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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Woodward Hospital was acquired by the INTEGRIS Health System, a tax-exempt organization in November of 2023. Prior to its acquisition, Woodward Hospital was a for-profit hospital and was not subject to 501(r). Based on the date the facility was acquired, its first community health needs assessment must be adopted before June 30, 2027.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>6</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INTEGRIS Health Woodward Hospital - Outpatient Rhab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1620 Oklahoma Avenue</AddressLine1Txt>
            <CityNm>Woodward</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73801</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehab Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rural Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1611 Main St Suite 102</AddressLine1Txt>
            <CityNm>Woodward</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73801</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rural Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1101 HillCrest Drive</AddressLine1Txt>
            <CityNm>Woodward</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73801</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rural Health Clinic</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>1818 Kansas Ave</AddressLine1Txt>
            <CityNm>Woodward</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73801</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rural Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>417 SW 7th St</AddressLine1Txt>
            <CityNm>Moreland</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73851</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rural Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>908 19th Street</AddressLine1Txt>
            <CityNm>Woodward</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73801</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section A</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH WOODWARD HOSPITAL, INC. (WOODWARD) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH WOODWARD FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH INC. 73-1192764, THE PARENT ORGANIZATION OF INTEGRIS WOODWARD HOSPITAL, INC., PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST TO CHARGE RATIO AS USED TO CALCULATE PART I, LINE 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS. WOODWARD WAS NOT ABLE TO DETERMINE AMOUNTS ATTRIBUTABLE TO CHARITY CARE AT THE TIME OF THE FILING DUE TO THE TIMING OF THE ACQUISITION AND DATA AVAILABLE, HOWEVER MANAGEMENT BELIEVES THERE ARE AMOUNTS THAT SHOULD BE REPORTED ON PART 1, LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS REPRESENTS THE ACTUAL CUSTOMER AMOUNTS DUE TO WOODWARD AMOUNTS BEING WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>WOODWARD DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>WOODWARD DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF INTEGRIS HEALTH, INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: A PORTFOLIO APPROACH BY MAJOR PAYOR CATEGORIES AND TYPES OF SERVICE WAS USED TO ESTIMATE THE HISTORICAL COLLECTIONS EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED AT LEAST QUARTERLY BASED ON ACTUAL COLLECTIONS EXPERIENCE. INTEGRIS HEALTH BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WAS USED. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE ASSESSED FIRST FOR ELIGIBILITY FOR CHARITY CARE OR RECORDED AS BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL BELIEVES THAT ALL OF THE $3,260,145 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH OUR COST EXCEEDS REIMBURSEMENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING ELDERLY IN OUR COMMUNITY. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES. ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED. WOODWARD DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- INTEGRIS HEALTH WOODWARD HOSPITAL, INC.: Line 16a URL: https://integrishealth.org/patient-information/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- INTEGRIS HEALTH WOODWARD HOSPITAL, INC.: Line 16b URL: https://integrishealth.org/patient-information/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- INTEGRIS HEALTH WOODWARD HOSPITAL, INC.: Line 16c URL: https://integrishealth.org/patient-information/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES: *POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS. *A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS. *A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ON-LINE CHARITY APPLICATION. *A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL. FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH SYSTEM IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS, WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN'S CLINICS, MENTAL HEALTH FACILITIES, CANCER CENTERS, INDEPENDENT LIVING CENTERS, AND HOME HEALTH AGENCIES THROUGHOUT MOST OF THE STATE. ALL COUNTIES IN WHICH INTEGRIS HEALTH OPERATES INCLUDE ONE OR MORE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. INTEGRIS HEALTH WOODWARD HOSPITAL IS LOCATED IN WOODWARD, OKLAHOMA , WHICH IS IN