DUNCAN REGIONAL HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: DUNCAN REGIONAL HOSPITAL INC (EIN 73-1008550)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201911359349312576
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T17:16:25-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY STE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	731008550	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Duncan Regional Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DOUG VOLINSKI	InCareOfNm
Business Name Control	DUNC	BusinessNameControlTxt
Phone	6802518572	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 2000	AddressLine1Txt
City	Duncan	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73534	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DOUG VOLINSKI	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6802518572	PhoneNum
Signature	2019-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jeanette Verrelli	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9727028262	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	73023320191355000056	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	ACBA2431EF37DEF71821A9057AFD5F2E9C389335	AtSubmissionCreationDeviceId
At Submission Filing Device Id	ACBA2431EF37DEF71821A9057AFD5F2E9C389335	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jay Johnson	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 2000	AddressLine1Txt
City	Duncan	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73534	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$176,566,698	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.duncanregional.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	OK	LegalDomicileStateCd
Activity Or Mission	PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1237	TotalEmployeeCnt
Total Volunteers	136	TotalVolunteersCnt
Total Gross UBI	$250,829	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$317,489	PYContributionsGrantsAmt
CY Contributions Grants	$2,145,616	CYContributionsGrantsAmt
PY Program Service Revenue	$125,190,231	PYProgramServiceRevenueAmt
CY Program Service Revenue	$137,979,229	CYProgramServiceRevenueAmt
PY Investment Income	$4,682,166	PYInvestmentIncomeAmt
CY Investment Income	$4,625,292	CYInvestmentIncomeAmt
PY Other Revenue	$5,919,093	PYOtherRevenueAmt
CY Other Revenue	$6,655,375	CYOtherRevenueAmt
PY Total Revenue	$136,108,979	PYTotalRevenueAmt
CY Total Revenue	$151,405,512	CYTotalRevenueAmt
PY Grants And Similar Paid	$709,121	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$786,522	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$58,755,545	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$66,202,314	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$68,186,786	PYOtherExpensesAmt
CY Other Expenses	$76,079,585	CYOtherExpensesAmt
PY Total Expenses	$127,651,452	PYTotalExpensesAmt
CY Total Expenses	$143,068,421	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,457,527	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,337,091	CYRevenuesLessExpensesAmt
Total Assets BOY	$205,871,868	TotalAssetsBOYAmt
Total Assets EOY	$223,344,991	TotalAssetsEOYAmt
Total Liabilities BOY	$45,203,163	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$54,016,072	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$160,668,705	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$169,328,919	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$116,603,408	ExpenseAmt
Grant	$786,522	GrantAmt
Revenue	$143,199,160	RevenueAmt
Desc	PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 18,707 INPATIENT DAYS, 3,396 SURGERY VISITS, AND 32,244 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR.	Desc
Total Program Service Expenses	$116,603,408	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	148	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1237	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DOUG VOLINSKI	PersonNm
Phone	6802518572	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1407 N WHISENANT DRIVE	AddressLine1Txt
City	DUNCAN	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73533	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Susan Camp
CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
James Curry
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
James McGouran MD
DIRECTOR - Family Medicine	2.0	0.0	Yes (X)		$9,490	$0	$0
Jari Askins
Director	2.0	0.0	Yes (X)		$0	$0	$0
Ron Miller MD
VICE CHAIR - OPTHAMOLOGIST	40.0	0.0	Yes (X)	Yes (X)	$397,391	$0	$43,494
Harbour Whitaker
Director	2.0	0.0	Yes (X)		$0	$0	$0
Greg Shepherd
Director	2.0	0.0	Yes (X)		$0	$0	$0
Richard Albertson MD
DIRECTOR - General Surgery	2.0	0.0	Yes (X)		$0	$0	$0
Scott Stone
