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        <PersonNm>BRENT HUBBARD</PersonNm>
        <TitleTxt>DIRECTOR &amp; COO</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>648949</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>93267</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS M SMITH</PersonNm>
        <TitleTxt>PART YEAR CFO</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>907662</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>130539</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WEED</PersonNm>
        <TitleTxt>PART YEAR CFO</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>394260</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60017</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLISON PETERSEN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>609909</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>100418</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRI BAYER</PersonNm>
        <TitleTxt>CHIEF NURSE EXECUTIVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>519764</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>94420</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE WATSON</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>683944</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>109168</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE HATCH</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>625278</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>100127</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY CHANDLER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>557097</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>92664</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM HUDSON</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>602405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11124</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AVILLA WILLIAMS</PersonNm>
        <TitleTxt>VP CLINICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>538222</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>83064</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN ROBERTS</PersonNm>
        <TitleTxt>VP SUPPORT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>377790</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22075</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN JONES</PersonNm>
        <TitleTxt>CHIEF TRANSFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>235762</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46312</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS HAMMES</PersonNm>
        <TitleTxt>FORMER CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>873596</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>108519</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIK DEDEKE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR CMIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>431001</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23969</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW BARSALOUX</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR CMIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>450199</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25697</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHELSEA GILBERTSON</PersonNm>
        <TitleTxt>VP CLINICAL PROGRAMS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>535778</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23498</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACIE MASON</PersonNm>
        <TitleTxt>VICE PRESIDENT - FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>351003</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18905</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JORDAN CASH</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>326235</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39848</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>12209892</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>326235</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1470567</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>277</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BANK OF AMERICA NA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 N COLLEGE ST</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28255</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FINANCIAL SERVICES</ServicesDesc>
        <CompensationAmt>26959181</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TECH MAHINDRA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>251 LITTLE FALLS DRIVE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>19808</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>20947525</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VIZIENT INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>290 E JOHN CARPENTER FREEWAY</AddressLine1Txt>
            <CityNm>IRVING</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75062</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DISTRIBUTION SERVICES</ServicesDesc>
        <CompensationAmt>11484083</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICROSOFT CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1950 N STEMMONS FWY STE 5010</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75207</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SERVICES</ServicesDesc>
        <CompensationAmt>9367336</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROTIVITI INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2884 SAND HILL ROAD SUITE 200</AddressLine1Txt>
            <CityNm>MENLO PARK</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>8332124</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>202</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>440178</RelatedOrganizationsAmt>
      <NoncashContributionsAmt>177531</NoncashContributionsAmt>
      <TotalContributionsAmt>440178</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>AFFILIATED SERVICE REV</Desc>
        <BusinessCd>900003</BusinessCd>
        <TotalRevenueColumnAmt>355678260</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>354628646</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1049614</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>900003</BusinessCd>
        <TotalRevenueColumnAmt>33998280</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33998280</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>8680937</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8680937</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CHILDREN'S PLACE</Desc>
        <BusinessCd>900003</BusinessCd>
        <TotalRevenueColumnAmt>2520563</TotalRevenueColumnAmt>
        <ExclusionAmt>2520563</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TELEHEALTH SERVICES</Desc>
        <BusinessCd>900003</BusinessCd>
