2016-05-12T07:54:15-05:00 2015-06-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2014-07-01 731008550 Duncan Regional Hospital Inc % DOUG VOLINSKI DUNC 5802518572 PO Box 2000 Duncan OK 73534 Doug Volinski CFO 5802518572 2016-05-16 true Jeanette Verrelli P00742631 9727028262 2014 2016-08-17 19:52:53Z JAY JOHNSON PO Box 2000 Duncan OK 73534 135222032 false X www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH 9 6 1175 127 166177 -83442 72188 241368 104699180 114666679 2723106 3367909 4282273 4943541 111776747 123219497 0 274925 0 0 48520130 51221238 0 0 0 57615366 61697370 106135496 113193533 5641251 10025964 189691804 194950804 46464487 45984344 143227317 148966460 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH false false 92974558 274925 118174343 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 16,611 INPATIENT DAYS, 3,480 SURGICAL PROCEDURES, AND 30,636 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR. 92974558 true true false true false false false false false false true false true 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 false false false true 114 0 true 1175 true true true false false false false false false false false false X 9 6 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 5802518572 1407 WHISENANT DRIVE DUNCAN OK 73533 X SCOTT STONE CHAIRMAN 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 15022 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 ROBERT WEEDN MD DIRECTOR 2.0 0.0 X 0 0 0 RON MILLER MD SECRETARY 40.0 0.0 X X 396854 0 32705 TERRY SNIDER DIRECTOR 2.0 0.0 X 0 0 0 JON BOWERS DIRECTOR 2.0 0.0 X 0 0 0 JAY JOHNSON PRESIDENT & CEO 40.0 0.0 X 487735 0 44239 WILLIAM STEWART PRESIDENT - SOLUTIONS PRACTICE 40.0 0.0 X 307236 0 43753 DOUG VOLINSKI VP & CFO / TREASURER 40.0 0.0 X 281895 0 37527 CYNTHIA RAUH VP & CNO 40.0 0.0 X 251786 0 33856 MARK W RHOADES VP - HUMAN RESOURCES 40.0 0.0 X 211805 0 35054 ROGER NEAL VP & CIO 40.0 0.0 X 239017 0 32958 DEBORAH RODGERS VP - COMPLIANCE AND QUALITY 40.0 0.0 X 158313 0 24139 THOMAS EISER ORTHOPAEDIC SURGEON 40.0 0.0 X 525449 0 39479 JOHN MCGATH ENT 40.0 0.0 X 498841 0 43579 CHRISTOPHER CRIMMINS UROLOGIST 40.0 0.0 X 346330 0 43279 STACIE ELFRINK OB/GYN 40.0 0.0 X 403529 0 41566 CHRISTOPHER HERNDON FAMILY MEDICINE - PHYSICIAN 40.0 0.0 X 334519 0 37586 4458331 0 489720 56 false true false HOSPITAL CARE CONSULTANTS INC 17304 PRESTON ROAD STE 1400 DALLAS TX 75252 PHYSICIANS 1253746 ANGELICA TEXTILE SERVICE INC PO BOX 535122 ATLANTA GA 303535122 LAUNDRY SERVICES 430837 QUEST DIAGNOSTICS PO BOX 51048 LOS ANGELES CA 900741048 LAB TESTS 406748 EMERGENCY MANAGEMENT MIDWEST INC PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 475200 SMITH PICKEL CONSTRUCTION PO BOX 21447 OKLAHOMA CITY OK 73156 CONSTRUCTION 482597 18 113514 127854 241368 NET PATIENT SERVICE REVENUE 621300 111366671 111366671 HITECH STIMULUS INCENTIVE 621300 632282 632282 NET CLINIC RENT REVENUE 531120 698018 698018 JOINT VENTURE INCOME 621500 1969708 1969708 114666679 1784541 1784541 0 0 32 32 0 32 32 13583403 2500 11955272 47263 1628131 -44763 1583368 1583368 0 0 0 CATERING REVENUE 722320 127319 127319 NON-PATIENT LAB REVENUE 621500 38858 38858 CAFETERIA 722514 1188868 1188868 3588464 3588464 4943509 123219497 118255143 166177 4556809 X 274925 274925 0 0 0 2382682 2382682 0 40232044 33960336 6271708 0 1411327 1276942 134385 4307951 3454629 853322 2887234 2276807 610427 0 171426 171426 149169 149169 0 0 458344 458344 13242176 12319236 922940 352909 18839 334070 3785277 2748846 1036431 2284550 2284550 0 2104969 1839785 265184 255468 192213 63255 0 33097 22356 10741 512178 512178 0 6751622 6751118 504 814588 235801 578787 BAD DEBT EXPENSE 14573475 14573475 DIETARY 2867947 2231019 636928 PHARMACEUTICALS 1999799 1999799 EQUIP RENTAL & MAINTENANCE 3776275 2937621 838654 7564101 5860811 1703290 113193533 92974558 20218975 0 