Director End: 12/2017	2.0	0.0	Yes (X)		$0	$0	$0
Brad Scott
Director Start: 1/2018	2.0	0.0	Yes (X)		$0	$0	$0
Jay Johnson
President & CEO	40.0	0.0		Yes (X)	$456,085	$0	$51,296
William Stewart MD
PRESIDENT-SOLUTIONS-FAMILY MED	40.0	0.0		Yes (X)	$304,524	$0	$49,372
Doug Volinski
VP/CFO	40.0	0.0		Yes (X)	$252,233	$0	$40,205
Cynthia Rauh
VP/CNO	40.0	0.0		Yes (X)	$233,312	$0	$32,988
Mark W Rhoades
VP - HUMAN RESOURCES	40.0	0.0		Yes (X)	$193,361	$0	$33,739
Roger Neal
VP OPERATIONS/CIO	40.0	0.0		Yes (X)	$241,175	$0	$37,448
THOMAS EISER MD
ORTHOPAEDIC SURGEON	40.0	0.0			$472,389	$0	$40,937	Yes (X)
JOHN MCGATH MD
PHYSICIAN - ENT	40.0	0.0			$419,050	$0	$56,031	Yes (X)
DANNY GILES MD
PHYSICIAN	40.0	0.0			$414,387	$0	$40,915	Yes (X)
Stacie Elfrink MD
PHYSICIAN - OBGYN	40.0	0.0			$539,707	$0	$33,819	Yes (X)
Miguel Tovar MD
Physician	40.0	0.0			$434,664	$0	$50,948	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,367,768	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$511,192	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	58	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS
PO Box 51048	LOS ANGELES	CA	90074	Lab tests	$593,738
EMERGENCY MANAGEMENT MIDWEST
PO Box 634850	CINCINNATI	OH	45263	Physician Services	$602,652
HOSPITAL CARE CONSULTANTS INC
17304 PRESTON ROAD STE 555	DALLAS	TX	75252	PHYSICIAN SERVICES	$1,206,150
ANGELICA TEXTILE SERVICE INC
PO BOX 535122	ATLANTA	GA	303535122	LAUNDRY SERVICES	$488,049
SODEXO INC AFFILIATES
PO Box 360170	PITTSBURGH	PA	15251	dietary mgmt service	$522,777

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$2,145,616	AllOtherContributionsAmt
Noncash Contributions	$2,046,555	NoncashContributionsAmt
Total Contributions	$2,145,616	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621110	$133,146,376	$133,146,376
Hitech Stimulus Incentive	621110	$30,026	$30,026
Clinic Rent Revenue	531120	$630,913	$630,913
Joint Venture Income	621500	$4,171,914	$4,171,914

Field	Value	IRS element (for citing)
Total Program Service Revenue	$137,979,229	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,610,714	TotalRevenueColumnAmt
Exclusion	$2,610,714	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$27,175,764	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$25,136,009	SecuritiesAmt
Other	$25,177	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,039,755	SecuritiesAmt
Other	-$25,177	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,014,578	TotalRevenueColumnAmt
Exclusion	$2,014,578	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CATERING REVENUE	722320	$147,211	$147,211
NON-PATIENT LAB REVENUE	621500	$103,618	$103,618
Cafeteria	722210	$1,184,615		$1,184,615

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,219,931	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,219,931	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,655,375	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,405,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,199,160	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$250,829	UnrelatedBusinessRevenueAmt
Exclusion	$5,809,907	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$786,522	TotalAmt
Program Services	$786,522	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,400,923	TotalAmt
Program Services	$927,686	ProgramServicesAmt
Management And General	$1,473,237	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$53,060,757	TotalAmt
Program Services	$43,825,666	ProgramServicesAmt
Management And General	$9,235,091	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,929,644	TotalAmt
Program Services	$1,649,765	ProgramServicesAmt
Management And General	$279,879	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,023,432	TotalAmt
Program Services	$3,923,081	ProgramServicesAmt
Management And General	$1,100,351	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,787,558	TotalAmt
Program Services	$3,002,623	ProgramServicesAmt
Management And General	$784,935	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$114,066	TotalAmt
Management And General	$114,066	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$292,651	TotalAmt
Management And General	$292,651	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$428,099	TotalAmt
Management And General	$428,099	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,195,509	TotalAmt
Program Services	$13,944,353	ProgramServicesAmt
Management And General	$1,251,156	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$410,476	TotalAmt
Management And General	$410,476	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,862,355	TotalAmt
Program Services	$1,336,505	ProgramServicesAmt
Management And General	$1,525,850	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,437,768	TotalAmt