        <TotalRevenueColumnAmt>963352</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>963352</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>7470458</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7470458</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>409311850</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>27422626</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>33892288</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-6469662</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>41403</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>11015</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>30388</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>30388</TotalRevenueColumnAmt>
        <ExclusionAmt>30388</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>DISCOUNTS ON PURCHASES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>432769</TotalRevenueColumnAmt>
        <ExclusionAmt>432769</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>432769</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>437637811</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>405741673</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>34941902</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-3485942</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>451855</TotalAmt>
        <ProgramServicesAmt>451855</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>11164529</TotalAmt>
        <ProgramServicesAmt>6330639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4833890</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>108421607</TotalAmt>
        <ProgramServicesAmt>61478460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46943147</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>13146204</TotalAmt>
        <ProgramServicesAmt>7454311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5691893</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>24653123</TotalAmt>
        <ProgramServicesAmt>13979096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10674027</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>8981960</TotalAmt>
        <ProgramServicesAmt>5093054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3888906</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>55449</TotalAmt>
        <ProgramServicesAmt>55449</ProgramServicesAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2075495</TotalAmt>
        <ProgramServicesAmt>1176871</ProgramServicesAmt>
        <ManagementAndGeneralAmt>898624</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>1897164</TotalAmt>
        <ProgramServicesAmt>1075752</ProgramServicesAmt>
        <ManagementAndGeneralAmt>821412</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>84432</TotalAmt>
        <ProgramServicesAmt>47876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36556</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>26997456</TotalAmt>
        <ProgramServicesAmt>26997456</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>3556609</TotalAmt>
        <ProgramServicesAmt>2016709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1539900</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>7729459</TotalAmt>
        <ProgramServicesAmt>4382846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3346613</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>5421240</TotalAmt>
        <ProgramServicesAmt>3074013</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2347227</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1022262</TotalAmt>
        <ProgramServicesAmt>579654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>442608</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1893735</TotalAmt>
        <ProgramServicesAmt>1073807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>819928</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>2747204</TotalAmt>
        <ProgramServicesAmt>1557751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1189453</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>37140685</TotalAmt>
        <ProgramServicesAmt>21059936</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16080749</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>18528854</TotalAmt>
        <ProgramServicesAmt>10506443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8022411</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>143515044</TotalAmt>
        <ProgramServicesAmt>81377542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62137502</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>7464840</TotalAmt>
        <ProgramServicesAmt>4232799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3232041</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RIF &amp; RECRUITMENT</Desc>
        <TotalAmt>1158399</TotalAmt>
        <ProgramServicesAmt>656849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>501550</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UBI TAXES</Desc>
        <TotalAmt>96110</TotalAmt>
        <ProgramServicesAmt>96110</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>5555801</TotalAmt>
        <ProgramServicesAmt>2926219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2629582</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>433759516</TotalAmt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH ALLIANCE FOR THE UNINSURED</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 UNITED FOUNDERS BLVD STE 219</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>731123904</ZIPCd>
        </USAddress>
        <RecipientEIN>261789292</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>135506</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1550 CRYSTAL DR STE 1300</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>222024144</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF CENTRAL OKLAHOMA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1444 NW 28TH ST</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>731063430</ZIPCd>
        </USAddress>
        <RecipientEIN>730589829</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>97500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VARIETY CARE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3000 N GRAND BLVD</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>731071818</ZIPCd>
        </USAddress>
        <RecipientEIN>730580273</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YUKON CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 WEST MAIN STREET STE 130</AddressLine1Txt>
          <CityNm>YUKON</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73099</ZIPCd>
        </USAddress>
        <RecipientEIN>730749805</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>5240</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STATE CHAMBER RESEARCH FOUNDATION OF OKLAHOMA 21ST CENTURY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 53217</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>731523217</ZIPCd>