WOODWARD COUNTY IN NORTH CENTRAL OKLAHOMA. SERVICES INCLUDE EMERGENCY CARE, LABOR AND DELIVERY, ORTHOPEDICS, REHABILITATION SERVICES, AND WOMEN'S HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS. ALL INTEGRIS HEALTH FACILITIES ARE GOVERNED BY A BOARD OF DIRECTORS SPECIFICALLY MADE UP OF MEN AND WOMEN WHO LIVE AND WORK IN THE COMMUNITY INCLUDING: LOCAL BUSINESS OWNERS, CIVIC LEADERS, COMMUNITY VOLUNTEERS, REPRESENTATIVES WORKING IN HIGHER EDUCATION, UTILITY COMPANIES, AND A VARIETY OF NON-PROFIT ORGANIZATIONS. PATIENT AND COMMUNITY ADVISORY GROUPS HAVE ALSO BEEN ESTABLISHED AT SEVERAL INTEGRIS FACILITIES ACROSS THE STATE. THESE GROUPS GIVE HOSPITAL LEADERS INPUT, SUGGESTIONS, AND FEEDBACK ON WAYS TO IMPROVE PROGRAMS, SERVICES, COMMUNITY NEEDS, AND PROCESS IMPROVEMENT IN CLINICAL AREAS. PROGRAMS ESTABLISHED TO MEET COMMUNITY NEEDS INCLUDE COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES AND EDUCATIONS. AND STROKE LECTURES. ADVOCACY INITIATIVES FOR PROMOTING COMMUNITY-WIDE, STATE OR NATIONAL EFFORTS TO IMPROVE HEALTH OF THE POPULATION AND INCREASE ACCESS. INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA LIONS CLUB MOBILE HEALTH UNIT, THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE OKLAHOMA TURNING POINT PROGRAM TO INCREASE HEALTH SCREENING OPPORTUNITIES AND HEALTH ACCESS FOR PEOPLE LIVING IN RURAL, UNDERSERVED AREAS OF OKLAHOMA. THE PARTNERSHIP INCLUDES DONATION OF RESOURCES AND MONEY TO SPONSOR THE OPERATION OF THE LIONS MOBILE HEALTH UNIT WHICH TRAVELS AROUND THE STATE OFFERING FREE HEALTH SCREENINGS AND MEDICAL INFORMATION. THE OKLAHOMA STATE HEALTH DEPARTMENT AND THE OKLAHOMA TURNING POINT PROGRAM ASSIST WITH HEALTH SCREENINGS AND HELP WITH REFERRALS TO MEDICAL HOMES AND CLINICS FOR PEOPLE WITHOUT A PHYSICIAN AND FOR THOSE UNINSURED OR UNDERINSURED. INTEGRIS HEALTH HAS ESTABLISHED THE INTEGRIS HEALTH COMMUNITY GIVING FUND GRANT TARGETING THE THREE PRIORITIZED HEALTH AREAS. INTEGRIS HEALTH'S 2023-2025 COMMUNITY HEALTH PRIORITIES ARE ACCESS TO CARE (INCLUDING MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION MANAGEMENT), ACCESS TO HEALTHY FOOD, AND TOBACCO USE PREVENTION, THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING, AND TREATMENT STRATEGIES. EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS OR CREATE ACCESS TO COMPREHENSIVE MEDICAL CARE CONTINUE TO BE A PRIORITY OF THE COMMUNITY GIVING FUND. IN ORDER TO QUALIFY FOR GRANT FUNDING, THE PROGRAM OR SERVICE MUST ALIGN WITH ONE OR MORE OF THE FOLLOWING HEALTH PRIORITIES AND PROVIDE EVIDENCE-BASED DATA TO SUPPORT THE PROGRAM STRATEGIES (REPORTED QUARTERLY TO INTEGRIS HEALTH DURING THE GRANT YEAR): ACCESS TO CARE (INCLUDES MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT)-IMPROVE ACCESS TO MEDICAL CARE SERVICES, BEHAVIORAL; HEALTH, OR SUBSTANCE USE TREATMENT. IMPROVE THE PREVENTION, DETECTION, TREATMENT AND/OR MANAGEMENT OF DEPRESSION, AND REDUCE THE SUICIDE RATES. ACCESS TO HEALTHY FOOD-IMPROVE ACCESS TO HEALTHY AND AFFORDABLE FOOD AND KNOWLEDGE OF HEALTHY FOOD AND LIFESTYLE CHOICES. TOBACCO USE-REDUCE VAPING, ELECTRIC CIGS, TOBACCO USE AND SECONDHAND SMOKE EXPOSURE. INTEGRIS HEALTH PARTNERS WITH LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE HEALTH ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION. THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES AND REDUCING HEALTH CARE COSTS. INTEGRIS COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS ABOUT HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT HOW THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HEALTH HAS BEEN ABLE TO HELP SLOWLY IMPROVE THE ACCESS TO HEALTHCARE IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS. ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>WOODWARD IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. INTEGRIS BAPTIST MEDICAL CENTER IS THE FLAGSHIP HOSPITAL OF THE SYSTEM. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON SCHEDULE H, PART V AND THE FACILITIES OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>OK</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH WOODWARD HOSPITAL, INC. (WOODWARD) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, WOODWARD RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS 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 AND RECEIVED PAYMENTS IN THE CURRENT REPORTING YEAR: TIMOTHY PEHRSON - $237,683 MICHAEL WEED - $17,356</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH 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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS COMMUNITY BENEFIT REPORT 2023 A MESSAGE FROM OUR PRESIDENT &amp; CEO: INTEGRIS Health is Oklahoma's largest not-for-profit health system and has served Oklahoma communities for more than 100 years. Our mission is partnering with people to live healthier lives. 