2026-05-11T13:18:53+00:00 2025-06-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2024-07-01 731008550 Duncan Regional Hospital DUNC 5802518572 PO Box 2000 Duncan OK 73534 Doug Volinski CFO 5802518572 2026-05-11 true Andrew J Gray P01517705 9727028262 2026-05-15 2024 2025-03-06 01:10:19Z DRH Health JAY JOHNSON PO Box 2000 Duncan OK 73534 296408349 false X https://www.duncanregional.com X 1976 OK PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. 9 6 1544 78 147826 0 866997 636937 210860420 214658346 1124602 7116095 1405705 3257588 214257724 225668966 92052 83606 0 0 104597376 111326912 0 0 0 98063589 106081504 202753017 217492022 11504707 8176944 271028522 292028890 59517026 66601895 211511496 225426995 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH false false 168129138 83606 215089480 PROVIDING COMPASSIONATE AND EXCEPTIONAL HEALTHCARE WHILE IMPROVING OUR COMMUNITY'S HEALTH. THE HOSPITAL HAD 21,678 INPATIENT DAYS, 3,575 SURGERY VISITS, AND 33,803 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR. 168129138 true false 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 true false false false false false true true true true false false true 150 0 1544 true true true false false false false false false false false false false false X 9 6 false false false false false false false true true false false false true true true true true true true true true true OK X Kenneth Miller 5802518554 1407 N WHISENANT DRIVE duncan OK 73533 BRAD SCOTT CHAIR 2.0 0.0 X X 0 0 0 JARI ASKINS VICE-CHAIR 2.0 0.0 X X 0 0 0 MIGUEL REY SABEDRA SECRETARY/PHYSICIAN 55.0 0.0 X X 489901 0 55076 BILL BRADLEY DIRECTOR 2.0 0.0 X 0 0 0 FRANK BURCH DIRECTOR 2.0 0.0 X 0 0 0 JAMES MCGOURAN MD DIRECTOR/PEDIATRIC ON-CALL PHYSICIAN 2.0 0.0 X 74033 0 0 NATALIE COLE DIRECTOR 2.0 0.0 X 0 0 0 NATHAN ELFRINK MD DIRECTOR 2.0 0.0 X 0 0 0 TANYA CASE DIRECTOR 2.0 0.0 X 0 0 0 DOUGLAS R VOLINSKI Vice President and Chief Financial Officer 55.0 0.0 X 544757 0 55076 JAY RUSSELL JOHNSON President and Chief Executive Officer 55.0 0.0 X 783600 0 63316 JOHN P EDGAR President, JCH 55.0 0.0 X 193909 0 38521 KRISTEN J WEBB Vice President and Chief Nursing Officer 55.0 0.0 X 306632 0 61611 MICHELLE JENEAN BIVANS Vice President and Chief Human Resources Officer 55.0 0.0 X 358769 0 53372 ROGER LYNN NEAL Vice President and Chief Operating Officer 55.0 0.0 X 523235 0 48758 WILLIAM T STEWART President, DRH Health Clinics 55.0 0.0 X 430351 0 62109 BRENDA K MULLINS Physician - Interventional Cardiology 55.0 0.0 X 735039 0 54394 BRYAN DUELL Clinic Physician 55.0 0.0 X 1069415 0 64726 JEFFREY CLYDE JONES Clinic Physician 55.0 0.0 X 716820 0 39873 JUAN ADRIAN CORNEJO Physician - Gyneocology Surgery 55.0 0.0 X 647904 0 63316 MICHAEL THOMAS HEMPHILL Clinic Physician 55.0 0.0 X 635246 0 64726 7509611 0 724874 144 false true false Qualivis LLC PO Box 674913 Dallas TX 752624913 Nursing Contract Labor 6077772 Hope Equipment and Construction Inc 5701 N Hwy 81 Duncan OK 73533 Construction Services 3443843 Emergency Management Midwest PO Box 634850 Cincinnati OH 45263 Physician Services 1846934 Hospital Care Consultants Inc 17304 Preston Rd Ste 1400 Dallas TX 75252 Physicians 1317950 Genesis Medical PLLC 2002 12th Ave NW Ste B Ardmore OK 73401 Physicians 1305935 41 421145 215792 636937 NET PATIENT SERVICE REVENUE 621300 199986008 199986008 CONTRACT MEDICAL SERVICES 621300 4395843 4395843 CLINIC RENT REVENUE 531120 144575 144575 JOINT VENTURE INCOME 722320 3285930 3285930 PHARMACY REVENUE 446110 4946394 4946394 1899596 1899596 0 0 214658346 3631040 3631040 1964190 1964190 0 1964190 1964190 74043378 70558323 3485055 0 3485055 3485055 96819 181060 -84241 -84241 CATERING