7123454 5649470 2194823 1810110 0 0 15296480 16402303 0 0 0 0 0 0 3266598 3726377 1439389 1537961 154171621 87292039 65960546 66879582 79955953 83857239 0 0 10529316 11054149 1611987 1611987 2313258 2421626 189691804 194950804 9853743 10971221 0 0 8744 9123 36602000 35004000 0 0 0 0 0 0 0 0 0 0 46464487 45984344 X 143227317 148966460 0 0 0 0 143227317 148966460 189691804 194950804 X 10025964 -2718576 -52822 -1515423 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 9907 false false false 9907 false SCHEDULE C, PART II-B, LINE 1F GRANTS TO OTHER ORGANIZATIONS: 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 92399541 43959900 48439641 431314 286345 144969 57269153 41233692 16035461 2852055 1812102 1039953 66879582 CORPORATE STOCKS 9137863 F INVESTMENT IN CCSO 1386675 F INVESTMENT IN HCC 100000 F INVESTMENT IN DRH REALTY 348008 F INVESTMENT IN MSO HEALTHCARE 81603 F 11054149 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 true true 2750358 2750358 0.02780 10726523 7629403 3097120 0.03130 13476881 7629403 5847478 0.05910 58 1575 228760 228760 0.00230 2 200 200 13 5 327747 327747 0.00330 73 1580 556707 556707 0.00560 73 1580 14033588 7629403 6404185 0.06470 2 12763 12763 0.00010 19 44 40896 40896 0.00040 2 11036 11036 0.00010 5 7532 7532 0.00010 2 282527 282527 0.00290 30 44 354754 354754 0.00360 false 14573475 28341102 29244736 -903634 X true true DUNCAN REALTY LLC REAL ESTATE 0.36750 0.01287 0.61962 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 12 true false true true X SEE PART V SECTION C X X true 14 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 X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: A COMMITTEE WAS FORMED THAT COMPRISED 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 INPUT CAME FROM SURVEYS, FOCUS GROUPS, AND COMMUNITY INFORMANT INTERVIEWS. 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 11 NEEDS IDENTIFIED IN CHNA: From the data and analysis, the county at large had four key areas of health concern: 1. Healthy living and the lack of exercise opportunities, fruit and vegetable consumption, increasing obesity rate, increasing cardiovascular disease, diabetes, sexual health and the dental health needs of the community. 2. Mental Health/Substance Abuse Services and the lack of trained, qualified, mental health/substance abuse programs and access in Stephens County. 3. Safety/Injury prevention education and opportunities for providing better shelter, safety and options during inclement weather, after tornado effects, safety at local schools and other needs of the community during adverse situations. 4. Prevention, education, and needs of the community around cancer and the need to decrease the number of preventable cancer deaths in our county. Pathways to a Healthy Stephens County discussed the four areas and selected two (2) main areas of focus for the next three (3) years. Pathways, as a whole, selected to concentrate on the two heaviest areas of concern reported by our citizens: (1) Healthy Living and (2) Mental Health/Substance Abuse. The Pathways group approved tackling these two areas instead of all four areas so the organizations and community could focus on the two greatest areas of concern. The plan has been to work on our key areas and as momentum increases and the community sees sustainable results, come back to the other two areas for re-evaluation within our county. The areas identified in the Community Health Needs Assessment that will not be tackled are (3) Safety/Injury prevention and (4) Cancer. While we feel both areas need to be worked on, the limitations available to us as a community and within Duncan Regional Hospital (DRH) limit the number of items we can effectively tackle at one time. DRH and the Pathways group both plan to work together in support of these two areas at a later date but cannot effectively manage