        </USAddress>
        <RecipientEIN>731114164</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19454</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER OKLAHOMA CITY CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>123 PARK AVE</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>731029005</ZIPCd>
        </USAddress>
        <RecipientEIN>730381180</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>140905</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. (SYSTEM) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS AND AFFILIATES TO SUPPORT THEIR OPERATIONS. THE SYSTEM DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS. AS PART OF ITS COMMITMENT TO THE COMMUNITIES IT SERVES, INTEGRIS HEALTH, INC. MAKES GRANTS TO OTHER CHARITABLE AND CIVIC ORGANIZATIONS THAT BENEFIT THOSE COMMUNITIES. GRANTS ARE REVIEWED AND APPROVED THROUGH THE ANNUAL BUDGETARY PROCESS BY THE CEO AND THE BOARD OF DIRECTORS OF INTEGRIS HEALTH. SEE SCHEDULE O FOR A FULL COPY OF THE INTEGRIS HEALTH SYSTEM COMMUNITY BENEFIT REPORT, WHICH PROVIDES GREATER DETAIL WITH RESPECT TO INTEGRIS HEALTH'S RETURNSHIP AND COMMUNITY BUILDING EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>TIMOTHY PEHRSON</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>305092</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>2825944</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>286003</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUGLAS M SMITH</PersonNm>
        <TitleTxt>PART YEAR CFO</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>FORMER CHIEF OPERATING OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>102179</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>17369</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>109168</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENT HUBBARD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIKE HATCH</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>92685</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLISON PETERSEN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>455497</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WENDY CHANDLER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AVILLA WILLIAMS</PersonNm>
        <TitleTxt>VP CLINICAL SERVICES</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>ERIK DEDEKE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR CMIO</TitleTxt>
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        <PersonNm>MICHAEL WEED</PersonNm>
        <TitleTxt>PART YEAR CFO</TitleTxt>
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        <PersonNm>BRIAN ROBERTS</PersonNm>
        <TitleTxt>VP SUPPORT SERVICES</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STACIE MASON</PersonNm>
        <TitleTxt>VICE PRESIDENT - FINANCE</TitleTxt>
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        <PersonNm>JORDAN CASH</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
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        <PersonNm>BRIAN JONES</PersonNm>
        <TitleTxt>CHIEF TRANSFORMATION OFFICER</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON-QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT IN THE CURRENT REPORTING YEAR. MICHAEL WEED BRENT HUBBARD AVILLA WILLIAMS JULIE WATSON BIRAN JONES THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED PAYMENTS IN THE CURRENT REPORTING YEAR: TIMOTHY PEHRSON - $286,003 DOUGLAS M. SMITH - $131,709 KERRI BAYER - $42,162 JORDAN CASH - $65,311 ALLISON PETERSEN - $29,657 MICHAEL HATCH - $92,685 WENDY CHANDLER - $16,513 CHRIS HAMMES - $189,078</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. IN THE SECOND PLAN, CERTAIN EMPLOYED PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION PURSUANT TO THEIR WRITTEN EMPLOYMENT AGREEMENTS. ALL INCENTIVE COMPENSATION IS SUBJECT TO A CAP AND DOES NOT EXCEED 50% OF THE PHYSICIAN'S TOTAL COMPENSATION. THERE ARE A VARIETY OF METHODS USED TO CALCULATE INCENTIVE COMPENSATION BASED ON THE PHYSICIAN'S PERSONAL PRODUCTION, RANGING FROM (I) A SPECIFIED PERCENTAGE OF NET INCOME LESS EXPENSES; (II) A SPECIFIED PERCENTAGE OF TOTAL COLLECTIONS LESS EXPENSES; (III) A SPECIFIED PERCENTAGE OF BASE SALARY BASED COMPLIANCE WITH CERTAIN QUALITY, PATIENT SATISFACTION, PRODUCTION AND FINANCIAL INDICATORS; (IV) A SPECIFIED PERCENTAGE OF BASE SALARY BASED ON COMPLIANCE WITH QUALITY, GUIDING VALUES, PATIENT SATISFACTION AND PRODUCTRION CRITERIA; (V) A SPECIFIED PERCENTAGE OF FEE-BASED COLLECTIONS AND CAPITATION COLLECTIONS, IF APPLICABLE, IN EXCESS OF QUARTERLY SALARY; (VI) QUARTERLY BONUSES MEASURED BY RVUS THAT EXCEED A SPECIFIED TARGET PER QUARTER; AND (VII) PRO RATA SHARE OF ANNUAL INCENTIVE POOLS BASED UPON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA.</ExplanationTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>RENOVATIONS</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>177531</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, COL(B) REPORTS THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, BOX C: DOING BUSINESS AS</FormAndLineReferenceDesc>
        <ExplanationTxt>OKLAHOMA BUSINESS HEALTH INSTITUTE PARTNERS IN OKLAHOMA PARTNERS IN PRACTICE CARELINE INTEGRIS INTEGRIS HEALTH INTEGRIS HEALTHCARE INTEGRIS HEALTHCARE SYSTEM MISSION OF PREVENTION WORKING TOGETHER FOR A QUALITY LIFE LIFESPAN TELEREHAB MOVE FOR LIFE MAN CARD THE MOST DEDICATED PEOPLE HRANYTIME INTEGRIS CANCER INSTITUTE OF OKLAHOMA THE INTEGRIS PROTON CAMPUS INTEGRIS ONE CALL INTEGRIS ONE CALL TRANSFER CENTER INTEGRIS SLEEP DISORDERS CENTER OF OKLAHOMA THE CHILDREN'S PLACE AT INTEGRIS SOUTHWEST MEDICAL CENTER FUN AND FIT FUN AND FIT KIRKLAND THE MOST CHALLENGING HEALING INTEGRIS FAMILY OF FOUNDATIONS INTEGRIS CANCER INSTITUTE OF OKLAHOMA RESEARCH - METRO INTEGRIS TELESTROKE NETWORK OF OKLAHOMA TELESTROKE NETWORK OF OKLAHOMA INSTITUTE FOR ADVANCED THERAPEUTICS AND RESEARCH INTEGRIS HEALTH AFFILIATES INTEGRIS HEART MIDWEST REGIONAL INTEGRIS TELEHEALTH NETWORK INTEGRIS COMMUNITY CLINIC INTEGRIS ONE CARE INTEGRIS OFFICE OF RESEARCH ADMINISTRATION INTEGRIS HEALTH PARTNERS+ INTEGRIS HEALTH@HOME I ON YOUR HEALTH WE ARE INTEGRIS INTEGRIS VIRTUAL VISIT INTEGRIS AND ME ARCADIA TRAILS INTEGRIS CENTER FOR ADDICTION RECOVERY INTEGRIS CHILDREN'S BAPTIST MEDICAL CENTER</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS COMMUNITY BENEFIT REPORT 2022 A MESSAGE FROM OUR PRESIDENT AND CEO: INTEGRIS HEALTH IS OKLAHOMA'S LARGEST NOT-FOR-PROFIT HEALTH SYSTEM AND HAS CARED FOR OKLAHOMANS FOR MORE THAN 100 YEARS. OUR MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE ARE COMMITTED TO IMPROVING THE HEALTH OF THOSE IN OUR COMMUNITY. WE EXIST TO SERVE AND CARE FOR OUR FELLOW NEIGHBORS, WHICH EXTENDS BEYOND