REVENUE 722320 798679 798679 CAFETERIA 722210 77639 77639 NON-PATIENT LAB 621500 70187 70187 431134 431134 0 0 1377639 225668966 215089480 147826 9794723 X 83606 83606 0 0 4143026 1422187 2720839 1186474 962608 223866 88480556 74053371 14427185 2579333 2075808 503525 8893945 6904333 1989612 6043578 4624175 1419403 162424 162424 437012 437012 31150842 22746158 8404684 0 450801 450801 4262251 1681339 2580912 7122182 7122182 3523022 2965336 557686 530859 487315 43544 55759 55759 1057190 1057190 9953632 9953632 1507745 1507745 MEDICAL SUPPLIES 11125624 9829401 1296223 EQUIPMENT RENTAL AND MAINT 10507385 9265403 1241982 PHARMACEUTICALS 7092877 6735631 357246 PROVISION FOR BAD DEBTS 5592039 5592039 11549860 8746796 2803064 0 217492022 168129138 49362884 0 9505379 12828139 2360854 2507895 41546738 44278437 0 0 0 0 1084961 1110754 4980276 6646846 4334274 2779593 244347961 153431969 87822581 90915992 110782890 122346130 0 5211684 4729749 28870 28870 3370015 3856485 271028522 292028890 24234193 24950735 8594 8594 33801236 37934338 0 0 297603 0 1175400 3708228 59517026 66601895 X 194541563 206108405 16969933 19318590 211511496 225426995 271028522 292028890 X 8176944 4885678 852877 X false true true false X false false false false false false false false true 22488 22488 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DUNCAN REGIONAL HOSPITAL IS A MEMBER OF THE OKLAHOMA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IN WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTED TO LOBBYING EXPENSES. 1425993 1425993 131397931 76796324 54601607 522182 440677 81505 95165546 73143236 22022310 15836309 3051732 12784577 90915992 Federal Income Taxes DUE TO THIRD PARTY 3708228 3708228 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 7989863 7989863 0.03771 34677447 25002821 9674626 0.04566 0 0.0 0 0 42667310 25002821 17664489 0.08336 22 54512 121254 121254 0.00057 2 625 29184 29184 0.00014 0 0.0 0 0.0 4 94056 94056 0.00044 28 55137 244494 0 244494 0.00115 28 55137 42911804 25002821 17908983 0.08452 0 0.0 1 1374 1374 0.00001 14 1474 100029 100029 0.00047 0 0.0 2 27946 27946 0.00013 2 578 2734 2734 0.00001 0 0.0 1 238956 238956 0.00113 0 0.0 20 2052 371039 0 371039 0.00175 false 5592039 40976743 37311378 3665365 X true true DRH IMAGING LLC IMAGING CENTER 0.008 0.0002 0.0018 DUNCAN HEALTHCARE REALTY LLC REAL ESTATE 0.0042 0.003 0.0029 2 1 DUNCAN REGIONAL HOSPITAL 1407 WHISENANT DR DUNCAN OK 73533 WWW.DRHHEALTH.ORG 2235 X X X 1 2 JEFFERSON COUNTY HOSPITAL 910 US 81 US 70 WAURIKA OK 73573 https://www.duncanregional.com 2233 X X X 1 1 2 false false true X X X X X X X X X 24 true false true true X HTTPS://WWW.DUNCANREGIONAL.COM/ABOUT-THE-HOSPITAL/COMMUNITY-INVOLVEMENT/ X X true 24 true HTTPS://WWW.DUNCANREGIONAL.COM/ABOUT-THE-HOSPITAL/COMMUNITY-INVOLVEMENT/ false true X 200.0 400.0 X X true true X X X true X HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/ X HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/ X HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - DUNCAN REGIONAL HOSPITAL. THE CHNA FOR DUNCAN REGIONAL HOSPITAL WAS PERFORMED DURING THE MONTHS OF OCTOBER AND NOVEMBER 2024. SIMILARLY, TO THE PRIOR CHNA, A COMMITTEE WAS FORMED THAT COMPRISED OF INDIVIDUALS WHO ENCOMPASSED THE DIVERSITY OF STEPHENS AND JEFFERSON COUNTIES. THE HOSPITAL PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE PATHWAYS TO A HEALTHY STEPHENS COUNTY COMMITTEE. THE INDIVIDUALS IN THIS COMMITTEE INCLUDED, BUT WERE NOT LIMITED TO, INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: DRH HOSPITAL, PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH PROVIDERS, STEPHENS AND JEFFERSON COUNTY HEALTH DEPARTMENTS, CAMERON