Management And General	$3,437,768	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,101,948	TotalAmt
Program Services	$1,836,416	ProgramServicesAmt
Management And General	$265,532	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$330,862	TotalAmt
Program Services	$247,284	ProgramServicesAmt
Management And General	$83,578	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$47,860	TotalAmt
Program Services	$36,789	ProgramServicesAmt
Management And General	$11,071	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$666,736	TotalAmt
Management And General	$666,736	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,179,524	TotalAmt
Program Services	$8,179,524	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,056,633	TotalAmt
Management And General	$1,056,633	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Provision for Bad Debts	$20,584,378	$20,584,378
MEDICAL SUPPLIES	$8,454,014	$6,790,451	$1,663,563
Pharmaceuticals	$2,584,527	$2,584,527
EQUIP RENTAL & MAINTENANCE	$4,911,611	$3,945,114	$966,497

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,420,568	TotalAmt
Program Services	$3,002,724	ProgramServicesAmt
Management And General	$1,417,844	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$143,068,421	TotalAmt
Program Services	$116,603,408	ProgramServicesAmt
Management And General	$26,465,013	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,046,703	BOYAmt
EOY	$3,101,931	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,949,181	BOYAmt
EOY	$3,018,155	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,505,376	BOYAmt
EOY	$36,348,325	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,797,747	BOYAmt
EOY	$2,846,096	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,146,716	BOYAmt
EOY	$1,649,731	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$169,686,706	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$105,064,346	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$63,486,272	BOYAmt
EOY	$64,622,360	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$100,254,998	BOYAmt
EOY	$104,693,634	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,617,464	BOYAmt
EOY	$2,512,532	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,870	BOYAmt
EOY	$28,870	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,038,541	BOYAmt
EOY	$4,523,357	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$205,871,868	BOYAmt
EOY	$223,344,991	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,497,432	BOYAmt
EOY	$23,894,157	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,731	BOYAmt
EOY	$10,915	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,695,000	BOYAmt
EOY	$29,991,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$120,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,203,163	BOYAmt
EOY	$54,016,072	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$160,668,705	BOYAmt
EOY	$169,328,919	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$160,668,705	BOYAmt
EOY	$169,328,919	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$205,871,868	BOYAmt
EOY	$223,344,991	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,337,091	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,662,554	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$37,790	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	-$2,301,641	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$11,585	OtherActivitiesAmt
Total Lobbying Expenditures	$11,585	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,407,985	OtherCostOrOtherBasisAmt
Book Value	$1,407,985	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,051,346	OtherCostOrOtherBasisAmt
Depreciation	$53,857,770	DepreciationAmt
Book Value	$43,193,576	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$431,314	OtherCostOrOtherBasisAmt
Depreciation	$335,076	DepreciationAmt
Book Value	$96,238	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,946,449	OtherCostOrOtherBasisAmt
Depreciation	$48,759,304	DepreciationAmt
Book Value	$16,187,145	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,849,612	OtherCostOrOtherBasisAmt
Depreciation	$2,112,196	DepreciationAmt
Book Value	$3,737,416	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$64,622,360	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO 3RD PARTY PAYER	Desc
Amt	$120,000	Amt

Field	Value	IRS element (for citing)
Total Liability	$120,000	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,266,854	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,266,854	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,182,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,222,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,960,717	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,449,593	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,222,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,227,571	NetCommunityBenefitExpnsAmt
