437210 437210 3167774 1720643 1447131 3635549 3635549 0 1881119 1669340 211779 318521 247095 71426 0 34936 26871 8065 859593 859593 0 7862675 7862675 1163209 1163209 Provision for Bad Debts 19787828 19787828 Medical Supplies 7854305 6308751 1545554 Pharmaceuticals 3660388 3516465 143923 EQUIPMENT RENTAL AND MAINT. 6261531 5029400 1232131 5652176 4071780 1580396 151633561 123567383 28066178 0 3101931 5583134 3018155 1284395 0 0 36348325 33241055 0 0 0 0 0 111444 2846096 2906530 1649731 1344338 177436678 109526430 64622360 67910248 104693634 102691719 0 0 2512532 2317736 28870 96842 4523357 5596386 223344991 223083827 23894157 17535962 0 0 10915 11079 29991000 33552473 0 0 0 0 0 0 0 0 120000 0 54016072 51099514 X 169328919 171984313 0 0 0 0 169328919 171984313 223344991 223083827 X 5379147 -1317787 -41442 -1364524 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12838 12838 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 100989900 56852152 44137748 431314 351320 79994 64625115 50008352 14616763 9964356 2314606 7649750 67910248 0 0 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 3673233 3673233 0.02790 13602122 11457070 2145052 0.01630 17275355 11457070 5818285 0.04420 38 1435 139094 139094 0.00110 7 380477 380477 0.00290 45 1435 519571 519571 0.00400 45 1435 17794926 11457070 6337856 0.04820 2 3182 3182 20 31 51069 51069 0.00030 1 867 867 4 30 11618 11618 0.00010 1 114 114 2 296696 296696 0.00220 30 61 363546 363546 0.00260 false 19787828 33297010 32095418 1201592 X true true DRH IMAGING LLC IMAGING CENTER 0.8 0.02 0.18 DUNCAN REALTY REAL ESTATE 0.4175 0.15448 0.42802 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 18 true false true true X SEE PART V, SECTION C X X true 18 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 18 true false true true X SEE PART V, SECTION C X X true 18 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 FOR THE 2018 TAX YEAR. SIMILARLY TO THE PRIOR CHNA, A COMMITTEE WAS FORMED THAT COMPRISED OF INDIVIDUALS WHO ENCOMPASSED THE DIVERSITY OF STEPHENS COUNTY. THE HOSPITAL PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE PATHWAYS TO A HEALTHY STEPHENS COUNTY COMMITTEE. THE INDIVIDUALS IN THIS COMMITTEE INCLUDED, BUT WERE NOT LIMITED TO, INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: 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/ 11 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 SANFORD CHILDREN'S CLINIC 2502 WEST ELK DUNCAN OK 73533 PEDIATRIC CENTER DUNCAN ORTHOPEDICS 2815 WEST ELK DUNCAN OK 73533 ORTHOPEDICS DUNCAN ALLERGY ENT 1401 DUNCAN REGIONAL LOOP DUNCAN OK 73533 OTOLARYNGOLOGY DUNCAN BONE & JOINT 2000 WEST ELK DUNCAN OK 73533 ORTHOPEDICS MARLOW FAMILY CARE 501 N 4TH MARLOW OK 73055 FAMILY PRACTICE WAURIKA FAMILY CARE 9172 US HWY 70 WAURIKA OK 73573 FAMILY PRACTICE DUNCAN BEHAVIORAL HEALTH 1312 JACKIE ROAD DUNCAN OK 73533 PSYCHIATRY/BEHAVIORAL HEALTH MILLER EYE CARE 1311 JACKIE ROAD DUNCAN OK 73533 OPTHALMOLOGY DUNCAN UROLOGY 2115 DUNCAN REGIONAL LOOP 300 DUNCAN OK 73533 UROLOGY SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT AS COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. DURING 2019, THE HOSPITAL'S WRITE-OFFS INCREASED APPROXIMATELY $9,422,000 FROM APPROXIMATELY $26,361,000 FOR THE YEAR ENDED JUNE 30, 2018, TO APPROXIMATELY $35,783,000 FOR THE YEAR ENDED JUNE 30, 2019. ADDITIONALLY, DURING 2018, THE HOSPITAL'S WRITE-OFFS INCREASED APPROXIMATELY $11,190,000 FROM APPROXIMATELY $15,171,000 FOR THE YEAR ENDED JUNE 30, 2017, TO APPROXIMATELY $26,361,000 FOR THE YEAR ENDED JUNE 30, 2018. BOTH INCREASES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS AND OTHER FINANCIAL CLASSES IN FISCAL YEARS 2019 AND 2018. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE ORGANIZATION UTILIZES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED UPON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS, AND THE ANCILLARY PORTION IS APPORTIONED BASED UPON PROGRAM CHARGES TO TOTAL CHARGES. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: IN SUPPORT OF ITS MISSION, THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED MEDICALLY INDIGENT IN ACCORDANCE WITH THE HOSPITAL'S WRITTEN CHARITY CARE CRITERIA. NO FURTHER COLLECTION EFFORTS ARE MADE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE HOSPITAL ASSESSES COMMUNITY NEEDS ON AN ON GOING BASIS, AND EVERY THREE YEARS, THROUGH INVOLVEMENT WITH COMMUNITY PARTNERS AND SURVEYS WITH PHYSICIANS. THE HOSPITAL WILL UNDERGO THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN UNDER THE 501R REQUIREMENTS BY THE REQUIRED TIME. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: DUNCAN REGIONAL HOSPITAL PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON THE HOSPITAL'S WEBSITE, BROCHURES ARE AVAILABLE AT EVERY REGISTRATION POINT, PRE-ADMISSION LETTERS ARE PROVIDED TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE GIVEN TO UNINSURED PATIENTS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: DUNCAN REGIONAL HOSPITAL IS ACTIVELY DELIVERING CARE TO THE STEPHENS COUNTY AREA. ACCORDING TO THE 2010 CENSUS, STEPHENS COUNTY IS A RURAL COUNTY WITH A POPULATION OF 45,048. THIS INCLUDES THE CITY OF DUNCAN WHERE THE HOSPITAL IS LOCATED WITH A POPULATION OF 23,431 RESIDENTS. THE SECOND MOST POPULATED AREA IS MARLOW WITH A POPULATION OF 5,000. THE MEDIAN AGE OF THE POPULATION IS 40.6 YEARS OLD WITH APPROXIMATELY ONE QUARTER OF THE POPULATION UNDER THE AGE OF 19. THROUGH JEFFERSON COUNTY HOSPITAL, DUNCAN IS ALSO ACTIVELY DELIVERING CARE TO THE JEFFERSON COUNTY AREA. THE ESTIMATED POPULATION OF THE COUNTY IS 6,377 WITH A MEDIAN AGE OF 41.6 YEARS OLD. APPROXIMATELY 39.3% OF THE COUNTY'S ADULT POPULATION SUFFERS FROM OBESITY RESULTING IN $2,740 IN ADDITIONAL MEDICAL COSTS PER PERSON AGED 18 & OVER. THE HOSPITAL HAS AN AVERAGE OF 95 DISCHARGES FOR PATIENTS WITH HEART DISEASE AND 12 DISCHARGES FOR PATIENTS WITH DIABETES. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: DUNCAN REGIONAL HOSPITAL PROMOTES THE OVERALL HEALTH OF THE COMMUNITY BY CONTINUALLY WORKING TO BRING QUALITY PHYSICIANS TO PARTICIPATE IN OUR OPEN MEDICAL STAFF. SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO IMPROVE THE QUALITY OF SERVICES TO THE COMMUNITY. 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. 