OUR HOSPITALS AND CLINICS. WE PARTNER WITH OTHER ORGANIZATIONS TO BRING MORE PROGRAMS INTO OUR COMMUNITIES, SUCH AS FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, HEALTH SUPPORT GROUPS, MENTORING PROGRAMS FOR AT-RISK YOUTH, ASSISTANCE FOR THE ELDERLY AND SERVING AS A LEADER DURING A PANDEMIC. I HOPE YOU ENJOY OUR 2022 COMMUNITY BENEFIT REPORT, WHICH HIGHLIGHTS IN GREATER DETAIL WAYS INTEGRIS HEALTH POSITIVELY IMPACTED OUR COMMUNITIES LAST YEAR. THATNK YOU FOR TRUSTING INTEGRIS HEALTH TO CARE FOR YOU AND YOUR FAMILY. WARMLY, TIMOTHY PEHRSON, PRESIDENT AND CEO MISSION: PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. VISION: THE MOST TRUSTED PARTNER FOR HEALTH. VALUES: ICARE-INTEGRITY. COMPASSION. ACCOUNTABILITY. RESPECT. EXCELLENCE. INTEGRIS HEALTH COMMUNITY BENEFIT HIGHLIGHTS SERVING OUR COMMUNITY INTEGRIS HEALTH'S MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS OKLAHOMA'S LARGEST NON-FOR-PROFIT COMMUNITY HEALTH SYSTEM, INTEGRIS HEALTH HAS LONG SERVED THIS MISSION THROUGH INNOVATIVE AND TRANSFORMATIVE COMMUNITY HEALTH PROGRAMS. WE LEARNED A LONG TIME AGO THAT WE CAN'T FULLY CARE FOR OUR COMMUNITY BY STAYING EXCLUSIVELY WITHIN THE WALLS OF OUR FACILITIES. THAT'S WHY "RETURNSHIP" IS SUCH AN IMPORTANT PART OF OUR PHILOSOPHY. WHAT IS RETURNSHIP? IT'S GIVING BACK PART OF OURSELVES TO THE COMMUNITIES WE SERVE. AT INTEGRIS HEALTH, THE PHYSICIANS, EMPLOYEES AND VOLUNTEERS TAKE THEIR EDUCATION AND SKILLS INTO THE COMMUNITY TO MAKE A DIFFERENCE IN THE LIVES OF FELLOW OKLAHOMANS. THEIR DEDICATION, COMBINED WITH OUR RESOURCES, HELPS ACCOMPLISH A VARIETY OF THINGS-FROM PROVIDING FREE CLINICAL SERVICES, SCREENINGS AND EDUCATION PROGRAMS TO PROVIDING GREATER ACCESS TO HEALTHY FOOD AND TOBACCO CESSATION SERVICES. WE ALSO REALIZE THAT THE HEALTH OF A COMMUNITY ISN'T JUST PHYSICAL AND MENTAL-IT'S ECONOMIC AND SPIRITUAL AS WELL. THAT'S WHY WE OFFER A MYRIAD OF PROGRAMS THAT ADDRESS ALL OF THESE IMPORTANT ISSUES. INTEGRIS HEALTH MOBILE CARE CLINIC NAME OF PROJECT: YUKON PUBLIC SCHOOLS HEALTH FAIR PROGRAM/PROJECT OVERVIEW: YUKON PUBLIC SCHOOLS (YPS) AND THE INTEGRIS HEALTH MOBILE CARE CLINIC TEAM UP EVERY YEAR TO COORDINATE THE YPS EMPLOYEE HEALTH FAIR. DURING THIS EVENT INTEGRIS HEALTH PROVIDES FREE HEALTH AND WELLNESS SCREENINGS TO HUNDREDS OF TEACHERS AND STAFF FROM ALL OF THE YUKON PUBLIC SCHOOLS. THE EVENT ALSO INVITES COMMUNITY ORGANIZATIONS FROM ALL OVER YUKON TO THE EVENT TO PROVIDE INFORMATION ON THEIR SERVICES. HIGHLIGHTS: JASON BRUNK, ASSISTANT SUPERINTENDENT OF HUMAN RESOURCES, SHARED THAT ONCE AGAIN THE HEALTH FAIR WAS VERY WELL RECEIVED. THE EVENT HAD MORE THAN 100 ATTENDEES THIS YEAR AND THERE ARE PLANS TO HAVE MORE AT NEXT YEAR'S EVENT. HE MENTIONED THAT THEY WILL BE WORKING ON SOME IDEAS TO INCORPORATE A PARTICIPATION COMPETITION BETWEEN BUILDINGS. JASON POINTED OUT A SUCCESS STORY FROM ONE OF HIS STAFF MEMBERS THAT ATTENDED THE HEALTH FAIR. JASON SAID THAT RIGHT AFTER THE EVENT, ONE OF HIS TEACHERS TOLD HIM THAT THANKS TO THE SCREENING PROVIDED BY INTEGRIS HEALTH MOBILE CARE CLINIC, SHE WAS ABLE TO FIND OUT THAT BOTH HER BLOOD PRESSURE AND CHOLESTEROL WERE AT AN ELEVATED LEVEL. ACCORDING TO JASON, SHE FOLLOWED UP WITH HER PRIMARY CARE PROVIDER THE NEXT DAY TO START TREATING THESE CONDITIONS THAT SHE WAS NOT AWARE OF. INTEGRIS HEALTH JAMES R. DANIEL STROKE CENTER NAME OF PROJECT: COMMUNITY STROKE EDUCATION PROGRAM/PROJECT OVERVIEW: UP TO 80 PERCENT OF STROKES ARE PREVENTABLE AND IT'S THE THING MOST LIKELY TO DISABLE YOU AND MAKE YOU DEPENDENT ON YOUR FAMILY FOR YOUR NEEDS. INTEGRIS HEALTH IS OKLAHOMA'S LEADING PROVIDER OF STROKE MEDICINE, SPECIALIZING IN PREVENTION, TREATMENT AND REHABILITATION WITH A COMMITMENT TO EXCELLENCE, INTEGRITY AND COMPASSION. STROKES HAPPEN EVERY 40 SECONDS IN THE U.S., AND WE WANT OUR COMMUNITIES TO KNOW WE ARE "STROKE READY." *THE GOALS FOR COMMUNITY STROKE EDUCATION ARE THE FOLLOWING: *RAISE AWARENESS ABOUT CONTROLLABLE RISK FACTORS. *LEARN HOW TO RESPOND QUICKLY TO STROKE SYMPTOMS. *REGAIN MAXIMUM ABILITIES WITH IMMEDIATE STROKE REHABILITATION INTERVENTIONS. HIGHLIGHTS: STROKE COMMUNITY EDUCATION PARTNERS WITH COMMUNITY ORGANIZATIONS RANGING FROM STUDENTS IN 3RD GRADE TO SENIORS AND FROM CHURCHES TO WELLNESS CLINICS AND HEALTH CLUBS. HUNDREDS OF PATRONS HAVE RECEIVED INTEGRIS HEALTH STROKE AWARENESS TRAINING DURING AND POST PANDEMIC. HOWEVER, "AT-RISK" POPULATIONS HAVE BEEN DIFFICULT TO REACH. DURING THE MAY 2022 "STROKE AWARENESS CAMPAIGN," A NEW PARTNERSHIP WITH BLACK COMMUNITIES PERMITTED A LARGE DISTRIBUTION OF STROKE EDUCATION FLYERS, "LIVE" STROKE AWARENESS PRESENTATIONS AND INFORMATIONAL BOOTH EXHIBITS. INTEGRIS HEALTH COMMUNITY CLINIC "IT'S BEEN WONDERFUL TO HAVE THESE SERVICE AT THE ICC. I WAS GIVEN EYE DROPS AND MY HEADACHES ARE GONE FOR GOOD. FOR YEARS I HAD HEADACHES AND AT WORK MY EYES WOULD GET IRRITATED AND TEARY WEARING THE EYE GEAR THAT I NEEDED. I DO NOT NEED EYEGLASSES YET, BUT IF IT EVER BECOMES NECESSARY, I KNOW I CAN GET HELP WITH THEM THROUGH THE ICC". OUR HEALTH CARE SYSTEM IN THE UNITED STATES CONTINUES TO CHANGE DUE TO AN AGING POPULATION, INCREASE IN CHRONIC DISEASES AND INCREASING COSTS FOR CARE. WHAT MANY ACROSS OUR COUNTRY ARE RECOGNIZING IS THE NEED OF TIMELY IDENTIFICATION OF HEALTH RISKS. FOLLOWING MEDICAID EXPANSION, INTEGRIS COMMUNITY CLINIC PATIENT POPULATION HAS CHANGED. THE PATIENTS SEEN AT THE CLINIC ARE IMMIGRANTS AND THOSE IN CONTINUED NEED FOR CHRONIC DISEASE MANAGEMENT WITHOUT ACCESS TO GOVERNMENT PROGRAMS. INTEGRIS HEALTH RECOGNIZES MANY VULNERABLE POPULATIONS DO NOT HAVE ACCESS TO CONSISTENT CARE, AND WE ARE COMMITTED TO BEING PART OF HEALTHCARE ACCESSIBILITY THROUGH THE INTEGRIS COMMUNITY CLINIC (ICC) PROVIDING THEM WITH CONSISTENT ACCESS TO MEDICAL CARE, EDUCATION, ASSISTANCE WITH RESOURCES AND THE ABILITY TO FOLLOW PATIENTS THROUGH A SECURE DATABASE IN ORDER TO SUPPORT OUR LONG-TERM GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. SINCE JANUARY 1993, INTEGRIS HEALTH OPENED THE ICC, A FREE MEDICAL CLINIC IN THE INNER CITY OF OKLAHOMA. THE CLINIC IS ALL-VOLUNTEER AND OFFERS FREE MEDICAL CARE TO LOW-INCOME, UNINSURED AND UNDERINSURED POPULATIONS. THE CLINIC OFFERS ADULT CARE OF CHRONIC DISEASES, ON-SITE PHARMACY, DIABETES EDUCATION CLASSES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES, VISION SERVICES AND FRESH PRODUCE DISTRIBUTION FOR FOOD INSECURE FAMILIES. NAME OF PROJECT: EYE CLINIC SERVICES/DEAN A MCGEE EYE INSTITUTE RESIDENTS PROGRAM/PROJECT OVERVIEW:ONCE A MONTH, DEAN A MCGEE'S OPHTHALMOLOGY RESIDENTS SEE PATIENTS AT THE ICC AND REFER PATIENTS TO DEAN A MCGEE EYE INSTITUTE FOR SURGERY OR TO LENS CRAFTERS FOR FREE EYEGLASSES WHEN NEEDED. HIGHLIGHTS: CATALINA SERRANO IS ONE OF THE ICC PATIENTS THAT HAS RECEIVED SERVICES: EYE EXAM, DIAGNOSTIC SCREENINGS AND THE PEACE OF MIND KNOWING THAT SHE'S BEEN TREATED BY THE BEST TEAM. NAME OF PROJECT: PATIENT CARE AND PRESCRIPTION ASSISTANCE PROGRAM/PROJECT OVERVIEW: THE INTEGRIS HEALTH COMMUNITY CLINIC SERVES UNINSURED AND UNDERINSURED PATIENTS ON MONDAYS. THE ICC IS A PRIMARY CARE CLINIC WITH FULL PRESCRIPTION ASSISTANCE TO THOSE IN MOST NEED. HIGHLIGHTS: NIBIA IGLESIAS HAS BENEFITTED THROUGH THE INTEGRIS HEALTH COMMUNITY CLINIC FOR TWO YEARS, RECEIVING MEDICAL CARE AND FREE PRESCRIPTIONS FOR HER DIABETES, ALLERGIES AND A RECENT CYST REMOVAL FROM HER NECK. NIBIA STATES "THANKS TO THE INTEGRIS HEALTH COMMUNITY CLINIC I AM IN A BETTER PLACE NOW. HERE THEY HAVE HELPED ME TO UNDERSTAND MY CONDITION AS A DIABETIC AND I'VE ADOPTED LIFE-CHANGING HABITS IN MY NUTRITION AND PHYSICAL ACTIVITY AFTER I ATTENDED THE NUTRITION AND DIABETES CLASS SERIES."