these within the scope of what is available to us at this time. As part of the Pathways group, Duncan Regional Hospital has been extremely supportive of taking on the two key areas of citizen concern only. Duncan Regional Hospital has committed resources, both human and financial, meeting space, food, advertising, and numerous other items to the Pathways group in support of programs to improve the two key areas of focus. At this time, DRH is one of the main partners in the Pathways group and has two of our top executives serving as committee chairs over working task forces over both major areas of focus. Duncan Regional Hospital is committed to working with the Pathways group to help formalize, fund, and monitor results in both major areas for the improvement of health in Stephens County. Actions taken in fiscal year 2015 include the following: The hospital increased the number of certified health businesses, schools, etc. The goal was to increase the number from 5 to 15, and the hospital had 23 organizations certified healthy for 2015. The hospital implemented a county wide media campaign using the Pathways website to launch a "Veg Up" campaign site. The development of the Farmer's market in Stephens County was completed. The hospital partnered with multiple organizations to promote and sponsor family friendly activities that promote physical activity. A website was set up to have an activity to help increase the awareness of opportunities for families to be active. The hospital partnered with the Oklahoma State Department of Health and the Stephens County Health Department for a Wellness in All Policies program. The hospital developed a Stephens County Mental Health Task Force to increase community involvement. A community based referral system was implemented. The hospital partnered with the Cancer Center of Southwest Oklahoma for a media campaign. 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. 100% OF FPG = 100% DISCOUNT 101% - 125% = 75% DISCOUNT 126% - 150% = 50% DISCOUNT 151% - 175% = 25% DISCOUNT 176% - 300% = MEDICARE RATE INCOME LEVELS COMPARED WITH FEDERAL POVERTY GUIDELINE (SEE #13) 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 16A&B WEBSITE WHERE FAP CAN BE FOUND: http://duncanregional.com/billing-finance SCHEDULE H, PART V, SECTION B, LINE 6B CHNA CONDUCTED WITH OTHER ORGANIZATION: 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 2012. 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 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 2015, THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS INCREASED BY APPROXIMATELY $759,000 OR 5.8% PRIMARILY DUE TO AN INCREASE IN OVERALL GROSS PATIENT ACCOUNTS RECEIVABLE OF APPROXIMATELY $6,730,000 OR 14.5% AT JUNE 30, 2015, AS COMPARED TO JUNE 30, 2014. 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. THE ORGANIZATION HAD A MEDICARE SHORTFALL OF $903,634. THE HOSPITAL TREATS MEDICARE SHORTFALLS AS A COMMUNITY BENEFIT. 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 ONGOING BASIS, THROUGH INVOLVEMENT IN COMMUNITY PROGRAMS AND SURVEYS WITH OUR PHYSICIANS. THE HOSPITAL WILL UNDERGO THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT 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 ARE 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 child hood 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 avoiding snack items that sabotage a person's diet. The development of the Farmer's market in Stephens County was completed. The farmer's market encourages people to walk around the booths. 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 partnered with the Oklahoma State Department of Health and the Stephens County Health Department for a Wellness in All Policies program. 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. 