2017-05-15T12:58:51-05:00 2016-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2015-07-01 731008550 Duncan Regional Hospital Inc % DOUG VOLINSKI DUNC 5802518572 PO Box 2000 Duncan OK 73534 DOUG VOLINSKI CFO 5802518572 2017-05-15 true Jeanette Verrelli P00742631 9727028262 2015 2021-01-29 14:40:06Z Jay Johnson PO Box 2000 Duncan OK 73534 152142491 false X www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL Healthcare while improving our COMMUNITY'S health. 9 6 1168 143 158783 -65660 241368 306199 114666679 119155624 3367909 3409207 4943541 5434458 123219497 128305488 274925 46961 0 0 51221238 55461849 0 0 0 61697370 68215642 113193533 123724452 10025964 4581036 194950804 192554091 45984344 43765980 148966460 148788111 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S Health. false false 100461271 46961 123171437 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S health. the hospital had 18,989 inpatient days, 3,433 surgery visits, and 28,487 emergency room visits during the fiscal year. 100461271 true true false true false false false false false false true false false false false false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 107 0 true 1168 true true true false false false false false false false false false X 9 6 false false false false false false true true true false false true true true true true true true true true false OK X DOUG VOLINSKI 6802518572 1407 WHISENANT DRIVE DUNCAN OK 73533 X SCOTT STONE Chair 2.0 0.0 X X 0 0 0 SUSAN CAMP Vice-Chair 2.0 0.0 X X 0 0 0 JAMES CURRY DIRECTOR 2.0 0.0 X 0 0 0 JAMES MCGOURAN MD DIRECTOR 2.0 0.0 X 11012 0 0 DR ROBERT WEEDN Director 2.0 0.0 X 0 0 0 DR RON MILLER Secretary 40.0 0.0 X X 405695 0 38063 Jari Askins Director 2.0 0.0 X 0 0 0 Harbour Whitaker Director 2.0 0.0 X 0 0 0 Greg Shepherd Director 2.0 0.0 X 0 0 0 Marilyn Hugon Director 2.0 0.0 X 0 0 0 Ryan Scott DDS Director 2.0 0.0 X 0 0 0 JAY JOHNSON President & CEO 40.0 0.0 X 432156 0 45233 WILLIAM STEWART President - Solutions 40.0 0.0 X 313802 0 44276 DOUG VOLINSKI CFO 40.0 0.0 X 247645 0 35634 CYNTHIA RAUH VP PATIENT CARE SERVICES 40.0 0.0 X 236269 0 32775 MARK W RHOADES VP - HUMAN RESOURCES 40.0 0.0 X 191122 0 29294 ROGER NEAL CIO 40.0 0.0 X 235220 0 33537 DEBORAH RODGERS VP - Compliance & Quality 40.0 0.0 X 138823 0 22435 Thomas Eiser Physician 40.0 0.0 X 553212 0 40073 John McGath Physician 40.0 0.0 X 492017 0 43729 Stacie Elfrink Physician 40.0 0.0 X 437933 0 33569 Christopher Herndon Physician 40.0 0.0 X 429843 0 40529 Jeffery Jones Physician 40.0 0.0 X 417867 0 40529 4542616 0 479676 45 false true false Emergency Management Midwest PO BOX 634850 CINCINNATI OH 45263 Physician Svs 475200 Quest Diagnostics PO BOX 51048 LOS ANGELES CA 90074 Lab Tests 563408 Smith Pickel Construction PO BOX 21447 OKLAHOMA CITY OK 73156 Construction 953811 ANGELICA TEXTILE SERVICE INC PO BOX 535122 ATLANTA GA 303535122 LAUNDRY SERVICES 442326 Hospital Care Consultants Inc 17304 Preston Rd Ste 1400 DALLAS TX 75252 Physician SVS 1201731 20 306199 306199 NET PATIENT SERVICE REVENUE 621300 115829777 115829777 HITECH STIMULUS INCENTIVE 621300 402896 402896 CLINIC RENT REVENUE 531120 624163 624163 JOINT VENTURE INCOME 621500 2298788 2298788 119155624 1911067 1911067 0 0 0 0 0 25296263 38880 23771736 65267 1524527 -26387 1498140 1498140 0 0 0 CATERING REVENUE 722320 147576 147576 NON-PATIENT LAB REVENUE 621500 11207 11207 CAFETERIA 722210 1259862 1259862 4015813 4015813 5434458 128305488 