UNIVERSITY, RED RIVER TECHNOLOGY CENTER, DUNCAN CHAMBER OF COMMERCE, CITY OFFICIALS OF DUNCAN, MARLOW, COMANCHE, BRAY-DOYLE, FIRST NATIONAL BANK OF VELMA, FIRST BAPTIST CHURCH-MARLOW, DUNCAN POLICE DEPARTMENT, AND VARIOUS OTHERS. ADDITIONAL INPUT CAME FROM SURVEYS, FOCUS GROUPS, AND COMMUNITY INFORMANT INTERVIEWS. Schedule H, Part V, Section B, Line 5 Facility 1, 2 Facility 1, 2 - Jefferson County Hospital. .THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS PERFORMED DURING THE MONTHS OF OCTOBER AND NOVEMBER 2024. COMMUNITY MEMBERS WHO PARTICIPATED IN THESE MEETINGS INCLUDED INDIVIDUALS FROM JEFFERSON COUNTY HEALTH DEPARTMENT, JEFFERSON COUNTY 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. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - Duncan Regional Hospital. IN PARTNERSHIP WITH THE STEPHENS COUNTY HEALTH DEPARTMENT, PATHWAYS TO A HEALTHY STEPHENS COUNTY, UNITED WAY OF STEPHENS COUNTY, WICHITA MOUNTAINS PREVENTION NETWORK, PUBLIC SCHOOLS WITHIN THE COUNTY AND NUMEROUS OTHER ORGANIZATIONS, DUNCAN REGIONAL HOSPITAL PARTICIPATED WITH THESE ORGANIZATIONS TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR STEPHENS COUNTY AND JEFFERSON COUNTY OKLAHOMA, IN THE FALL 2024. Schedule H, Part V, Section B, Line 6b Facility 1, 2 Facility 1, 2 - Jefferson County Hospital. THE CHNA FOR JEFFERSON COUNTY HOSPITAL WAS CONDUCTED WITH THE JEFFERSON COUNTY HEALTH DEPARTMENT. JEFFERSON COUNTY HEALTH DEPARTMENT WORKED CLOSELY WITH THE HOSPITAL AND PATHWAYS TO DEVELOP AND ANALYZE SURVEYS AND GATHER LOCAL HEALTH DATA AND DEVELOP THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2025-2027. Schedule H, Part V, Section B, Line 7 Facility 1, 1 Facility 1, 1 - DUNCAN REGIONAL HOSPITAL & Jefferson County Hospital. THE CHNA/CHIP REPORT IS PRINTED AND PUT IN WAITING ROOMS AND OTHER PLACES IN THE HOSPITAL. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - DUNCAN REGIONAL HOSPITAL & Jefferson County Hospital. THROUGH CONDUCTING THE CHNA, 3 BROAD HEALTH PRIORITIES WERE IDENTIFIED FOR THE COMMUNITIES. THESE NEEDS WERE: - BEHAVIORAL HEALTH/SUBSTANCE USE/ABUSE - HEALTHY LIVING (HEART DISEASE, PHYSICAL ACTIVITY, HEALTHY FOODS, CANCER AWARENESS/EDUCATION) - SELF-HEALING/STRENGTHENING FAMILIES THE IMPLEMENTATION STRATEGY PRIORITIZED THE ITEMS LISTED ABOVE TO BE ADDRESSED IN THE HEALTH IMPROVEMENT PLAN. MENTAL HEALTH, HEALTHY LIVING/CANCER EDUCATION AND SELF-HEALING/STRENGTHENING FAMILIES WERE CHOSEN BASED ON COMMUNITY HEALTH DATA AND IDENTIFIABLE GAPS IN AVAILABLE CARE AND EDUCATION SERVICES. IT WAS DETERMINED THAT THESE THREE ISSUES WOULD ULTIMATELY HAVE THE GREATEST IMPACT ON THE COMMUNITY'S OVERALL HEALTH, WHILE ALSO TAKING INTO ACCOUNT THE HOSPITAL'S AVAILABLE RESOURCES. IN THE MOST RECENT CHNA, THE THREE PRIORITIES WERE IDENTIFIED AS: 1. BEHAVIORAL HEALTH/SUBSTANCE ABUSE: - BEHAVIORAL HEALTH COMMITTEE MEETS MONTHLY, THE SECOND WEDNESDAY OF THE MONTH AT NOON. COMMITTEE MEETING IS HELD ON THE CAMPUS OF DUNCAN REGIONAL HOSPITAL. - HOST COMMUNITY AWARENESS AND EDUCATION EVENTS ANNUALLY, EMPHASIZING THE FIRST-PERSON PERSPECTIVE, CONDUCTING SCHOOL/COMMUNITY PRESENTATIONS, CREATING A SPEAKERS BUREAU, AND MAINTAINING A COMMUNITY RESOURCE GUIDE. - PROMOTE COMMUNITY AWARENESS/EDUCATION CAMPAIGNS THROUGH PRESS RELEASES AND SOCIAL MEDIA. - ORGANIZE AND HOST PREVENTION EVENTS WHICH INCLUDE DRUG TAKE BACK EVENTS, NARCAN TRAINING, RECOVERY EVENTS, AND PROVIDING HARM REDUCTION SUPPLIES. - INCREASE SUBSTANCE MISUSE TREATMENT OPTIONS IN BOTH COUNTIES BY COLLBORATING WITH SUBSTANCE MISUSE AGENCIES TO PROVIDE WRAP-AROUND SERVICES. IDENTIFY AND RECRUIT PROVIDERS TO WORK WITH PARTNER AGENCIES. - ADDRESS MENTAL HEALTH ISSUES BY HOSTING PREVENTION EVENTS WHICH COVER SUCH AREAS AS BULLYING, DEPRESSION/ANXIETY, SUICIDE PREVENTION, AND MATERNAL HEALTH. 