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: OKLAHOMA true COMMUNITIES FOUNDATION OF OKLAHOMA 2932 NW 122nd Suite D Oklahoma City OK 73120 731396320 501(C)(3) 250000 HERITAGE TRAILS PROJECT 1 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. THE HERITAGE TRAILS PROJECT LISTED IN PART I ALSO HAS A MEMORANDUM IN PLACE BETWEEN THE HOSPITAL, THE SIMMONS CENTER, AND THE CITY OF DUNCAN STATING THE THREE ORGANIZATIONS ARE WORKING TOGETHER. THE HOSPITAL IS WORKING WITH THE GROUP TO ESTABLISH A MORE FORMAL DOCUMENT REQUIRING A SEAT ON THE COMMITTEE WITH MONTHLY REPORTS. X true true X X X X X false true false false false false false true false RON MILLER MD SECRETARY 396854 0 0 0 0 0 21886 0 10819 0 429559 0 0 0 JAY JOHNSON PRESIDENT & CEO 375839 0 62125 0 49771 0 33000 0 11239 0 531974 0 49771 0 WILLIAM STEWART PRESIDENT - SOLUTIONS PRACTICE 279673 0 27563 0 0 0 32514 0 11239 0 350989 0 0 0 DOUG VOLINSKI VP & CFO / TREASURER 226576 0 23310 0 32009 0 30248 0 7279 0 319422 0 32009 0 CYNTHIA RAUH VP & CNO 206255 0 20055 0 25476 0 27057 0 6799 0 285642 0 25476 0 MARK W RHOADES VP - HUMAN RESOURCES 170920 0 17640 0 23245 0 23815 0 11239 0 246859 0 23245 0 ROGER NEAL VP & CIO 194714 0 19425 0 24878 0 26159 0 6799 0 271975 0 24878 0 THOMAS EISER ORTHOPAEDIC SURGEON 525449 0 0 0 0 0 33000 0 6479 0 564928 0 0 0 JOHN MCGATH ENT 498841 0 0 0 0 0 33000 0 10579 0 542420 0 0 0 CHRISTOPHER CRIMMINS UROLOGIST 346330 0 0 0 0 0 33000 0 10279 0 389609 0 0 0 DEBORAH RODGERS VP - COMPLIANCE AND QUALITY 129329 0 12915 0 16069 0 17340 0 6799 0 182452 0 16069 0 STACIE ELFRINK OB/GYN 403529 0 0 0 0 33000 0 8566 0 445095 0 0 0 CHRISTOPHER HERNDON FAMILY MEDICINE - PHYSICIAN 334519 0 0 0 0 0 33000 0 4586 0 372105 0 0 0 SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES: THE ORGANIZATION PAID THE CEO'S COUNTRY CLUB DUES. ANY PERSONAL USE IS REIMBURSED TO THE HOSPITAL BY THE CEO. 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: JAY JOHNSON $49,771 DOUG VOLINSKI $32,009 CYNTHIA RAUH $25,476 MARK RHOADES $23,245 ROGER NEAL $24,878 DEBORAH RODGERS $16,069 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 0 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 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. 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 (627,785) EQUITY IN SOLUTIONS (883,018) OTHER CHANGE IN NET ASSETS (4,620) --------- (1,515,423) 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 COMMITTEE. 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 Compenation Committee as its Chair. The Board may replace Compensation Committee members. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED AS OF FEBRUARY 19, 2015. THE CHANGES MADE WITH THE AMENDEMENT INCLUDED CHANGING THE ANNUAL MEETING FROM DECEMBER TO NOVEMBER. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8982685 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3189292 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPORT SERVICES TOTAL FEES:539035 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:276503 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:254661 SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MGMT OK -1263357 2107590 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK 117429 1028310 DRH DUNCAN HEALTH PARTNERS LLC 1407 WHISENANT DR DUNCAN OK 73533 464527302 HEALTHCARE OK -69423 12185 DRH DRH HEALTH FOUNDATION INC 1407 WHISENANT DRIVE DUNCAN OK 73533 202772056 SUPPORT. ORG OK 501(C)(3) 11, TYPE II NA false DRH IMAGING LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH RELATED 3523139 901302 false 0 false 0.82227 DUNCAN HEALTHCARE REALTY LLC 1407 WHISENANT DR DUNCAN OK 73534 208849833 REAL ESTATE OK DRH INVESTMENT 274958 718260 false 0 false 0.36750 false false true false false false false false false false false false false false false false false false true DRH IMAGING LLC S 2051671 FMV DUNCAN HEALTHCARE REALTY LLC S 118480 FMV