123171437 158783 4669069 X 46961 46961 0 0 0 2496723 2496723 0 42985331 36372421 6612910 1666586 1129769 536817 5186260 3985262 1200998 3126949 2473788 653161 0 53988 53988 135329 135329 0 0 389341 389341 13967340 12405503 1561837 350602 350602 2604926 1400572 1204354 2652133 2652133 0 2036504 1789769 246735 325264 202276 122988 0 54767 31541 23226 482214 482214 0 8834230 8834230 876227 876227 BAD DEBT EXPENSE 16093169 16093169 MEDICAL SUPPLIES 7338567 5894499 1444068 PHARMACEUTICALS 2145970 2145970 EQUIPMENT RENTAL & MAINT. 3697060 2969560 727500 6178011 4685981 1492030 123724452 100461271 23263181 0 5649470 4884131 1810110 2341612 0 0 16402303 17433277 0 0 0 0 0 0 3726377 3131255 1537961 2288355 158849545 93374878 66879582 65474667 83857239 92292756 0 0 11054149 2193499 1611987 28870 2421626 2485669 194950804 192554091 10971221 10389450 0 0 9123 9530 35004000 33367000 0 0 0 0 0 0 0 0 0 0 45984344 43765980 X 148966460 148788111 0 0 0 0 148966460 148788111 194950804 192554091 X 4581036 -3074450 -63678 -1621257 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9854 9854 false 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. 1219558 1219558 93092854 47219593 45873261 431314 302589 128725 59857708 43935767 15921941 4248111 1916929 2331182 65474667 Schedule D, Part V, Line 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT FUNDS ARE HELD BY THE COMMUNITIES FOUNDATION OF OKLAHOMA FOR THE SUPPORT OF THE CHISHOLM TRAIL HOSPICE. THE CHISHOLM TRAIL HOSPICE IS A PROGRAM WITHIN DUNCAN REGIONAL HOSPITAL AS A RESULT OF A MERGER IN 1997. THE FUNDS ARE INTENDED TO SUPPORT THE HOSPICE'S OPERATIONS OF OFFERING COMPREHENSIVE PROGRAMS FOR PALLIATIVE AND SUPPORTIVE CARE FOR STEPHENS COUNTY AND THE SURROUNDING AREAS. true true X true X true X true true false false 3224915 3224915 0.02990 12308429 8066051 4242378 0.03940 15533344 8066051 7467293 0.06930 52 1947 177224 177224 0.00160 12 214 110639 110639 0.00100 64 2161 287863 287863 0.00260 64 2161 15821207 8066051 7755156 0.07190 2 9272 9272 0.00010 16 67 33250 33250 0.00030 1 2617 2617 4 8326 8326 0.00010 1 144 144 2 283987 283987 0.00260 26 67 337596 337596 0.00310 false 16093169 33638171 33306818 331353 X true true Duncan Realty LLC Real Estate 0.3675 0.01288 0.61963 DRH Imaging LLC Imaging Center 0.82067 0.01282 0.16651 1 1 Duncan Regional Hospital 1407 Whisenant Dr Duncan OK 73533 www.Duncanregional.com 2235 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 false true X 100 300. X true true 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 true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: A NEW CHNA WAS PERFORMED FOR THE 2015 TAX YEAR. SIMILARLY TO LAST YEAR 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, 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, LINE 7A&D WEBSITE WHERE CHNA CAN BE FOUND: HTTP://DUNCANREGIONAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA THE CHNA REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 10A WEBSITE WHERE IMPLEMENTATION STRATEGY CAN BE FOUND: HTTP://DUNCANREGIONAL.COM/COMMUNITY-HEALTH-PLANNING-INFORMATION SCHEDULE H, PART V, SECTION B, 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 INCLUDING ALCOHOL, TOBACCO, AND OTHER DRUG ABUSE (ATODA) - HEALTH LIVING INCLUDING PHYSICAL ACTIVITY AND NUTRITION - SAFETY AND INJURY PREVENTION - CANCER 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. 