2. HEALTHY LIVING: - HEALTHY LIVING COMMITTEE MEETS MONTHLY AT 9:00 AM AT DRH HEALTH FOUNDATION BOARD ROOM ON THE DUNCAN REGIONAL HOSPITAL CAMPUS. - INCREASE THE NUMBER OF COMMUNITY PHYSICAL ACTIVITIES FOR ADULTS AND CHILDREN IN BOTH COUNTIES THROUGH SUCH EVENTS AS BREAST CANCER AWARENESS WALK, JINGLE JOG 5K, and STAMPEDE THE TRAIL 5K /HALF MARATHON, AND MAY YOUR HEALTH BE WITH YOU (WALKING EVENT ALONG HERITAGE TRAILS). - PARTNER WITH SCHOOLS AND SENIOR CENTERS TO PROVIDE EDUCATION ON THE BENEFITS OF MOVEMENT (WALKING, BIKING, ETC.) - INCREASE THE KNOWLEDGE AND IMPORTANCE OF GOOD NUTRITION TO BOTH ADULTS AND CHILDREN IN BOTH COUNTIES THROUGH THE INTRODUCTION OF SUCH PROGRAMS LIKE THE TWO-BITE CLUB, GARDEN FRESH FOOD IS MEDICINE PROGRAM, AND GROW YOUR OWN FOOD GARDENING EDUCATION. - INCREASE EDUCATION ON THE IMPORTANCE OF CANCER SCREENINGS (BREAST, SKIN, PROSTATE, LUNG, COLON). ESTABLISH AND ENCOURAGE PARTICIPATION IN THE CANCER SUPPORT GROUP. - ENCOURAGE AGENCIES AND ORGANIZATIONS TO PARTICIPATE IN THE CERTIFIED OKLAHOMA INITIATIVE. - CREATE IMMUNIZATION SOCIAL MEDIA CAMPAIGNS STRESSING THE IMPORTANCE OF VACCINES. 3. SELF-HEALING: STRENGTHENING FAMILIES: - INCREASE THE NUMBER OF INDIVIDUALS/FAMILIES THAT ARE SERVED BY THE FAMILY RESOURCE CENTER BY OFFERING PARENTING CLASSES, PARENT CAFES, AND ESTABLISHING A PARENT ADVISORY COMMITTEE. - CONTINUE TO PROVIDE AWARENESS AND EDUCATION OF ADVERSE CHILDHOOD EXPERIENCES AND GENERATIONAL TRAUMA THROUGH RESILIENCE AND N.E.A.R. SCIENCE TRAINING IN BOTH COUNTIES. - PROMOTE CONTINUOUS DEVELOPMENT FOR FAMILIES, PROVIDERS, AND YOUTH TO HELP BUILD STRONG FAMILIES. THIS INCLUDES SENDING FAMILIES TO THE JOINING FORCES OR CHILDREN'S BEHAVIORAL HEALTH CONFERENCE, PROVIDING STANDS OF QUALITY TRAINING TO PROVIDERS, AND CREATING A YOUTH EMPOWERMENT PROGRAM. LOCAL COUNTY HEALTH DEPARTMENT OF STEPHENS AND JEFFERSON COUNTIES, DRH HEALTH, DRH HEALTH FOUNDATION, LOCAL CHAMBER OF COMMERCE, POTTS FAMILY FOUNDATION, EVOLUTION FOUNDATION, WICHITA MOUNTAIN PREVENTION NETWORK, AND PUBLIC HEALTH INSTITUTE OF OKLAHOMA/OU RESEARCH PARTNERS AND SEVERAL SCHOOL DISTRICTS IN BOTH COUNTIES. 23 CANCER CENTER OF SOUTHWEST OKLAHOMA LLC 2465 Whisenant Dr Suite 100 Duncan OK 73533 CANCER CENTER DRH IMAGING LLC 1414 Duncan Regional Loop Rd DUNCAN OK 73533 IMAGING CENTER PARK CLINIC 2434 Harville Rd STE 200 DUNCAN OK 73533 FAMILY PRACTICE, PAIN MGMT, SLEEP STUDY PLAZA CLINIC 2340 W Elk Ave SUITE 2 6-9 DUNCAN OK 73533 FAMILY PRACTICE & PSYCHIATRY TRUE NORTH CLINIC 2845 W Elk Ave 100 DUNCAN OK 73533 FAMILY PRACTICE, GENERAL & VASCULAR SURGERY DUNCAN ALLERGY ENT 1401 DUNCAN REGIONAL LOOP DUNCAN OK 73533 OTOLARYNGOLOGY DUNCAN ORTHOPEDICS 2945 W ELK AVE DUNCAN OK 73533 ORTHOPEDICS CHICKASHA OBGYN 2100 W IOWA CHICKASHA OK 73018 OBSTETRICS & GYNECOLOGY DRH HEALTH CHILDREN'S CLINIC 2560 W Elk Ave DUNCAN OK 73533 PEDIATRICS ELGIN FAMILY CARE 8148 STATE HWY 17 ELGIN OK 73532 FAMILY PRACTICE MARLOW FAMILY CARE 501 N 4TH ST MARLOW OK 73055 FAMILY PRACTICE WAURIKA FAMILY CARE 9172 US HWY 70 WAURIKA OK 73573 FAMILY PRACTICE COMANCHE FAMILY CARE 303 N HWY 81 Comanche OK 73529 FAMILY PRACTICE RINGLING FAMILY CARE 108 S 5th St RINGLING OK 73456 FAMILY PRACTICE RYAN FAMILY CARE 1104 6TH ST RYAN OK 73565 FAMILY PRACTICE VELMA FAMILY CARE 404 W MAIN Velma OK 73491 FAMILY PRACTICE WALTERS FAMILY CARE 117 W Missouri St WALTERS OK 73572 FAMILY PRACTICE PAVILLION CLINIC 2515 Whisenant Dr 100 200 300 301 DUNCAN OK 73533 OBSTETRICS, GYNECOLOGY, INTERNAL MED, PULMONARY, & CARDIOLOGY CLINICS, UROLOGY, FAMILY CARE Advanced Medical Supply 2185 W Elk Ave Duncan OK 73533 Durable Medical Equipment DRH Business Center 1600 S Hwy 81 Suite 200 DUNCAN OK 73533 Central Billing Office DRH Home Care 2150 W Elk Ave DUNCAN OK 73533 Home Care DRH Hospice 2150 W Elk Ave DUNCAN OK 73533 Hospice DRH Outpatient Rehab 2150 W Elk Ave DUNCAN OK 73533 OP Therapies 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 $208,826,947. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 5592039 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. WORKSHEETS 4, 5 AND 8 WERE COMPLETED USING THE HOSPITAL'S DIRECT COSTS AND INCOME STATEMENT. 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 ENHANCEMENT TRUST AUTHORITY, STEPHENS COUNTY HEALTH DEPARTMENT, LEADERSHIP DUNCAN PROGRAM AND ALSO THE LOANED EXECUTIVE PROGRAM THROUGH UNITED WAY. EMPLOYEES PARTICIPATE IN VARIOUS HEALTH EVENTS OFFERED TO THE COMMUNITIES OF STEPHENS AND JEFFERSON COUNTIES SUCH AS THE DOUGLAS SR CENTER HEALTH FAIR, JEFFERSON COUNTY HEALTH FAIR, LADIES FALL HEALTH EVENT, STAMPEDE THE TRAIL, AND WALK TO REMEMBER. THEY ALSO PROVIDE FREE BLOOD PRESSURE/GLUCOSE SCREENINGS AT SENIOR CENTERS AND NURSING HOMES. WE HAVE SOME PHYSICIANS AND NURSES THAT ALSO VOLUNTEER AT THE COMPASSION CLINIC IN DUNCAN. THE HOSPITAL ENCOURAGES PARTICIPATION BY COMPENSATING THE TEAM MEMBERS WHILE THEY ARE PERFORMING THIS WORK OUTSIDE OF THE HOSPITAL. WORKFORCE DEVELOPMENT COSTS REPRESENT THE COSTS OF MAINTAINING A BUILDING USED BY A STATE UNIVERSITY TO EDUCATE NURSES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT IS DETERMINED BY EVALUATING THE COLLECTIBILITY OF THE SELF-PAY BALANCES BASED ON THE AGING ACCOUNTS RECEIVABLES BALANCE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASU 2014-09 TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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, Line 9b Collection practices for patients eligible for financial assistance 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 V, Section B, Line 16a FAP website 1 - DUNCAN REGIONAL HOSPITAL: Line 16a URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - DUNCAN REGIONAL HOSPITAL: Line 16b URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - DUNCAN REGIONAL HOSPITAL: Line 16c URL: HTTPS://WWW.DUNCANREGIONAL.COM/PATIENTS-VISITORS/BILLING-FINANCE/; 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. ALSO, PATHWAYS TO A HEALTHY LIVING, A COUNTY HEALTH IMPROVEMENT ORGANIZATION HOLDS MONTHLY COMMUNITY PARTNER MEETINGS VIA WEBEX TO STAY UP TO DATE ON THE NEEDS OF THE COMMUNITY. 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 Compassionate and exceptional care is delivered to our patients every day. Whether it is financial assistance for medical care for the uninsured or underinsured, health education classes and support groups, or time spent serving on community boards, employees at Duncan Regional Hospital give back to improve the health of our communities. To remain connected with our communities, employees serve as board representatives on several chambers of commerce, area economic organizations, and various nonprofits, including Gabriel's House After School Program, Safe Center Domestic Violence Shelter, Rotary, Kiwanis, Lions Club, Simmons Center, Stephens County Health Department, Beautiful Day, Leadership Duncan, and United Way. Duncan Regional Hospital funds the salary of the Executive Director of Pathways to a Healthier You (Pathways), which is responsible for facilitating, along with the County Health Department, the Community Health Needs Assessment and the Community Health Improvement Plan process. The Executive Director oversees the day-to-day operations of Pathways and the implementation