Total Expense	0.04270	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	2018	PersonsServedCnt
Total Community Benefit Expns	$134,231	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,231	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	7	PersonsServedCnt
Total Community Benefit Expns	$890,214	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$890,214	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	2025	PersonsServedCnt
Total Community Benefit Expns	$1,024,445	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,024,445	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	2025	PersonsServedCnt
Total Community Benefit Expns	$15,474,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,222,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,252,016	NetCommunityBenefitExpnsAmt
Total Expense	0.05110	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,739	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,739	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	455	PersonsServedCnt
Total Community Benefit Expns	$27,266	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,266	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,415	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,415	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,505	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,505	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	275	PersonsServedCnt
Total Community Benefit Expns	$319	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$319	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$291,776	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$291,776	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	730	PersonsServedCnt
Total Community Benefit Expns	$344,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$344,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$20,584,378	BadDebtExpenseAmt
Reimbursed By Medicare	$33,571,804	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,902,467	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,669,337	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
DRH IMAGING LLC
IMAGING CENTER	0.84234	0.01282	0.14484
DUNCAN REALTY LLC
REAL ESTATE	0.4175	0.01288	0.56962

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
DUNCAN REGIONAL HOSPITAL
1	1407 N WHISENANT DR	DUNCAN	OK	73533	WWW.DUNCANREGIONAL.COM	2235	Yes (X)	Yes (X)	Yes (X)
JEFFERSON COUNTY HOSPITAL
2	910 US 81 US 70	WAURIKA	OK	73573	WWW.JCHOK.COM	2233	Yes (X)		Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
DUNCAN REGIONAL HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	100	300.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
JEFFERSON COUNTY HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	100	300.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2015 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: BRAY-DOYLE PUBLIC SCHOOLS, CAMERON UNIVERSITY-DUNCAN, CITY OFFICIALS OF CENTRAL HIGH, COMANCHE, DUNCAN, AND MARLOW, THE DUNCAN POLICE DEPARTMENT, DUNCAN FAMILY CARE, STEPHENS COUNTY HEALTH DEPARTMENT, FIRST BAPTIST CHURCH-MARLOW, FIRST NATIONAL BANK OF VELMA 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 FOR THE 2015 TAX YEAR. THE HOSPITAL HOSTED FOUR COMMUNITY MEETINGS BETWEEN MAY 12, 2015 AND JUNE 16, 2015. 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, OKLAHOMA, IN EARLY 2016.
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. THE OKLAHOMA OFFICE OF RURAL HEALTH 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, LINES 7A, 7D & 10a	WEBSITE WHERE CHNA CAN BE FOUND: THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN FOR DUNCAN REGIONAL HOSPITAL CAN BE FOUND AT THE FOLLOWING ADDRESS: https://www.duncanregional.com/about-the-hospital/community-involvement/ THE CHNA REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL.