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. THE HOSPITAL IMPLEMENTED A COUNTY WIDE MEDIA CAMPAIGN USING THE PATHWAYS WEBSITE TO LAUNCH A "VEG UP" CAMPAIGN SITE. THE CAMPAIGN PROMOTES THE NEED FOR HEALTHY EATING AND ENCOURAGING HEALTHY SNACK ITEMS THAT DO NOT SABOTAGE A PERSON'S DIET. THE DEVELOPMENT OF THE FARMER'S MARKET IN STEPHENS COUNTY CONTINUES TO DEVELOP AND PROSPER. THE FARMER'S MARKET INCREASES THE AWARENESS OF THE VALUE OF CHOOSING FRESH FRUIT AND VEGETABLES OVER STORE BOUGHT AND PROCESSED FOOD ITEMS. THE FARMER'S MARKET INCREASES THE AVAILABILITY OF FRESH PRODUCE TO THE PEOPLE OF STEPHENS COUNTY. A NEW COMMUNITY GARDEN WAS CREATED IN 2017 WHERE MEMBERS OF THE COMMUNITY CAN LEASE A RAISED BED IN THE GARDEN FOR A YEAR. THE HOSPITAL PARTNERED WITH MULTIPLE ORGANIZATIONS TO PROMOTE AND SPONSOR FAMILY FRIENDLY ACTIVITIES THAT PROMOTE PHYSICAL ACTIVITY. THERE WAS AN ASCOG SENIOR DAY AT THE FAIRGROUNDS AND A STAMPEDE 5K AND HALF MARATHON THROWN. THERE IS AN ACTIVITY CALENDAR FOUND AT DUNCANCALENDAR.COM TO INCREASE AWARENESS OF OPPORTUNITIES FOR FAMILIES TO BE ACTIVE. THE HOSPITAL DEVELOPED A STEPHENS COUNTY MENTAL HEALTH TASK FORCE TO INCREASE COMMUNITY INVOLVEMENT. A COMMUNITY BASED REFERRAL SYSTEM WAS IMPLEMENTED USING LOCAL SCHOOLS. THE HOSPITAL PARTNERED WITH THE CANCER CENTER OF SOUTHWEST OKLAHOMA FOR A MEDIA CAMPAIGN TO INCREASE AWARENESS AND PROVIDE EDUCATION AND OPPORTUNITIES FOR CANCER SCREENING. SCREENINGS ARE OFFERED MULTIPLE TIMES PER YEAR AND INCLUDE BREAST, LUNG, PROSTATE AND SKIN. Pathways brought in the Executive team from Blue Zones to introduce Duncan Regional to their global efforts and local opportunities for Stephens county. They presented to various leaders in the community about overall health, mental health, physical activity and nutrition. SCHEDULE H, PART VI, LINE 6 AFFILIATED 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 $19,787,828. 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. 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) 39116 FMV FOOD COMMUNITY SUPPORT DUNCAN COMMUNITY RESIDENCE PO BOX 1474 DUNCAN OK 73534 237451608 501(C)(3) 22487 FMV FOOD COMMUNITY SUPPORT DUNCAN REGIONAL HOSPITAL HEALTH FOUNDATION 1407 N WHISENANT DRIVE DUNCAN OK 73533 202772056 501(C)(3) 259323 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 RON MILLER MD - End 1218 VICE CHAIR-OPTHAMOLOGIST 432120 0 0 0 0 0 26478 0 17539 0 476137 0 0 0 JAY JOHNSON President & CEO 286246 0 23110 0 112058 0 33750 0 17839 0 473003 0 112058 0 WILLIAM STEWART MD President-Solutions-Family Med 285813 0 19851 0 0 0 31788 0 17695 0 355147 0 0 0 DOUG VOLINSKI VP/CFO 144906 0 13757 0 93671 0 28262 0 11964 0 292560 0 93671 0 CYNTHIA RAUH VP/Chief Nursing Officer 105441 0 10601 0 75807 0 20238 0 7437 0 219524 0 75807 0 MARK W RHOADES VP - HUMAN RESOURCES 116133 0 6024 0 68525 0 21191 0 11964 0 223837 0 68525 0 ROGER NEAL VP OPERATIONS/CIO 148470 0 18829 0 84080 0 27901 0 10513 0 289793 0 84080 0 THOMAS EISER ORTHOPAEDIC SURGEON 451297 0 0 0 0 0 33750 0 8349 0 493396 0 0 0 DANNY GILES MD PHYSICIAN - Orthopedic surgeon 1052046 0 0 0 -20000 0 13750 0 17796 0 1063592 0 0 0 STACIE ELFRINK MD PHYSICIAN - OBGYN 564139 0 0 0 0 0 33750 0 0 0 597889 0 0 0 MIGUEL ANGEL TOVAR MD PHYSICIAN - OBGYN 532635 0 0 0 0 0 33750 0 17476 0 583861 0 0 0 MIGUEL REY SABEDRA MD PHYSICIAN - Family Practice 464076 0 0 0 0 0 33750 0 10078 0 507904 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 $15,415 CYNTHIA RAUH $75,807 $11,469 ROGER NEAL $84,080 $15,308 MARK RHOADES $68,525 $11,752 MIGUEL REY SABEDRA NONE $20,000 KRISTEN WEBB NONE $2,527 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED IN 409(A): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: THOMAS EISER, MD NONE $20,000 STACIE ELFRINK, MD NONE $20,000 RON MILLER, MD NONE $20,000 Miguel Tovar, MD NONE $20,000 William Stewart, MD NONE $18,160 SCHEDULE J, PART II COMPENSATION: DANNY GILES SHOWS $(20,000) AS OTHER REPORTABLE COMPENSATION. THE 2017 CALENDAR YEAR COMPENSATION ON THE PRIOR YEAR TAX RETURN HAD A $20,000 409(A) CONTRIBUTION INCLUDED IN HIS COMPENSATION. THE $(20,000) BEING REPORTED FOR CALENDAR YEAR 2018 IS TO REVERSE THE ENTRY. 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 1739000 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 15000000 0 0 2018 false false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false true false false false false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true AM SURGERY DIRECTOR - 50% OWNER 361900 PURCHASED SERVICES false FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED TO PERSONS OTHER THAN THE GOVERNING BODY: THE BOARD DELEGATES DECISIONS FOR REVIEW AND APPROVAL OF COMPENSATION PACKAGES TO A SUBCOMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE CONSISTS OF NO LESS THAN THREE INDEPENDENT DIRECTORS, APPOINTED BY THE BOARD ON THE RECOMMENDATION OF THE NOMINATING/GOVERNANCE COMMITTEE. THE BOARD SHALL APPOINT ONE MEMBER OF THE COMPENSATION COMMITTEE AS ITS CHAIR. THE BOARD MAY REPLACE COMPENSATION COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW 990: THE FORM 990 WAS PREPARED AND REVIEWED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED INTERNALLY BY MANAGEMENT. PRIOR TO FILING, COPIES OF THE 990 WERE DISTRIBUTED TO BOARD MEMBERS AT A BOARD MEETING. TIME WAS PROVIDED FOR REVIEW AND QUESTIONS AT THE MEETING. BOARD MEMBERS WERE OFFERED COPIES TO TAKE WITH THEM AFTER THE MEETING. THE 990 IS ALSO UPLOADED TO A BOARD PORTAL FOR REVIEW YEAR-ROUND. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS, 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 $ (709,704) INTERCOMPANY EXPENSE - SOLUTIONS (585,452) INTERCOMPANY EXPENSE - DHP (69,373) OTHER CHANGES 5 ------------- TOTAL $ (1,364,524) FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED December 2018. The amended bylaws explained the powers and reporting requirements for the board committees, including excluding the compensation committee from needing board ratification for their decisions. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:10668243 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3861324 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEE TOTAL FEES:732583 SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MGMT OK 4887624 1068921 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK 1608351 791874 DRH DUNCAN HEALTH PARTNERS LLC 1407 N WHISENANT DR DUNCAN OK 73533 464527302 HEALTHCARE OK 0 5774 DRH DRH IMAGING LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH RELATED 889327 145274 false 0 false 0.84234 false false false false false false false false false false false false false false false false false false true DRH IMAGING LLC S 2527020 CASH