of community improvement programs in Jefferson and Stephens County. In partnership with the Oklahoma State Department of Health, Duncan Regional Hospital participates in the Certified Healthy Oklahoma Initiative. Through one-on-one education sessions, over 50 entities, including local businesses, schools, congregations, and early childhood centers, were certified for demonstrating a commitment to supporting healthy choices through environmental and policy change. Duncan Regional Hospital is committed to keeping families healthy, safe, and informed through multifaceted outreach approaches focusing on community education, unintentional injury prevention, children's health and wellness, and legislative advocacy. In 2023 and 2024, the Pathways Safety and Injury Committee, with partners from law enforcement, fire departments, Safe Kids Oklahoma, Oklahoma Sheriff Department, local TV weather personnel, and the Oklahoma National Guard, educated more than 800 fourth and fifth-grade students through interactive safety events. Realizing the pandemic affected our communities physically and mentally, the Pathways Healthy Living Committee established the "Smile Today" phone line. Children from Gabriel's House After School Program and Duncan Little Theatre recorded messages designed to encourage and provide hope for callers. At the end of each message, individuals who need additional help are encouraged to call the 988 Suicide/Crises helpline for one-on-one support. The Jefferson County Coalition hosts "Teen Con," an all-day conference for 6th and 9th graders. At Teen Con, they learn the myths vs. facts about substance use, healthy relationships, and the harmful effects of vaping and hear stories of prevention from recovering addicts. Workshops are presented by Define Your Direction, Lighthouse Behavioral Health Center, the Oklahoma National Guard Counterdrug Task Force, and the Wichita Mountains Prevention Network. Duncan Regional Hospital, with partners including DRH Health Foundation, Pathways, Health Department, Cancer Centers of Southwest Oklahoma, Sooner Success, Oklahoma State University Extension, and Wichita Mountains Prevention Network, hosts area health fairs. Free skin cancer screenings, breast exams, glucose and blood pressure readings, and educational and community resources are offered. Pathways established the Garden-Fresh diabetes program. In partnership with Think Ability Community Garden, participants enroll in the one-year program and receive free fresh vegetables and fruits once a week, along with recipes and tips on eating healthily. Quarterly classes with the Duncan Regional Hospital Diabetes Educator offer cooking and exercise demonstrations. In partnership with the Arthritis Foundation, Pathways has implemented the Walk with Ease Program. This free, community-based physical activity and self-management education program focuses on walking, health education, stretching, strengthening exercises, and motivational strategies. With partners from Sooner Success and the Oklahoma State University Extension, Pathways has implemented the USDA program "Two Bite Club" into an area elementary school. The program encourages children to try food from each food group. Our partners have also incorporated Tai Chi and positive affirmations in their lessons. Pathways, in partnership with the DRH Health Foundation, participates in the annual Stampede the Trail 5k/Half Marathon (Stephens County), Jingle Jog 5k (Jefferson County), and a virtual race called "Runnin' with our Peeps 5k". To provide a safe place to dispose of expired and unused medications, Pathways partners with Wichita Mountain Prevention Network and Marie