SCHEDULE H, PART V, SECTION B, FACILITY 2, LINES 7A, 7D & 10A	WEBSITE WHERE CHNA CAN BE FOUND: THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR JEFFERSON COUNTY HOSPITAL CAN BE FOUND AT THE FOLLOWING ADDRESS: http://www.jchok.com/ 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, LINE 11	NEEDS ADDRESSED AND NOT ADDRESSED IN IMPLEMENTATION STRATEGY: THROUGH CONDUCTING THE CHNA, 6 HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY. THESE NEEDS WERE: - MENTAL HEALTH AND SUBSTANCE ABUSE - HEALTHY LIVING - SAFETY/INJURY PREVENTION - CANCER - ALCOHOL, TOBACCO, AND OTHER DRUG ABUSE (ATODA) - PHYSICAL ACTIVITY AND NUTRITION 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. THE COUNTY AT LARGE PLANS TO ADDRESS THE 4 PRIORITIZED NEEDS WITH THEIR ACTION PLAN OVER THE NEXT 3 YEARS. SOME OF THESE PLANS INCLUDE: 1. MENTAL HEALTH/SUBSTANCE THE COUNTY PARTNERS PLAN TO INCREASE THE LEVEL OF COMMUNITY INVOLVEMENT AND AWARENESS BY INCREASING THE NUMBER OF PARTNERS INVOLVED TO THE ADDRESS THE ISSUES. THEY ALSO PLAN TO INCREASE THE COMMUNITY BASED REFERRAL SYSTEMS THROUGH VARIOUS LOCAL MENTAL HEALTH PROVIDERS TO INCREASE THE NUMBER OF YOUTH REFERRALS. IN ADDITION TO INCREASING THE ACCESS TO MENTAL HEALTH SERVICES TO COMMUNITY YOUTH, THE PARTNERS PLAN TO CONTINUE DEVELOPMENTAL GUIDANCE PROGRAMS TO EDUCATE KIDS ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE. THERE ARE ALSO PLANS FOR FIRST AID CLASSES TO INCREASE AWARENESS AND EDUCATE ON SUPPORT INTERVENTIONS. During the 2018 fiscal year, the hospital met with employees of small employers in Duncan to discuss tobacco control, stress management, and overall health promotion. In partnership with Wichita Mountains Prevention Network (WMPN), several alcohol compliance checks were conducted in Stephens county. The hospital also Hosted and provided educational information to the community through Great American Smokeout (GASO) events that are held annually. In May of 2018, began the "Stop The Stigma" campaign to address and allow community partners and individuals to pledge to stop the stigma associated with mental illness. Pathways offered QPR training with Ryan Fowler from the OK State Department of Mental Health and Substance Abuse Services to the greater community and partners. The hospital also hosted a forum open to the public regarding medical marijuana in Oklahoma. The Panel discussion included physician, attorneys, the District Attorney and representative from OMMA. Additional forums were provided on pending alcohol law changes in Oklahoma to the greater community and what to expect, and how it is anticipated to affect rural communities. There was also a guest speaker from ABLE commission, and the hospital invited the OBN to do a presentation to community partners and the greater community on the PMP. 2. HEALTHY LIVING THE COUNTY PARTNERS WANT TO INCREASE THE NUMBER OF CERTIFIED HEALTHY BUSINESSES, CAMPUSES AND COMMUNITIES FROM 22 TO 30 BY 2019. This was accomplished during 2017 where 30 partners were certified healthy. THEY PLAN ON PARTNERING WITH MULTIPLE ORGANIZATIONS TO PROMOTE HEALTHY FAMILY ACTIVITIES, INCLUDING CREATING A PHYSICAL ACTIVITY CALENDAR FOR THE COUNTY, AND THE LACK OF EXERCISE OPPORTUNITIES. THE HOSPITAL ALSO PLANS TO CONTINUE THE COUNTY-WIDE VEGUP CAMPAIGN TO INCREASE AWARENESS AND CONSUMPTION OF FRUITS AND VEGETABLES. GREATER PROMOTION FOR THE COUNTY FARMERS MARKET AND A COMMUNITY HEALTH FAIR ARE ALSO PLANNED. ALSO, JOY G., DRH OUTPATIENT DIETICIAN, HAS A MONTHLY WEB SERIES, "COOKING WITH JOY" THAT PROVIDES QUICK AND HEALTHY RECIPES ON THE VEGUP WEBSITE. During the 2018 fiscal year, Pathways hosted in partnership with the Diabetes department at Duncan Regional and OSDH a lunch and learn for workplace wellness and diabetes education. The hospital also Participated in a family health day event at the Simmons Center. In August, they offered CPR training to county wide educators prior to school beginning in the fall. 3. SAFETY/INJURY PREVENTION THE COUNTY PARTNERS PLAN TO INCREASE THE NUMBER OF SAFETY EVENTS AND CAMPAIGNS, INCLUDING A CAR SEAT SAFETY EVENT, A COVER YOUR KIDS CAMPAIGN, AND A PLEDGE TO DECREASE TEXTING AND DRIVING. Due to a significant decrease in funding through the Ok State Health Department (OSDH), our local/county health department lost the health educator who had been assisting with car seat safety education and community car seat safety events. As of 2019, the local county health dept and Pathways will now collaborate with a new partner, Safe Kids Coalition, out of Comanche County to offer an intensive training for clinical nursing staff to be certified to educate parents and families on car seat safety. In collaboration with WMPN, we hosted law enforcement training and recognized local officers, highway patrol and DAs office awards for service the past year. 4. CANCER THE COUNTY HOPES TO PARTNER WITH CANCER CENTERS OF SOUTHWEST OKLAHOMA TO PROMOTE EARLY DETECTION AND SET UP FREE CANCER SCREENINGS. During the 2018 fiscal year, the hospital Promoted screenings to the community through flyers, social media and local press. They also Provided clinical staff and resources for a ladies health event to include skin cancer screens, breast self exams, healthy eating choices, and other educational resources available in the community.