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 ABUSE THE COUNTY PARTNERS PLAN TO INCREASE THE LEVEL OF COMMUNITY INVOLVEMENT AND AWARENESS BY INCREASING THE NUMBER OF PARTNERS INVOLVED TO 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. 2. HEALTHY LIVING THE COUNTY PARTNERS WANT TO INCREASE THE NUMBER OF CERTIFIED HEALTHY BUSINESSES, CAMPUSES AND COMMUNITIES FROM 22 TO 30 BY 2019. THEY PLAN ON PARTNERING WITH MULTIPLE ORGANIZATIONS TO PROMOTE HEALTHY FAMILY ACTIVITIES, INCLUDING CREATING A PHYSICAL ACTIVITY CALENDAR FOR THE COUNTY, AND ADDRESSING 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. 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. 4. CANCER THE COUNTY HOPES TO PARTNER WITH CANCER CENTERS OF SOUTHWEST OKLAHOMA TO PROMOTE EARLY DETECTION AND SET UP FREE CANCER SCREENINGS. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C WEBSITE WHERE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND: HTTP://DUNCANREGIONAL.COM/BILLING-FINANCE SCHEDULE H, PART V, SECTION B, LINE 22D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: ON KNOWN FAP-ELIGIBLE PATIENTS, THE AMOUNT CHARGED IS BASED ON INCOME LEVELS AND INSURANCE STATUS. THE PATIENT WOULD COMPLETE A CHARITY APPLICATION. FROM THAT INFORMATION, WE WOULD DETERMINE WHERE THEIR INCOME FELL ON THE FEDERAL POVERTY GUIDELINE GRID. BEGINNING JANUARY 1, 2016, THE DISCOUNTS PROVIDED WERE AS FOLLOWS: 100% OF FPG = 100% DISCOUNT 101% - 150% = 75% DISCOUNT 151% - 300% = MEDICARE RATE INCOME LEVELS COMPARED WITH FEDERAL POVERTY GUIDELINE (SEE SECTION B, LINE 13) AFTER THE 2016 FISCAL YEAR, THE HOSPITAL HAS ADOPTED THE PROSPECTIVE METHOD TO ESTABLISH THE AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAD INSURANCE COVERING SUCH CARE. THE HOSPITAL WILL LIMIT THE AMOUNT CHARGED FOR CARE IT PROVIDES TO ANY INDIVIDUAL WHO IS ELIGIBLE FOR ASSISTANCE TO NOT MORE THAN AGB. 2 Cancer Centers of Southwest Oklahoma LLC 3401 West Gore Boulevard Lawton OK 73502 Cancer Center DRH Imaging LLC 1407 Whisenant Duncan OK 73533 Imaging Center 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 $16,093,169. 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: - INSURANCE STATUS 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. In 2016, the Hospitals allowance for doubtful accounts increased by approximately $1,254,000 or 8.9% primarily due to an increase in overall gross patient accounts receivable of approximately $4,044,000 or 7.6% at June 30, 2016, as compared to June 30, 2015. 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 B, 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. 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 INCREASED THE NUMBER OF CERTIFIED HEALTH BUSINESSES, SCHOOLS, ETC. THE HOSPITAL HAD 23 ORGANIZATIONS CERTIFIED HEALTHY FOR 2015. AMONG THE ORGANIZATIONS CERTIFIED WERE 5 EARLY CHILDHOOD CENTERS, THE ATRIUM CAF, THE DUNCAN CAMPUS OF CAMERON UNIVERSITY, 4 PUBLIC SCHOOLS AND 12 OTHER LOCAL BUSINESSES. 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. 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. 