Detty Youth and Family Services to host "Take Back" events. Community members can bring their old medications to a designated area for disposal and receive community resource education at the same time. Pathways hosts Community Baby Showers in both Jefferson and Stephens County to address the needs of pregnant and young parents. Sooner Success, DRH Health Children's Clinic, Pediatric Rehabilitation, Women's Health, Health Department, and Volunteers of America are a few of the partners for this event. Participants receive parenting education, breastfeeding and safe sleep resources, car seat safety checks, and contacts with additional community resources. true Beautiful Day Foundation 45 N 9th St Suite 213 DUNCAN OK 73533 464630628 501(c)(3) 46252 FMV Food Community Support Duncan Community Residence PO BOX 1474 DUNCAN OK 73534 237451608 501(c)(3) 26534 FMV Food Community Support Stephens County Health and Healing Inc 804 West Walnut Duncan OK 73533 823831611 501(c)(3) 10790 FMV Food Gillispie Day Treatment Program 3 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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 MIGUEL REY SABEDRA SECRETARY/PHYSICIAN 486693 0 0 0 3208 0 37250 0 17826 0 544977 0 0 0 JAY RUSSELL JOHNSON President and Chief Executive Officer 573640 0 88451 0 121509 0 37250 0 26066 0 846916 0 100000 0 DOUGLAS R VOLINSKI Vice President and Chief Financial Officer 356289 0 73643 0 114825 0 37250 0 17826 0 599833 0 100000 0 WILLIAM T STEWART President, DRH Health Clinics 333039 0 47489 0 49823 0 34633 0 27476 0 492460 0 34424 0 ROGER LYNN NEAL Vice President and Chief Operating Officer 338179 0 69432 0 115624 0 30932 0 17826 0 571993 0 100000 0 MICHELLE JENEAN BIVANS Vice President and Chief Human Resources Officer 275302 0 80772 0 2695 0 36453 0 16919 0 412141 0 0 0 KRISTEN J WEBB Vice President and Chief Nursing Officer 250702 0 54599 0 1331 0 34135 0 27476 0 368243 0 0 0 JOHN P EDGAR President, JCH 163474 0 28066 0 2369 0 20695 0 17826 0 232430 0 0 0 BRYAN DUELL Clinic Physician 1068898 0 0 0 517 0 37250 0 27476 0 1134141 0 0 0 BRENDA K MULLINS Physician - Interventional Cardiology 735039 0 0 0 0 0 37250 0 17144 0 789433 0 0 0 JEFFREY CLYDE JONES Clinic Physician 654150 0 0 0 62670 0 30520 0 9353 0 756693 0 52658 0 JUAN ADRIAN CORNEJO Physician - Gyneocology Surgery 645814 0 0 0 2090 0 37250 0 26066 0 711220 0 0 0 MICHAEL THOMAS HEMPHILL Clinic Physician 634809 0 0 0 437 0 37250 0 27476 0 699972 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees 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 Duncan Regional Hospital's 457(f) Deferred Compensation Plan is established to provide retention incentives to certain executives on the terms and subject to the conditions set forth in the plan. This plan vests and is paid out every 5 years. Contributions are being made through payroll. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN 457(F): JAY JOHNSON - $20,000 DOUG VOLINSKI - $20,000 ROGER NEAL - $20,000 KRISTEN WEBB - $18,791 MICHELLE BIVANS - $20,000 MIGUEAL SABEDRA - $20,000 BRENDA MULLINS - $20,000 JOHN EDGAR - $11,828 BRYAN DUELL - $20,000 Deferred Compensation Distributed during the year and included in the following individuals W-2 Amounts: Jay Johnson - $116,419 Doug Volinski - $109,311 Roger Neal - $112,236 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN DESCRIBED IN 409(A): Jeffrey Jones - $20,000 Michael Hemphill - $20,000 WILLIAM STEWART - $20,000 JUAN CORNEJO - $20,000 The below Participants have received the following distribution amounts that were included in their W-2: JEFFREY JONES - $52,658 WILLIAM STEWART - $34,424 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 