SCHEDULE H, PART V, SECTION B, FACILITY 2, LINE 11	NEEDS ADDRESSED AND NOT ADDRESSED IN IMPLEMENTATION STRATEGY: THROUGH CONDUCTING THE CHNA, 7 HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY. THESE NEEDS WERE: - ACCESS TO CARE - ACCESS TO MENTAL HEALTH SERVICES - BECOMING A COUNTY HEALTH IMPROVEMENT ORGANIZATION - AGING POPULATION - SCHOOL NURSE - HEALTH EDUCATION - POVERTY 1. ACCESS TO CARE/AGING POPULATION THOSE AGED OVER 65 ACCOUNT FOR 19.1% OF THE JEFFERSON COUNTY POPULATION. TWO NEW PROVIDERS STARTED IN 2015 TO HELP ALLEVIATE THE TRAVEL AND ACCESS BARRIERS TO MANY SOUTHERN JEFFERSON COUNTY RESIDENTS. ONE OF THE NEW PROVIDERS ALSO MAKES HOUSE CALLS TO THE AGING POPULATION. During fiscal year 2018, Five Family Medicine providers were added. 2. ACCESS TO MENTAL HEALTH SERVICES THE HOSPITAL IS ACTIVELY TRYING TO RECRUIT A NEW PROVIDER TO THE WAURIKA AREA TO HELP WITH ACCESS TO THIS SERVICE. Susan Howard, PhD, Pediatric/Adolescent Clinical Psychologist established a part time practice in Waurika during fiscal year 2018. 3. BECOMING A COUNTY HEALTH IMPROVEMENT ORGANIZATION THE HOSPITAL IS WORKING TO DEVELOP A GROUP TO MOVE TOWARD BECOMING THIS TYPE OF ORGANIZATION. THE HOSPITALS NEXT STEP IS TO CREATE A CORE COMMITTEE TO FURTHER ENGAGE THE COMMUNITY TO MAKE LASTING IMPROVEMENTS TO HEALTH. THE PATHWAYS BOARD IS WORKING ON RE-BRANDING IN ORDER TO MEET THE NEEDS OF THE COMMUNITIES SERVED IN THE STEPHENS AND JEFFERSON COUNTIES. In 2018, Pathways to Healthy Living board met and approved to expand services to Jefferson County, and Richard Gillespie was nominated to become a board member. 4. SCHOOL NURSE THE LOCAL PUBLIC SCHOOL ADMINISTRATION IDENTIFIED A NEED FOR A SCHOOL NURSE. CONTACT HAS BEEN MADE TO THE MARIETTA HOSPITAL CEO WHO PROVIDES SCHOOL NURSE SERVICES THROUGH THE HOSPITAL FACILITY. 5. HEALTH EDUCATION JEFFERSON COUNTY HOSPITAL IS CURRENTLY EXPLORING OPPORTUNITIES TO COLLABORATE WITH THE HEALTH DEPARTMENT TO OFFER VARIOUS HEALTH EDUCATION TO THE PUBLIC. IN THE PAST, COOKING CLASSES FOR TYPE II DIABETES PATIENTS WERE OFFERED, AND THEY PLAN TO OFFER THIS CLASS AGAIN. THE HOSPITAL IS ALSO PLANNING TO HAVE A BOOTH AT LOCAL FESTIVALS TO OFFER BLOOD PRESSURE CHECKS ALONG WITH EDUCATION PIECES. Due to reduction of Oklahoma State Department of Health of employees, health education was not available from the Jefferson County Health Department. However, Jefferson County Hospital did host a cooking class for diabetic patients during fiscal year 2018. 6. POVERTY THE COUNTY HAS A LOWER OVERALL EDUCATED COMMUNITY WITH LOWER COLLEGE ATTENDANCE. POVERTY IS A DETRIMENT OF HEALTH. WHILE THE RIPPLE EFFECTS OF THIS ITEM IMPACTS THE HOSPITAL, IT IS BEYOND THE SCOPE OF SERVICES THE HOSPITAL PROVIDES TO DIRECTLY ADDRESS AT THIS TIME.