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF PROJECT: PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY PROGRAM/PROJECT OVERVIEW: JIM THORPE REHABILITATION PROVIDES FREE CONSULTATIONS AND THERAPY SESSIONS TO INTEGRIS HEALTH COMMUNITY CLINIC PATIENTS AND REFERRED PATIENTS FROM OTHER FREE AND LOW-COST CLINICS. THERAPISTS VOLUNTEER THEIR TIME EVERY DAY THAT THE INTEGRIS HEALTH COMMUNITY CLINIC IS OPEN TO SEE PATIENTS. HIGHLIGHTS: MICHELLE, A KIDNEY TRANSPLANT RECIPIENT, EXPERIENCED SCIATICA NERVE PAIN AND WAS SEEN AS A WALK-IN PATIENT IN PT CLINIC AND WAS REFERRED FOR AN MRI AND FOLLOW-UP VISITS WITH HER PCP, WHICH RESULTED IN HER GOING BACK TO HER NORMAL ACTIVITIES IN A FEW DAYS. "I WILL ALWAYS BE GRATEFUL TO INTEGRIS HEALTH COMMUNITY CLINIC AND THERAPISTS. THEY HELPED ME TO GET TREATMENT WITHOUT DELAY AND SAVED ME FROM STAYING AT HOME WITH AN EXCRUCIATING PAIN FOR DAYS AND WITHOUT DIAGNOSTIC," SAID MICHELLE. "I KNOW I CAN GET HELP WITH THEM THROUGH THE INTEGRIS HEALTH COMMUNITY CLINIC." INTEGRIS HEALTH COMMUNITY GIVING FUND NAME OF PROJECT: YWCA ENID PROGRAM/PROJECT OVERVIEW: THE YWCA ENID HAS SERVED THE COMMUNITY FOR 101 YEARS, PROVIDING EMERGENCY SHELTER, FORENSIC EXAMS, COUNSELING, COURT ADVOCACY AND MORE TO THOSE ESCAPING INTIMATE PARTNERS VIOLENCE. WE EMPOWER SURVIVORS TO REBUILD THEIR LIVES FREE FROM SHAME, BLAME AND FUTURE VIOLENCE. THE INTEGRIS HEALTH COMMUNITY GIVING FUND HAS PROVIDED FUNDING FOR THE YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. THE SANE PROGRAM OFFERS FREE FORENSIC EXAMS TO ADULT VICTIMS OF SEXUAL ASSAULT AND DOMESTIC VIOLENCE IN A COMFORTABLE AND CONFIDENTIAL MEDICAL ROOM ON-SITE. THE SANE PROGRAM IS THE ONLY ADULT PROGRAM IN THE AREA. HIGHLIGHTS: THERE IS AN AVERAGE OF 45 TO 50 SANE EXAMS DONE EACH YEAR. SUPPORT SERVICES FOR VICTIMS ARE ALSO PROVIDED IF THEY CHOOSE TO FOREGO THE EXAM. THE YWCA PROVIDES SANE EXAMS FOR BOTH MEN AND WOMEN. EACH PERSON WILL HAVE A SEXUAL ASSAULT RESPONSE ADVOCATE (SARA) THERE, SO THEY DO NOT HAVE TO BE ALONE DURING THE EXAM OR THEIR TIME AT THE YWCA. YWCA HAS AN AGREEMENT WITH VANCE AIR FORCE BASE WHERE THE EXAMS ARE PROVIDED TO THE DEPARTMENT OF DEFENSE, AND THE BASE WILL SEND AN ADVOCATE TEAM MEMBER WITH THE VICTIM. COUNTNEY DENNIS, EXECUTIVE DIRECTOR, SAYS, "I THINK SANE IS THE MOST IMPORTANT PROGRAM WE PROVIDE. IF WE DID NOT PROVIDE THIS SERVICE, VICTIMS WOULD HAVE TO GET INTO A COP CAR TO WOODWARD OR STILLWATER FOR THE EXAMS. WE CAN PROVIDE SAFE, TRAUMA-INFORMED EXAMS FOR SEXUAL ASSAULT SURVIVORS RIGHT HERE IN OUR COMMUNITY." INTEGRIS HEALTH COMMUNITY GIVING FUND NAME OF PROJECT: BOYS &amp; GIRLS CLUB OF OTTAWA COUNTY PROGRAM/PROJECT OVERVIEW: AS THE LEADING NONPROFIT OUT-OF-SCHOOL-TIME PROVIDER WITHIN THIS COMMUNITY, BOYS &amp; GIRLS CLUBS OF OTTAWA COUNTY IS PART OF A NATIONAL MOVEMENT OF OTHER BOYS &amp; GIRLS CLUBS. TOGETHER, WE STAND READY TO SOLVE GAPS IN HEALTHY EATING, PHYSICAL ACTIVITY AND GENERAL HEALTHY LIFESTYLE DEVELOPMENT. OUR GOAL IS TO PROVIDE ACCESS AND OPPORTUNITIES TO SUPPORT YOUTH IN THREE KEY WAYS: *MAKE HEALTHY FOOD CHOICES *PARTICIPATE IN DAILY PHYSICAL ACTIVITY *DEVELOP THE SKILLS AND DESIRE TO CREATE SUSTAINABLE, HEALTHY ROUTINES HIGHLIGHTS: THE CLUB HAS SEEN AND REPORTED 478 YOUTH THAT ARE COMPLETING AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY PER DAY WHILE ALSO PARTICIPATING IN EITHER OUR TRAIL PROGRAM OR HEALTHY HABITS. THEY HAVE ALSO BEEN ABLE TO TRAIN AN ADDITIONAL THREE STAFF MEMBERS ON HEALTHY HABITS PROGRAMMING AND 32 STAFF MEMBERS DURING THE SUMMER PROGRAM. SINCE THE START OF THE GRANT YEAR, THE CLUB IMPLEMENTED A CACFP FEEDING PROGRAM ACROSS THREE OF THE LOCATIONS, SERVING DINNER EACH EVENING. THE IMPLEMENTATION OF THE CACFP FEEDING PROGRAM WAS TRANSFORMATIONAL FOR THE CLUB KIDS AND COMMUNITY BECAUSE THE PROGRAM ENSURES KIDS LEAVE THE FACILITY WITH DINNER. EACH EVENING, THREE OF THE FIVE LOCATIONS SERVE DINNER TO ALL YOUTH. SO, BETWEEN THE SCHOOL DISTRICT AND THE BOYS &amp; GIRLS CLUB THEY ARE ENSURING ALL YOUTH HAVE AT LEAST THREE MEALS PER DAY. OVERALL, THIS IS IMPROVING ACCESS TO HEALTHY AND AFFORDABLE FOOD OPTIONS FOR KIDS AND FAMILIES. INTEGRIS HEALTH MOBILE CARE CLINIC NAME OF PROJECT: ON THE ROAD TO HEALTH PROGRAM/PROJECT OVERVIEW: THE LYNN INSTITUTE'S "ON THE ROAD TO HEALTH" PROGRAM IS IN PARTNERSHIP WITH THE INTEGRIS HEALTH MOBILE CARE CLINIC. THE CLINIC HAS PARTNERED WITH THE LYNN INSTITUTE TO PROVIDE SUPPORT IN BOTH THE BIOMETRIC COLLECTION AND EDUCATION COMPONENTS OF THE PROGRAM. THE GOAL OF THE PROGRAM IS TO MOTIVATE AND CHANGE THE LIFESTYLE OF THE PARTICIPANTS TO LIVE HEALTHIER LIVES THROUGH AN EIGHT-WEEK SERIES OF IN-PERSON CLASSES WHERE PARTICIPANTS RECEIVE EDUCATION AND INFORMATION ABOUT NUTRITION, EXERCISE AND THE SCIENCE OF HOPE. HIGHLIGHTS: THROUGH THE MOBILE CARE CLINIC BIOMETRIC SCREENINGS, THE CLINIC TEAM WAS ABLE TO IDENTIFY ABNORMALITIES IN THE PARTICIPANTS' SCREENING VALUES AND ADDRESS THEM BY PROVIDING EDUCATION AND REFERRALS. DURING THE INITIAL BIOMETRIC COLLECTION FOR THE PROGRAM, THE CLINIC TEAM IDENTIFIED A FEMALE PARTICIPANT WITH AN A1C OF 14 (NORMAL IS BELOW 5.7). SHE WAS DETERMINED TO MAKE A HEALTHY CHANGE IN HER LIFE. SHE ATTENDED ALL THE PROGRAM SESSIONS AND LEARNED HOW AND WHY IT IS IT IMPORTANT TO TAKE HER MEDICINE AS INDICATED. DURING THE FINAL BIOMETRIC COLLECTION, HER A1C HAD DROPPED TO 7.2 (ALMOST HALF OF WHAT SHE HAD WHEN SHE STARTED THE PROGRAM). SHE WAS HAPPY WITH THE IMPROVEMENTS SHE HAD MADE AND STARTED TO MOTIVATE OTHERS IN THE PROGRAM TO KEEP ATTENDING AND PROGRESSING WITH THEIR GOALS. UNDERSTANDING HOSPITAL CHARGES CAN BE SOMETIMES CHALLENGING AT INTEGRIS HEALTH OUR GOAL IS TO DELIVER THE HIGHEST QUALITY CARE AT THE MOST REASONABLE PRICES THROUGH OUTSTANDING CUSTOMER SERVICE. WE PLEDGE TO BE TRANSPARENT IN OUR COST, QUALITY AND CUSTOMER SERVICE REPORTING. THESE DAYS PATIENTS ARE SHARING MORE IN THE COSTS OF THEIR OWN HEALTH CARE, THEREFORE INTEGRIS HEALTH BELIEVES YOU SHOULD HAVE ACCESS TO THE INFORMATION YOU NEED TO MAKE INFORMED HEALTH CARE CHOICES. OUR PRICING PHILOSOPHY IS THIS: INTEGRIS HEALTH SEEKS TO ESTABLISH PRICES