XXXXXXXXX 2020-11-01 25732000 REFINANCE SERIES 2013A & 2013B false false false B The Oklahoma Development Finance Authority 731083741 XXXXXXXXX 2018-11-15 15000000 Series 2018 - Health Facilities false false false C The Oklahoma Development Finance Authority 731083741 XXXXXXXXX 2024-10-01 10000000 Series 2024- Hospital Note false false false A 1615069 25732000 25701189 30811 2021 true false true true B 415110 15000000 44046 14955954 2021 false false true true C 10000000 6192921 3807079 2025 true false false true A false false true true false false 0 0 0.0 false false 0 false true B false false true true false false 0 0 0.0 false false 0 false true C false false true true false false 0 0 0.0 false false 0 false true A false true false false false false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true C false true false false false false 0 false false false 0 false false true A true B true C true Dr Stacie Elfrink Family of Board Member 787834 Salaries/Wages false Dr Christopher Herndon Family of Board Member 398640 Salaries/Wages false Form 990, Part VI, 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, Line 8b 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, Line 1a BROAD AUTHORITY NO SUCH COMMITTEE EXISTS Form 990, Part VI, Line 11b Review of form 990 by governing body 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. THE 990 IS ALSO UPLOADED TO A BOARD PORTAL FOR REVIEW YEAR-ROUND. Form 990, Part VI, Line 12c 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, Line 15a Process to establish compensation of top management official 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, Line 15b Process to establish compensation of other employees 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, Line 19 Required documents available to the public THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 2f Other Program Service Revenue All other program service revenue - Total Revenue: 1899596, Related or Exempt Function Revenue: 1899596, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 431134, Related or Exempt Function Revenue: 431134, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 21774438, Program Service Expense: 15899564, Management and General Expenses: 5874874, Fundraising Expenses: ; Professional Fees - Total Expense: 7881163, Program Service Expense: 5754778, Management and General Expenses: 2126385, Fundraising Expenses: ; Collection Services - Total Expense: 1495241, Program Service Expense: 1091816, Management and General Expenses: 403425, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in noncontrolling interest - 744318; Change in value of interest rate swap agreement - 108559; Total - 852877; SOLUTIONS PHYS PRACTICE MGMT 2210 DUNCAN REGIONAL LOOP ROAD DUNCAN OK 73533 260618405 PRACTICE MANGEMENT OK -4683063 -12246491 DRH ADVANCED MEDICAL SUPPLY LLC 1503 NORTH HIGHWAY 81 SUITE A DUNCAN OK 73533 731539867 DME OK 48169 2183107 DRH DUNCAN HEALTH PARTNERS LLC 1407 WHISENANT DR DUNCAN OK 73533 464527302 HEALTHCARE OK -750 53007 DRH DRH IMAGING LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849754 RADIOLOGY SVC OK DRH Related 2668498 453641 false false 0.81214 Duncan Healthcare Realty LLC 1407 WHISENANT DRIVE DUNCAN OK 73534 208849833 Real Estate OK DRH Excluded 89372 628896 false 0 false 0.5166 Star Pharmacy Inc 2340 West Elk Avenue Suite 10 Duncan OK 73533 731420941 Pharmacy OK DRH S Corporation -470310 869908 1 true true true true false false false false false false false false false false false true false false true true Duncan Healthcare Realty LLC B 205654 Cash Duncan Healthcare Realty LLC C 1561994 Cash DRH Imaging LLC C 2800000 Cash