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 serve as a health care thought leader in Oklahoma. This report highlights in greater detail the ways INTEGRIS Health positively impacted our communities last year. I hope you enjoy our 2023 Community Benefit Report. Thank 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: I-CARE - INTEGRITY. COMPASSION. ACCOUNTABILITY. RESPECT. EXCELLENCE. INTEGRIS Health Network Welcomes Ponca City and Woodward On November 1, 2023, INTEGRIS Health acquired AllianceHealth Ponca City and AllianceHealth Woodward and their related businesses, including physician clinic operations and outpatient services from subsidiaries of Community Health System, Inc. Both Ponca City Woodward hospitals commit to INTEGRIS Health's mission "Partnering with people to live health lives." This commitment is the cornerstone of our health care philosophy, driving us to deliver exceptional patient care that goes beyond treating symptoms. This ensures that all Oklahoma communities focus on holistic well-being and benefits from health care services that are both comprehensive and compassionate. INTEGRIS Health Woodward Hosptial 900 17th St. Features the following services and more: * Emergency care * Labor and delivery * Orthopedics * Rehabilitation services * Women's health INTEGRIS Health Ponca City Hospital 1900 N. 14th St. Features the following services and more: * Cardiac care * Labor and delivery * Orthopedics * Rehabilitation * Women's health</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report - continued</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH COMMUNITY BENEFIT HIGHLIGHTS Serving our community INTEGRIS Health's mission is partnering with people to live healthier lives. As Oklahoma's largest not-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. What is community impact? At INTEGRIS Health, the physicians, staff and volunteers take their education and skills into the community to make a difference in the lives of their fellow Oklahomans. They provide free clinical services, health screenings and educational programs. They further positively impact our communities by providing access to healthy food and tobacco cessation services. 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 ENID HOSPITAL DRUG TAKE BACK DAY PROGRAM/PROJECT OVERVIEW: INTEGRIS Health Enid Hospital partnered with the Oklahoma Bureau of Narcotics to host a drug take back day in conjection with the National Prescription Drug Take Back Day to help make homes safe. Unused or expired prescription medications are a public safety issue, leading to accidental poisoning, overdose and abuse. Highlights: 513 vials and boxes of medication were returned, totaling 32 lbs. Partnerships: The Blood Institute and Coffee Inclination were on site. Community members were able to donate blood and treat themselves to coffee while dropping off their medications. INTEGRIS HEALTH GROVE HOSPITAL SOUPER BOWL SATURDAY Program/Project Overview: The Volunteers at the hospital organize this yearly fundraiser event, where attendees can receive health screenings and enjoy an assortment of soups while they enjoy local entertainment throughout the afternoon. Highlights: This yearly event highlights the work of our INTEGRIS Health Grove Hospital volunteers. It also benefits the Grove community by providing free health screenings, keeping alive our mission to partner with people to live healthier lives. One hundred eighty attendees received health screenings. Partners: Grove Leadership, Rotary Club, Grove Dental Associates, Grove Public Library, Grove High School Choir, INTEGRIS Heath Grove Hospital Respiratory. INTEGRIS HEALTH COMMUNITY CLINIC: Program/Project Overview: In January 1993, INTEGRIS Health opened the INTEGRIS Health Community Clinic, a free medical clinic in Oklahoma City. The clinic is staffed by INTEGRIS Health caregivers 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. Highlights: INTEGRIS Health, in partnership with the Health Alliance for the Uninsured, provides patients with free medications to manage acute and chronic health conditions using the prescription assistance program. The Health Alliance for the Uninsured is a hub of support for the Safety Net Clinic Network and provides the INTEGRIS Health Community Clinic and 94 other clinics statewide with supplies, information, trainings and a referral network. When: Second, third and fourth Monday of every month Partners: Health Alliance for the Uninsured INTEGRIS Health Hispanic Health Fair Program/Project Overview: Celebrating it's 33rd anniversary, the Hispanic Health Fair is the largest free fair in Oklahoma and an important strategic outreach in the INTEGRIS Health mission: "Partnering with people to live healthier lives." Highlights: The Hispanic Health Fair, besides being a wonderful resource for uninsured and underinsured patients, is a reference to all other events in the city since it provides follow-up with specialists in case patients receive abnormal results in their screenings. Every year, volunteer physicians and therapists treat patients with conditions like diabetes, high cholesterol and hypertension. Assistance may also include colonoscopies, cancer treatment and surgeries by volunteer physicians and therapists. Also, this health fair is unique in the sense that it serves as a one-stop shop, bringing in resources for the community such as employment agencies, education institutions, not-for-profit organizations and financial institutions. Participants can visit, consult and take advantage of the services and products they provide. Partners: 103 partners: health systems, not-for-profit organizations, community agencies, dentists, chiropractors, schools, consulates, adult learning