THAT ARE FAIR TO PATIENTS AND PAYORS, REASONABLE IN THE MARKETS WE SERVE, CONSISTENT WITH OUR PEERS WHO PROVIDE SIMILAR SERVICES WHILE IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE ALSO BELIEVE IT IS IMPORTANT FOR YOU TO UNDERSTAND HOW EACH DOLLAR OF BILLED CHARGES IS SPENT AT INTEGRIS HEALTH. AS A NOT-FOR-PROFIT COMPANY, INTEGRIS HEALTH REINVESTS ANY BUDGET SURPLUS BACK INTO THE ORGANIZATION TO IMPROVE THE LEVEL OF SERVICES THAT IT PROVIDES TO THE COMMUNITY. WHILE YOUR HEALTH PLAN OR PERSONAL PREFERENCE MAY DICTATE WHERE YOU DECIDE TO RECEIVE CARE, COMPARING CHARGES BETWEEN LOCAL PROVIDERS FOR SIMILAR PROCEDURES, COMBINED WITH QUALITY DATA, MAY BETTER PROVIDE YOU WITH AN OVERALL PICTURE OF THE TOTAL VALUE YOU WILL RECEIVE AT THE HOSPITAL OF YOUR CHOICE. INTEGRIS HEALTH HOSPITAL BILLS DO NOT INCLUDE FEES FOR PHYSICIAN SERVICES. YOU MAY RECEIVE MORE THAN ONE BILL FOR YOUR HOSPITAL VISIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>WHERE DOES THE INTEGRIS DOLLAR GO? BILL CHARGED $1.00 *DISCOUNTS TAKEN BY MEDICARE, MEDICAID, MANAGED CARE COMPANIES AND OTHER INSURERS 0.59 *FREE SERVICE/CHARITY CARE 0.02 *BAD DEBT EXPENSE FROM PATIENTS NOT PAYING BILLS 0.04 *EMPLOYEE SALARIES 0.13 *EMPLOYEE HEALTH INSURANCE EXPENSE 0.01 *EMPLOYEE RETIREMENT EXPENSE 0.01 *MEDICAL, SURGICAL AND DRUG SUPPLIES 0.05 *OTHER GENERAL SUPPLIES 0.01 *PURCHASED SERVICES FOR MAINTENANCE, LAB AND OTHER SERVICES 0.05 *TELEPHONE, UTILITY AND RENTAL EXPENSES 0.01 *OTHER OPERATIONAL EXPENSES 0.03 TOTAL EXPENSES 0.96 *FUNDS AVAILABLE FOR NEW EQUIPMENT, CONSTRUCTION AND CLINICAL PROGRAM IMPROVEMENT 0.04 2022 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS HEALTH PROVIDED $108,551,020.29 IN COMMUNITY BENEFITS. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR COMMUNITY. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA - FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE AS REFLECTED IN THE PREVIOUS PAGES. OUR RETURNSHIP EFFORTS EQUALED $4,747,748.34. COMMUNITY BUILDING COMMUNITY BUILDING IS ANOTHER VITAL WAY WE GIVE BACK. THESE EFFORTS ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. SOME OF OUR ACTIVITIES IN COMMUNITY BUILDING ARE PHYSICAL IMPROVEMENTS IN HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL ENHANCEMENTS AND ADVOCACY FOR ADVANCEMENTS IN COMMUNITY HEALTH. OUR COMMUNITY BUILDING EFFORTS EQUALED $116,032.00. UNCOMPENSATED SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS HEALTH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH-NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. INTEGRIS HEALTH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY CARE BY OFFERING FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. INTEGRIS HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED COST OF $34,901,770.58. BAD DEBT IN ADDITION, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $20,452,766.23 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO. MEDICAID SERVICES INTEGRIS HEALTH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. THIS INCLUDES THE ACTUAL UNPAID COST OF PROVIDING CARE TO MEDICAID PATIENTS AND REPRESENTS A SHORTFALL BETWEEN COST OF CARE AND PAYMENTS RECEIVED BY MEDICAID. INTEGRIS HEALTH PROVIDED MEDICAID SERVICES AT AN ESTIMATED COST OF $68,785,469.37.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS 2022 AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB EVENT 32ND ANNUAL HISPANIC HEALTH FAIR CANCER SCREENINGS A CHANCE TO CHANGE ACHIEVERS UNDER 40 AWARD CEREMONY ACS HOPE LODGE TOPPING CEREMONY ACUPUNCTURE 101 ALZHEIMER'S ASSOCIATION ENID WALK TO END ALZ ALZHEIMER'S ASSOCIATION OKC WALK TO END ALZ AMBUCS MEETING AMERICAN CANCER SOCIETY BOARD MEETING AMERICAN CANCER SOCIETY CATTLE BARON TOURNAMENT AMERICAN CANCER SOCIETY CATTLE BARON'S NETWORKING AMERICAN CANCER SOCIETY CATTLEBARON'S BALL AMERICAN CANCER SOCIETY LUNG CANCER WEBINAR AMERICAN CANCER SOCIETY MEETING AMERICAN CANCER SOCIETY'S CATTLE BARRON BALL COMMUNITY AWARENESS E AMERICAN LUNG ASSOCIATION "FIGHT FOR AIR CLIMB" BOOTH AMERICAN LUNG ASSOCIATION 2022 PLANNING AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB PACKET PICKUP AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB PLANNING MEETING ANNUAL OKLAHOMA SPORTS HALL OF FAME GOLF CLASSIC AUTRY TECH CENTER STRATEGIC PLANNING SESSION BENEFITS OF TEA CANCER SUPPORT GROUP IN SPANISH CANCERCHECK HISPANIC HEALTH FAIR CDSA WINE TOUR CELEBRATION OF LIFE, NATIONAL CANCER SURVIVORS DAY CHAMBER COMMUNITY DEVELOPMENT PARTNER- GOLD CHAMBER OF COMMERCE MEMBERSHIP CHAMPAGNE AND DIAMONDS COMMUNITY SPONSOR CHILI COOK OFF - UNITED WAY CITY RESCUE MISSION HEARTS OF HOPE CLINICAL HOURS NURSING/EMT/PARAMEDIC FY 22 COMMUNITY BENEFIT BUDGET FY 2021-22 COMMUNITY BENEFIT TRACKING COMMUNITY CLINIC FLU VACCINE DONATION COMMUNITY CLINICS BUDGET FY 2021-22 COMMUNITY HOURS FOR TIM PEHRSON, CEO, FY 2021-22 CRISTO REY ENTREPRENEUR DA ELDER ABUSE TEAM MEETING DEEP (DIABETES EMPOWERMENT EDUCATION PROGRAM) DIABETES EDUCATION AT ICC ECONOMIC DEVELOPMENT FOR TIM PEHRSON, CEO FOR FY 2021-22 EDMOND COMMUNITY HEALTH FAIR ENID CHAMBER OF COMMERCE ANNUAL MEETING ENID HIGH SCHOOL CAREER FAIR ENID HOPE SUMMIT ENID REGIONAL DEVELOPMENT ALLIANCE QUARTERLY MEETING ENID STAMPEDE/FAIRVIEW TRIATHLONS ENID STATE OF AFFAIRS MEETING ENID YOUNG PROFESSIONALS MEETING ESSENTIALS FOR SOMATIC MOVEMENT EVENING CELEBRATING OK HEALTHCARE HEROES - MARCH OF DIMES EXECUTIVE LEADERSHIP COUNCIL MEETING FACEBOOK LIVE INFORMATION SESSIONS IN SPANISH FIGHT FOR AIR CLIMB COMMITTEE MEETING FY 23 COMMUNITY BENEFIT HOURS - CLINICAL PROGRAMS GREAT LAND RUN- BRONZE SPONSOR GROCERY STORE TOUR HEALTH ALLIANCE FOR THE UNINSURED HEALTH BY CHOCOLATE HEALTHY LIVING, LIVESTRONG AT THE YMCA HEDGES SPEECH AND HEARING SILENT MOVIE HES 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 HES 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 HES 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 HISPANIC HEALTH FAIR HISPANIC RADIO, TELEVISION AND NEWSPAPER HOSPICE CIRCLE OF LOVE BENEFIT CLAY SHOOT HOSPICE CIRCLE OF LOVE MINT JULEP JUBILEE IBBHC CHIP MEETING IBBHC COMMUNITY EDUCATION STROKE AWARENESS IBBHC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS I-CREW ENID WELCOME TABLE IHBMC COMMUNITY EDUCATION STROKE AWARENESS IHBMC FY22 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS, AND FELLOWS IHBMC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHBMC NURSING, AUA, SURGICAL TECH AND PARAMEDIC STUDENT CLINICALS IHBMC OT AND OTA 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 IHBMC OT AND OTA 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 IHBMC PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING STUDENTS IHBMC PRECEPTORSHIP FOR ADVANCED DEGREE NURSING STUDENTS IHCVH COMMUNITY EDUCATION STROKE AWARENESS IHCVH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHCVH NURSING, AUA, SURGICAL TECH AND PARAMEDIC CLINICAL