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/ or http://www.jchok.com/
SCHEDULE H, PART V, SECTION B	COMPLIANCE WITH 501R: THE HOSPITALS IDENTIFIED A COUPLE OF AREAS WHERE THEY WERE NOT YET FULLY COMPLIANT WITH THE FINAL 501R REGULATIONS. WHILE THE HOSPITALS DID HAVE LANGUAGE IN THE FAP REGARDING EFFORTS MADE TO NOTIFY PATIENTS BEFORE INITIATING COLLECTION ACTIONS, THE PLAIN LANGUAGE SUMMARY WAS NOT SENT WITH THE WRITTEN NOTICE. THIS NOTICE DID INCLUDE THE ACTIONS THAT WILL BE TAKEN IN THE EVENT OF CONTINUED NON-PAYMENT, HOWEVER, IT DID NOT INCLUDE THE OUTSTANDING ITEMS NEEDED TO PROCESS AN APPLICATION. THE HOSPITALS HAVE NOW SET UP A PROCESS TO DISTRIBUTE NOTICES THAT ARE 501R COMPLIANT ALONG WITH THE PLAIN LANGUAGE SUMMARY. HOSPITAL PERSONNEL ARE WORKING DILIGENTLY TOWARD COMPLIANCE AND WILL CORRECT ANY ADDITIONAL FAILURES TO COMPLY AS THEY ARE IDENTIFIED. TOP MANAGEMENT WILL MONITOR THE WEBSITES QUARTERLY TO CONFIRM THE HOSPITALS CONTINUE TO STAY COMPLIANT WITH THE WIDELY PUBLICIZED REQUIREMENTS UNDER 501R.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
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. The hospital partners with and participates in the Certified Healthy Oklahoma initiative. Overall the hospital assisted with and or had entities totaling 31 to be certified healthy to include Certified Healthy Businesses, Schools, Congregations, Early Childhood centers and Restaurants. In 2017, Among the organizations certified were 5 early childhood centers, The Atrium Caf, Cameron University-Duncan, 4 public schools, 1 congregation and 12 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 December 2018, 500 pledges had been accepted. 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. 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 $20,584,378.
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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
United Way of Stephens County
PO BOX 1632	DUNCAN	OK	73534	237210483	501(c)(3)	$8,270	Donations - Cash (Non Scholarship) :
Beautiful Day Foundation
807 W Main	Duncan	OK	73533	464630628	501(C)(3)		community support	$35,206	FMV	FOOD
DUNCAN COMMUNITY RESIDENCE
PO BOX 1474	duncan	OK	73534	237451608	501(C)(3)		community support	$22,635	fmv	FOOD
CAMERON UNIVERSITY
2800 W GORE BLVD	LAWTON	OK	73505	237168952	501(C)(3)	$500,000	New Lab
DUNCAN REGIONAL HOSPITAL HEALTH FOUNDATION
1407 N WHISENANT DRIVE	DUNCAN	OK	73533	202772056	501(C)(3)	$166,448	NURSING SCHOLARSHIPS & STIPENDS
pathways to a healthy stephens county
12 s 8th street	duncan	OK	73533	471639111	501(c)(3)	$44,570	executive director compensation

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ron Miller MD
VICE CHAIR - OPTHAMOLOGIST	$397,391	$0	$0	$0	$0	$0	$25,955	$0	$17,539	$0	$440,885	$0	$0	$0
Jay Johnson
President & CEO	$387,483	$0	$68,602	$0	$0	$0	$33,500	$0	$17,796	$0	$507,381	$0	$0	$0
William Stewart MD
PRESIDENT-SOLUTIONS-FAMILY MED	$287,971	$0	$16,553	$0	$0	$0	$31,576	$0	$17,796	$0	$353,896	$0	$0	$0
Doug Volinski
VP/CFO	$232,455	$0	$19,778	$0	$0	$0	$28,241	$0	$11,964	$0	$292,438	$0	$0	$0
Cynthia Rauh
VP/CNO	$213,011	$0	$20,301	$0	$0	$0	$25,551	$0	$7,437	$0	$266,300	$0	$0	$0
Mark W Rhoades
VP - HUMAN RESOURCES	$174,484	$0	$18,877	$0	$0	$0	$21,775	$0	$11,964	$0	$227,100	$0	$0	$0
Roger Neal
VP OPERATIONS/CIO	$214,390	$0	$26,785	$0	$0	$0	$26,948	$0	$10,500	$0	$278,623	$0	$0	$0
THOMAS EISER MD
ORTHOPAEDIC SURGEON	$472,389	$0	$0	$0	$0	$0	$33,500	$0	$7,437	$0	$513,326	$0	$0	$0
JOHN MCGATH MD