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 VI, LINE 6 AFFILIATED HEALTHCARE 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, including Board Membership and volunteering at events 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. true Beautiful Day Foundation 807 W Main Duncan OK 73533 464630628 501(c)(3) 9739 FMV food donation Duncan Community Residence PO Box 1474 Duncan OK 73534 237451608 501(c)(3) 18345 FMV Food 2 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 X false true false false false false false true false DR RON MILLER Secretary 405695 0 0 0 0 0 26080 0 11983 0 443758 0 0 0 JAY JOHNSON President & CEO 372395 0 59761 0 0 0 33250 0 11983 0 477389 0 0 0 WILLIAM STEWART President - Solutions 283184 0 30618 0 0 0 32293 0 11983 0 358078 0 0 0 DOUG VOLINSKI CFO 225043 0 22602 0 0 0 27851 0 7783 0 283279 0 0 0 CYNTHIA RAUH VP PATIENT CARE SERVICES 236269 0 0 0 0 0 26044 0 6731 0 269044 0 0 0 MARK W RHOADES VP - HUMAN RESOURCES 171581 0 19541 0 0 0 21511 0 7783 0 220416 0 0 0 ROGER NEAL CIO 203878 0 31342 0 0 0 26294 0 7243 0 268757 0 0 0 DEBORAH RODGERS VP - Compliance & Quality 127393 0 11430 0 0 0 15324 0 7111 0 161258 0 0 0 Thomas Eiser Physician 553212 0 0 0 0 0 33250 0 6823 0 593285 0 0 0 John McGath Physician 492017 0 0 0 0 0 33250 0 10479 0 535746 0 0 0 Stacie Elfrink Physician 437933 0 0 0 0 0 33250 0 319 0 471502 0 0 0 Christopher Herndon Physician 429843 0 0 0 0 0 33250 0 7279 0 470372 0 0 0 Jeffery Jones Physician 417867 0 0 0 0 0 33250 0 7279 0 458396 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 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 $15,191 Cynthia Rauh NONE $14,206 Roger Neal NONE $14,342 Mark Rhoades NONE $11,734 Deborah Rodgers NONE $8,359 The following individuals participated in a nonqualified deferred compensation plan described in 409(A): Individuals: Payment in W-2: Deferred Compensation: William Stewart NONE $19,043 Thomas Eiser NONE $20,000 John McGath NONE $20,000 Stacie Elfrink NONE $20,000 Christopher Herndon NONE $20,000 Jeffery Jones NONE $20,000 Dr Ron Miller NONE $20,000 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. A THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 2013-12-03 17388000 Refinance Series 2003A BOND false false false B THE OKLAHOMA DEVELOPMENT FINANCE AUTHORITY 731083741 2013-12-03 20000000 Refinance Series 2008 BOND false false false A 1637000 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 false false 0 false false false true B false false false 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 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 11 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 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 ITS DECIDED THAT A CONFLICT EXISTS, THE AFFECTED BOARD MEMBER SHOULD ABSTAIN FROM ANY ACTION TO THE INTEREST AND SHOULD ABSENT HIMSELF OR HERSELF FROM ANY PORTION OF ANY PROCEEDINGS AT WHICH ACTION IS CONSIDERED OR TAKEN REGARDING THE INTEREST. FORM 990, PART VI, SECTION B, LINE 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 OF EACH YEAR AND DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. 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: EQUITY IN ADVANCED MEDICAL SUPPLY (732,892) EQUITY IN SOLUTIONS (913,422) Other changes in Net Assets 25,057 --------- (1,621,257) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:10384752 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3306816 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:275772 SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MGMT OK -1915190 2364066 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK -173825 928475 DRH Duncan Health Partners LLC 1407 Whisenant Dr Duncan OK 73533 464527302 HEalthcare OK -37454 163489 DRH DRH IMAGING LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH Related 2460940 1720902 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 1641340 FMV