STUDENTS IHE COMMUNITY EDUCATION STROKE AWARENESS IHE NURSES, AUA, SURGICAL TECH AND PARAMEDIC CLINICAL STUDENTS IHGH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHMH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHSMC COMMUNITY EDUCATION STROKE AWARENESS IHSMC FY22 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS, AND FELLOWS IHSMC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHSMC NURSES, AUA, SURGICAL TECH, PARAMEDIC CLINICAL STUDENTS IHSMC OT AND OTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 IHSMC OT AND OTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 IHSMC PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING STUDENTS IHSMC PRECEPTORSHIP FOR ADVANCED DEGREE NURSING STUDENTS IN-KIND DONATION FOR SPACE FOR MDA CLINIC IN-KIND DONATION OF STAFF FOR MDA CLINIC INTEGRIS COMMUNITY CLINIC INTEGRIS MOBILE CARE CLINIC INTEGRIS PHARMACEUTICAL ASSISTANCE PROGRAM FY 2021-22 ITN CENTRAL OKLAHOMA PROGRAMMATIC SUPPORT JOHN ADAMS-CITY OF OKC/ MAPS 3 SR WELLNESS GROUND BREAKING JOHN ADAMS-OBI AUDIT COMMITTEE MEETING JOHN ADAMS-OBI BOARD MEETING JOHN ADAMS-OKLAHOMA BOARD INSTITUTE (OBI) "VIRTUAL" BOARD MEETING JOHN ADAMS-SOUTH CHAMBER EXECUTIVE COMMITTEE MEETING JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE AT 8700 S. PENN JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE AT ENERGY FC JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE MEETING JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE-ARMSTRONG BANK JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE MEETING AT EARLYWINE YMCA JOHN ADAMS-SOUTH OKLAHOMA CITY CHAMBER BOARD MEETING JOY IN JULY JWL CHARITY GALA - TABLE SPONSOR LEADERSHIP GREATER ENID LEADERSHIP GREATER ENID GAMES COMMITTEE LEADERSHIP GREATER ENID GOLF TOURNAMENT LEADERSHIP GREATER ENID IBBHC HOST TOUR LEADERSHIP GREATER ENID ORIENTATION LEADERSHIP GREATER ENID PLANNING MEETING LEUKEMIA &amp; LYMPHOMA SOCIETY - LIGHT THE NIGHT MEETING LEUKEMIA &amp; LYMPHOMA SOCIETY'S LIGHT THE NIGHT T-SHIRT BOOTH LGE GOLF TOURNAMENT BRONZE SPONSOR LIGHT THE NIGHT EVENT LOAVES AND FISHES BOARD MEETING LOCAL HEALTHCARE WORKERS: A VIEW FROM THEIR EYES LYNN INSTITUTE LEGACY LUNCHEON</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>MAKE A WISH OKLAHOMA MARCH OF DIMES MEALS DONATED TO LOCAL CHURCH MEALS ON WHEELS FY 2021-22 MEDICAL STUDENT FAMILY MEDICINE ROTATION 21-22 MEDITATION MEETING WITH ATTORNEY GENERAL JOHN O'CONNER MEETING WITH GOVERNOR KEVIN STITT MEETING WITH ST. MARY'S COO MERIDIAN TECHNOLOGY STUDENTS MINDFULNESS MINDFULNESS MEDITATION MINI HEALTH FAIRS MOBILE MEALS MONTHLY LECTURES IN SPANISH MY HEALTH/OK SHINE UPDATE W/DR. KENDRICK ZOOM CALL NON-REIMBURSED IRB FEES FY 2022 (JUL 2021-JUN 2022) NUTRITION CLASS SERIES IN SPANISH OHA ADVOCACY DAY OHA CONVENTION OHA EXECUTIVE ONBOARDING MEETING OHA FEDERAL VACCINE MANDATE ZOOM CALL OHA MEMBER UPDATE ZOOM CALL OHA NW REGION CEOS AND CFOS MEDICAID PRESENTATION ZOOM CALL OHA OPEN CEREMONIES OHA PUBLIC RELATIONS AND MARKETING SOCIETY SESSION OK MEN COUNT GOLF TOURNAMENT OK PROJECT WOMAN SPONSORSHIP OKC CHAMBER "STATE OF THE CITY" OKC LIGHT THE NIGHT EXECUTIVE COMMITTEE BREAKFAST OKEENE HOSPITAL SITE VISIT OKLAHOMA BLOOD INSTITUTE BLOOD DRIVE AT INTEGRIS BASS BAPTIST HEAL OKLAHOMA CARING FOUNDATION CHAMPIONS OF HEALTH OKLAHOMA HOSPITAL ASSOCIATION OKLAHOMA NURSES ASSOCIATION OSSM BOARD OF TRUSTEES MEETING OSSM FOUNDATION BOARD MEETING OSSM TEACHER TOUR OSTEOPATHIC FOUNDATION CHARITY BALL TITLE SPONSOR PACIFIC ISLANDER HEALTH CLINIC PROJECT 31 MEETING PROJECT 31 PAINT THE TOWN PINK PROJECT 66 EDMOND-RESOURCE FAIR PROJECT WOMAN MEETING PT 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 PT 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 PT AND PTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 PT AND PTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 REMERGE LUNCHEON RESOURCE ROOM ROSE STATE COLLEGE STUDENTS ROTARY MEETING- GUEST SPEAKER SCOTT ANTHONY-EDMOND YMCA COUNCIL MEETING SEATED SOMATICS SHA COMMUNITY CLINIC SHATTUCK HOSPITAL SITE VISIT SLP 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 SLP 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 SLP 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 SLP 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 STANLEY HUPFELD ACADEMY BUDGET FY 2021-22 STITCHING FOR SANITY STRATEGY TEAM COMMUNITY VOLUNTEER EFFORT TENACIOUSLY TEAL SPONSORSHIP THE CHRIST TREE SPONSORSHIP- TITLE SPONSORSHIP TRINITY AT EDGMERE SCHOOL, PUBERTY PRESENTATION TURKEY DONATION TO LOAVES AND FISHES UCO COMMUNITY &amp; PUBLIC HEALTH INTERNSHIPS UCO FAIR BOOTH UNITED WAY ANNUAL MEETING SPONSOR UNITED WAY CAMPAIGN COORDINATOR'S LUNCHEON HOSTED BY IBBHC UNITED WAY CHILI COOKOFF UNITED WAY GOLF TOURNAMENT UNITED WAY LUNCHEON UNITED WAY MEETING RECRUITING / DEVELOPING WORKFORCE UNITED WAY OF CENTRAL OKLAHOMA 100TH ANNIVERSARY UNITED WAY OF CENTRAL OKLAHOMA ANNUAL CORPORATE GIFT UNITED WAY OF CENTRAL OKLAHOMA SNOWFLAKE GALA 2022 UNITED WAY TEAMS MEETING VANCE SPOUSE'S CLUB CHARITY AUCTION YMCA GOLF TOURNAMENT YODA NIDRA EXPERIENCE YOGA HEALING THROUGH MOVEMENT/SAFER AT HOME YOGA YUKON CHAMBER OF COMMERCE 2021-2022 YUKON CITY COUNCIL MEETING YUKON PUBLIC SCHOOLS REALITY CHECK</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V: QUESTION 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF EMPLOYEES REPORTED ON INTEGRIS HEALTH, INC.'S 2022 FORM W-3. INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, ACTS AS THE PAYROLL AGENT FOR ALL OF THE SYSTEM ENTITIES AND ALL SYSTEM EMPLOYEES ARE INCLUDED ON ITS FORM W-3 AND ITS FORM 941, EMPLOYER'S QUARTERLY FEDERAL TAX RETURN. THE SALARIES ARE REIMBURSED TO INTEGRIS HEALTH, INC. BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990 PARTS VII, IX, AND SCHEDULE J, AS APPROPRIATE. THE AMOUNTS REPORTED ON PART V, LINE 2A OF THE FORMS 990 OF THE INDIVIDUAL ENTITIES WITHIN THE SYSTEM REPRESENT THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE RESPECTIVE FILING ORGANIZATIONS DURING THE 2022 TAX YEAR, AND THOSE EMPLOYEES ARE ALSO INCLUDED IN THE TOTAL REPORTED ON THE INTEGRIS HEALTH, INC. FORM 990, PART V, LINE 2A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ADVISORY BOARD FULFILLS THE NECESSARY GOVERNANCE AUTHORITY FOR MEDICAL STAFF MEMBERSHIP AND QUALITY OF CARE OVERSIGHT AS REQUIRED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES CONDITIONS OF PARTICIPATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM HAS A SINGLE AUDIT COMPLIANCE COMMITTEE WHICH OVERSEES THE CONSOLIDATED FINANCIAL STATEMENT AUDIT AS WELL AS THE FILING OF FEDERAL AND STATE TAX FORMS. THE SYSTEM ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. A DRAFT FORM 990 IS PROVIDED TO THE SYSTEM VICE PRESIDENT, FINANCE FOR REVIEW. A FINAL FORM 990 IS GIVEN TO THE SYSTEM CHIEF FINANCIAL OFFICER FOR REVIEW, APPROVAL, AND