PHYSICIAN - ENT	$419,050	$0	$0	$0	$0	$0	$33,500	$0	$22,531	$0	$475,081	$0	$0	$0
DANNY GILES MD
PHYSICIAN	$414,387	$0	$0	$0	$0	$0	$33,500	$0	$7,415	$0	$455,302	$0	$0	$0
Stacie Elfrink MD
PHYSICIAN - OBGYN	$539,707	$0	$0	$0	$0	$0	$33,500	$0	$319	$0	$573,526	$0	$0	$0
Miguel Tovar MD
Physician	$434,664	$0	$0	$0	$0	$0	$33,500	$0	$17,448	$0	$485,612	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 NONE $20,000 DOUG VOLINSKI NONE $15,404 CYNTHIA RAUH NONE $13,937 ROGER NEAL NONE $14,699 MARK RHOADES NONE $11,877 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED IN 409(A): INDIVIDUALS: PAYMENT IN W-2: DEFERRED COMPENSATION: Danny Giles, MD NONE $20,000 THOMAS EISER, MD NONE $20,000 JOHN MCGATH, 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 $18,093

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY
A	731083741	XXXXXXXXX	2013-12-03	$17,388,000	Refinance Series 2003A BOND	false	false	false
THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY
B	731083741	XXXXXXXXX	2013-12-03	$20,000,000	Refinance Series 2008 BOND	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,704,000	$0	$17,388,000	$0	$0	$17,243,870	$144,130	$0	$0	$0	$0	$0	2004	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$20,000,000	$0	$0	$19,834,220	$165,780	$0	$0	$0	$0	$0	2009	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	AM SURGERY	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DIRECTOR - 50% OWNER	RelationshipDescriptionTxt
Transaction	$361,900	TransactionAmt
Transaction	PURCHASED SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$2,046,555	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNTS IN THIS COLUMN ARE THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $ (881,155) INTERCOMPANY EXPENSE - SOLUTIONS (1,351,102) INTERCOMPANY EXPENSE - DHP (69,384) ------------- TOTAL $ (2,301,641)
FORM 990, PART VI, SECTION A, LINE 4	SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED DECEMBER 2017. CHANGES INCLUDED CLARIFYING THE COMPOSITION AND FUNCTIONS OF VARIOUS COMMITTEES SUCH AS THE INSTITUTIONAL DEVELOPMENT COMMITTEE, AUDIT/COMPLIANCE COMMITTEE AND NOMINATING/GOVERNANCE COMMITTEE.
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:10621660
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3844464
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEE TOTAL FEES:729385

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SOLUTIONS PHYS PRACTICE MGMT
2210 DUNCAN REGIONAL LOOP ROAD	DUNCAN	OK	73533	260618405	PRACTICE MGMT	OK	-$3,502,100	$4,476,371	DRH
ADVANCED MEDICAL SUPPLY LLC
1503 NORTH HIGHWAY 81 SUITE A	DUNCAN	OK	73533	731539867	DME	OK	-$229,464	$797,506	DRH
DUNCAN HEALTH PARTNERS LLC
1407 N WHISENANT DR	Duncan	OK	73533	464527302	HEALTHCARE	OK	-$22,668	$185,823	DRH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DRH IMAGING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1407 N WHISENANT DR	AddressLine1Txt
City	DUNCAN	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73534	ZIPCd

Field	Value	IRS element (for citing)
EIN	208849754	EIN
Primary Activities	RADIOLOGY SVC	PrimaryActivitiesTxt
Legal Domicile State	OK	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DRH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$2,670,584	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,731,665	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.82066	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DRH Imaging LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$2,462,010	InvolvedAmt
Method Of Amount Determination	cash	MethodOfAmountDeterminationTxt