2019-05-15T17:16:25-05:00 2018-06-30 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2017-07-01 731008550 Duncan Regional Hospital Inc % DOUG VOLINSKI DUNC 6802518572 PO Box 2000 Duncan OK 73534 DOUG VOLINSKI CFO 6802518572 2019-05-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 73023320191355000056 2019-05-15 P ACBA2431EF37DEF71821A9057AFD5F2E9C389335 ACBA2431EF37DEF71821A9057AFD5F2E9C389335 2017 2019-02-21 02:37:17Z Jay Johnson PO Box 2000 Duncan OK 73534 176566698 false X www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. 9 7 1237 136 250829 0 317489 2145616 125190231 137979229 4682166 4625292 5919093 6655375 136108979 151405512 709121 786522 0 0 58755545 66202314 0 0 0 68186786 76079585 127651452 143068421 8457527 8337091 205871868 223344991 45203163 54016072 160668705 169328919 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. false false 116603408 786522 143199160 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. 116603408 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 true false false false true true true true false false true 148 0 1237 true true true false false false false false false false false false X 9 7 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 9490 0 0 Jari Askins Director 2.0 0.0 X 0 0 0 Ron Miller MD VICE CHAIR - OPTHAMOLOGIST 40.0 0.0 X X 397391 0 43494 Harbour Whitaker Director 2.0 0.0 X 0 0 0 Greg Shepherd Director 2.0 0.0 X 0 0 0 Richard Albertson MD DIRECTOR - General Surgery 2.0 0.0 X 0 0 0 Scott Stone Director End: 12/2017 2.0 0.0 X 0 0 0 Brad Scott Director Start: 1/2018 2.0 0.0 X 0 0 0 Jay Johnson President & CEO 40.0 0.0 X 456085 0 51296 William Stewart MD PRESIDENT-SOLUTIONS-FAMILY MED 40.0 0.0 X 304524 0 49372 Doug Volinski VP/CFO 40.0 0.0 X 252233 0 40205 Cynthia Rauh VP/CNO 40.0 0.0 X 233312 0 32988 Mark W Rhoades VP - HUMAN RESOURCES 40.0 0.0 X 193361 0 33739 Roger Neal VP OPERATIONS/CIO 40.0 0.0 X 241175 0 37448 THOMAS EISER MD ORTHOPAEDIC SURGEON 40.0 0.0 X 472389 0 40937 JOHN MCGATH MD PHYSICIAN - ENT 40.0 0.0 X 419050 0 56031 DANNY GILES MD PHYSICIAN 40.0 0.0 X 414387 0 40915 Stacie Elfrink MD PHYSICIAN - OBGYN 40.0 0.0 X 539707 0 33819 Miguel Tovar MD Physician 40.0 0.0 X 434664 0 50948 4367768 0 511192 58 false true false QUEST DIAGNOSTICS PO Box 51048 LOS ANGELES CA 90074 Lab tests 593738 EMERGENCY MANAGEMENT MIDWEST PO Box 634850 CINCINNATI OH 45263 Physician Services 602652 HOSPITAL CARE CONSULTANTS INC 17304 PRESTON ROAD STE 555 DALLAS TX 75252 PHYSICIAN SERVICES 1206150 ANGELICA TEXTILE SERVICE INC PO BOX 535122 ATLANTA GA 303535122 LAUNDRY SERVICES 488049 SODEXO INC AFFILIATES PO Box 360170 PITTSBURGH PA 15251 dietary mgmt service 522777 22 2145616 2046555 2145616 Net Patient Service Revenue 621110 133146376 133146376 Hitech Stimulus Incentive 621110 30026 30026 Clinic Rent Revenue 531120 630913 630913 Joint Venture Income 621500 4171914 4171914 137979229 2610714 2610714 0 0 0 0 0 27175764 25136009 25177 2039755 -25177 2014578 2014578 0 0 0 0 0 0 0 0 0 CATERING REVENUE 722320 147211 147211 NON-PATIENT LAB REVENUE 621500 103618 103618 Cafeteria 722210 1184615 1184615 5219931 5219931 6655375 151405512 143199160 250829 5809907 X 786522 786522 0 0 0 2400923 927686 1473237 53060757 43825666 9235091 1929644 1649765 279879 5023432 3923081 1100351 3787558 3002623 784935 0 114066 114066 292651 292651 0 0 428099 428099 15195509 13944353 1251156 410476 410476 2862355 1336505 1525850 3437768 3437768 0 2101948 1836416 265532 330862 247284 83578 0 47860 36789 11071 666736 666736 0 8179524 8179524 1056633 1056633 Provision for Bad Debts 20584378 20584378 MEDICAL SUPPLIES 8454014 6790451 1663563 Pharmaceuticals 2584527 2584527 EQUIP RENTAL & MAINTENANCE 4911611 3945114 966497 4420568 3002724 1417844 143068421 116603408 26465013 0 6046703 3101931 3949181 3018155 0 0 21505376 36348325 0 0 0 0 0 0 2797747 2846096 2146716 1649731 169686706 105064346 63486272 64622360 100254998 104693634 0 0 2617464 2512532 28870 28870 3038541 4523357 205871868 223344991 13497432 23894157 0 0 10731 10915 31695000 29991000 0 0 0 0 0 0 0 0 0 120000 45203163 54016072 X 160668705 169328919 0 0 0 0 160668705 169328919 205871868 223344991 X 8337091 2662554 -37790 -2301641 X false true X true false X false false false false false false false false true 11585 11585 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. 