SIGNATURE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, AS WELL AS TO THE SYSTEM'S AUDIT/COMPLIANCE COMMITTEE, FOR REVIEW PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE SYSTEM CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION AND ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS AND TO REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEMS'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST POLICIES DURING LEADERSHIP TRAINING. LEGAL SERVICES REVIEWS ALL CONTRACTS FOR CONFLICTS OF INTEREST. INTERNAL AUDIT CONDUCTS AUDITS FOR POSSIBLE CONFLICTS OF INTEREST BASED ON THEIR ANNUAL RISK ASSESSMENT. CORPORATE COMPLIANCE INCLUDES ASSESSMENTS FOR CONFLICTS OF INTEREST IN ITS ANNUAL WORK PLAN AND CONDUCTS SPECIALIZED TRAINING FOR HIGH RISK AREAS. THE GOVERNANCE COMMITTEE, A COMMITTEE OF THE SYSTEM'S BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF THE SYSTEM AND A DISQUALIFIED PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS THE CONTROLLING MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). COMPENSATION FOR THE CEO, MANAGING DIRECTORS AND VICE PRESIDENTS IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS AND ULTIMATELY THE FULL BOARD OF DIRECTORS. THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REFLECTS A REVIEW OF THE COMPARABILITY DATA, THE EXECUTIVE PERFORMANCE REVIEWS AND THE DECISION-MAKING PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR THE SYSTEM. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTUARIAL ADJUSTMENT TO RETIREMENT PLAN BALANCE 51,481,451. LOSS FROM SUBSIDIARIES - EQUITY METHOD -65,191.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEDICAL PARKING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731210537</EIN>
        <PrimaryActivitiesTxt>PARKING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <TotalIncomeAmt>1224191</TotalIncomeAmt>
        <EndOfYearAssetsAmt>6458293</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS REALTY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731192750</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <TotalIncomeAmt>8520988</TotalIncomeAmt>
        <EndOfYearAssetsAmt>83685925</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH AFFILIATES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS AMBULATORY CARE CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731192765</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HOSPICE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731369586</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS BAPTIST MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731034824</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS RURAL HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731444504</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS SOUTHWEST MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731089149</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731047338</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESTERN VILLAGE ACADEMY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731588764</EIN>
        <PrimaryActivitiesTxt>SCHOOL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH EDMOND INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>451027361</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS MENTAL HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>730738716</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH ALLSET URGENT CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>923075963</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BMPA LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731228665</EIN>
        <PrimaryActivitiesTxt>MED. OFFICE BLDG.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PROHEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>EXCLUDED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>QC-III</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>208723857</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IBMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DIAGNOSTIC LAB</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>500 PLAZA DR TAX DEPT FL 8</AddressLine1Txt>
          <CityNm>SECAUCUS</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07094</ZIPCd>
        </USAddress>
        <EIN>731560760</EIN>
        <PrimaryActivitiesTxt>CLINICAL LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>QUEST DIAGNOSTICS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRISUSP HEALTH</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>14201 DALLAS PARKWAY</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75254</ZIPCd>
        </USAddress>
        <EIN>352632292</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS DDSI ENDOSCOPY CENTERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3366 NORTHWEST EXPRESSWAY STE 400</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73112</ZIPCd>
        </USAddress>
        <EIN>854253589</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS DDSI ENDOSCOPY CENTERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3366 NORTHWEST EXPRESSWAY STE 400</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73112</ZIPCd>
        </USAddress>
        <EIN>854253589</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LAKESIDE WOMEN'S HOSPITAL</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731493662</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS EMERGENCY HOSPITAL</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8686 NEW TRAILS DRIVE</AddressLine1Txt>
          <CityNm>THE WOODLANDS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77381</ZIPCd>
        </USAddress>
        <EIN>901215089</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS PROHEALTH INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731046179</EIN>
        <PrimaryActivitiesTxt>RETAIL PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>28333146</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>37586541</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE STANLEY F HUPFELD REMAINDER TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>266238051</EIN>
        <PrimaryActivitiesTxt>FINANCIAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IH FDN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>QUALITY ALLIANCE ASSURANCE COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>14032381</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III AND PART IV: DIRECT CONTROLLING ENTITY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ABBREVIATIONS SHOWN BELOW HAVE BEEN UTILIZED IN THE RETURN FOR THE FOLLOWING ENTITIES: INTEGRIS RURAL HEALTH HEALTH, INC. (IRH) INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) INTEGRIS HEALTH FOUNDATION, INC. (IH FDN.) INTEGRIS HEALTH, INC. (IH) INTEGRIS AMBULATORY CARE CORPORATION (IACC) INTEGRIS PROHEALTH, INC. (PROHEALTH)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