1407985 1407985 97051346 53857770 43193576 431314 335076 96238 64946449 48759304 16187145 5849612 2112196 3737416 64622360 0 DUE TO 3RD PARTY PAYER 120000 120000 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 2266854 2266854 0.01850 12182739 9222022 2960717 0.02420 14449593 9222022 5227571 0.04270 43 2018 134231 134231 0.00110 8 7 890214 890214 0.00730 51 2025 1024445 1024445 0.00840 51 2025 15474038 9222022 6252016 0.05110 2 5739 5739 19 455 27266 27266 0.00020 2 4415 4415 5 14505 14505 0.00010 1 275 319 319 2 291776 291776 0.00240 31 730 344020 344020 0.00270 false 20584378 33571804 31902467 1669337 X true true DRH IMAGING LLC IMAGING CENTER 0.84234 0.01282 0.14484 DUNCAN REALTY LLC REAL ESTATE 0.4175 0.01288 0.56962 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.JCHOK.COM 2233 X X X DUNCAN REGIONAL HOSPITAL 1 false false true X X X X X X X X X 15 true false true true X SEE PART V, SECTION C X X true 15 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 15 true false true true X SEE PART V, SECTION C X X true 15 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 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. 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. 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 true United Way of Stephens County PO BOX 1632 DUNCAN OK 73534 237210483 501(c)(3) 8270 Donations - Cash (Non Scholarship) : Beautiful Day Foundation 807 W Main Duncan OK 73533 464630628 501(C)(3) 35206 FMV FOOD community support DUNCAN COMMUNITY RESIDENCE PO BOX 1474 duncan OK 73534 237451608 501(C)(3) 22635 fmv FOOD community support CAMERON UNIVERSITY 2800 W GORE BLVD LAWTON OK 73505 237168952 501(C)(3) 500000 New Lab DUNCAN REGIONAL HOSPITAL HEALTH FOUNDATION 1407 N WHISENANT DRIVE DUNCAN OK 73533 202772056 501(C)(3) 166448 NURSING SCHOLARSHIPS & STIPENDS pathways to a healthy stephens county 12 s 8th street duncan OK 73533 471639111 501(c)(3) 44570 executive director compensation 6 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 VICE CHAIR - OPTHAMOLOGIST 397391 0 0 0 0 0 25955 0 17539 0 440885 0 0 0 Jay Johnson President & CEO 387483 0 68602 0 0 0 33500 0 17796 0 507381 0 0 0 William Stewart MD PRESIDENT-SOLUTIONS-FAMILY MED 287971 0 16553 0 0 0 31576 0 17796 0 353896 0 0 0 Doug Volinski VP/CFO 232455 0 19778 0 0 0 28241 0 11964 0 292438 0 0 0 Cynthia Rauh VP/CNO 213011 0 20301 0 0 0 25551 0 7437 0 266300 0 0 0 Mark W Rhoades VP - HUMAN RESOURCES 174484 0 18877 0 0 0 21775 0 11964 0 227100 0 0 0 Roger Neal VP OPERATIONS/CIO 214390 0 26785 0 0 0 26948 0 10500 0 278623 0 0 0 THOMAS EISER MD ORTHOPAEDIC SURGEON 472389 0 0 0 0 0 33500 0 7437 0 513326 0 0 0 JOHN MCGATH MD PHYSICIAN - ENT 419050 0 0 0 0 0 33500 0 22531 0 475081 0 0 0 DANNY GILES MD PHYSICIAN 414387 0 0 0 0 0 33500 0 7415 0 455302 0 0 0 Stacie Elfrink MD PHYSICIAN - OBGYN 539707 0 0 0 0 0 33500 0 319 0 573526 0 0 0 Miguel Tovar MD Physician 434664 0 0 0 0 0 33500 0 17448 0 485612 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 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 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 A 1704000 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 A false false true true false 0 false false false true B 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 A true B true AM SURGERY DIRECTOR - 50% OWNER 361900 PURCHASED SERVICES false X 1 2046555 FMV 0 false false false SCHEDULE M, PART I, COLUMN (B) NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THE AMOUNTS IN THIS COLUMN ARE THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MGMT OK -3502100 4476371 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK -229464 797506 DRH DUNCAN HEALTH PARTNERS LLC 1407 N WHISENANT DR Duncan OK 73533 464527302 HEALTHCARE OK -22668 185823 DRH DRH IMAGING LLC 1407 N WHISENANT DR DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH RELATED 2670584 1731665 false 0 false 0.82066 false false false false false false false false false false false false false false false false false false true DRH Imaging LLC S 2462010 cash