centers, financial organizations, social security, legal aid, faith communities, first responders, Hispanic media, etc. INTEGRIS HEALTH COMMUNITY HEALTH FAIR: Program/Project Overview: The INTEGRIS Health Mobile Wellness Clinic provides health services for Oklahoma County's underserved through chronic disease support, health screenings, food distribution, support groups and wellness resources. INTEGRIS Health, in partnership with the Latino Community Development Agency and other agencies, coordinated a health fair for the Edmond community. Highlights: More than 100 attendees and 58 participants were screened for glucose, cholesterol, BMI, height and weight. This community health fair was a success. Partners: The Latino Community Development Agency, Southern Hills Christian Church, Oklahoma Caring Foundation, Regional Food Bank of Oklahoma, Tyler Media, NSO, Tango Public Relations, SSM Health, Oklahoma Human Resources, Health Alliance for the Uninsured, Humana, Oklahoma Department of Labor, NewView Oklahoma, Oklahoma Insurance Department, Oklahoma Health Care Authority, OKC-Oklahoma Health Department, United Health Care. INTEGRIS Health Canadian Valley Hospital Senior Center of Yukon Blood Pressure Checks Program/Project Overview: In 2023, INTEGRIS Health partnered with the Yukon Senior Center to provide monthly blood pressure checks for seniors. Highlights: During fiscal year 2023, we screened 97 participants for blood pressure and provided vital information to them about the steps to take for optimum blood pressure levels. Partners: City of Yukon Senior Center Stanley Hupfeld Academy at Western Village Program/Project Overview: Stanley Hupfeld Academy at Western Village is a public neighborhood elementary charter school located in Oklahoma City. The Academy offers grades Pre-K to 4th with no more than 23 students in each class. As the first charter school in the state to serve the children in its own area, it has made significant strides forward with the help of INTEGRIS Health. Stanley Hupfeld Academy has close to 100 mentors and growing and strong parental support. Highlights: Stanley Hupfeld Academy successes include raising their state report card from a "D-" to a "B," increasing enrollment from 150 to 330 with a waiting list, increasing student involvement in sports from 23% to 76% and a decrease in conduct referrals from 37% to 11%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report - continued</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS Health Community Benefit Cancer Series Program/Project Overview: The INTEGRIS Health Cancer Series provides cancer prevention presentations on breast, prostate, skin, colon, lung and head and neck cancer. Each presentation starts with health screenings including glucose, cholesterol, blood pressure, BMI, PSA, HIV and vaccines (flu and COVID) and then a health presentation accompanied by a healthy dinner is provided for participants Highlights: Six events are held during the year. Approximately 80 participants attended, and a total of 525 people were served. Partners: OU Stephenson Cancer Center, Blue Cross and Blue Shields, Lynn Institute, Supermercados Morelos, Medicare Services, Genentech and Clear Vision OK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report - continued</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 2023 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS Health provided $129,292,730 in community benefits. This includes our total community impact, community building efforts, uncompensated services and Medicaid services. Total Community Impact Total community impact epitomizes our mission of partnering with people to live healthier lives. It takes the form of hundreds of programs and acts of charity provided daily across the state of Oklahoma, such as free health screenings, support groups, medical services, educational programs and health fairs. Our total community impact efforts equaled $8,286,863. 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 $525,016. 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. 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 $33,817,992. Bad Debt In addition, INTEGRIS Health incurred bad debt with an estimated cost of $68,061,850 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 $86,662,859.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report - continued</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS 32nd Annual Hispanic Health Fair A Day of Connection, Healing and Inspiration AAU Track &amp; Field Volunteers ACS Awards Banquet American Cancer Society Cattle Baron Tournament American Cancer Society 's Cattlebaron's Ball Sponsorship Asian Health Fair Boy Scouts Last Frontier Council Sponsorship Canadian County Chamber Board Training CancerCheck Hispanic Health Fair CDSA Wine Tour Celebration of Life, National Cancer Survivors Day Champagne and Diamonds Gala Community Sponsor Colon Cancer Walk Sponsorship Community Benefit Budget FY 2023 Community Benefit Tracking- INTEGRIS Health Canadian Valley Hospital Community Education Stroke Awareness- INTEGRIS Health Grove Hospital Community Education Stroke Awareness- INTEGRIS Health Southwest Medical Center Community Hours for Tim Pehrson, CEO, FY 2023 Cooking Class for Seniors CPR/First-Aid Class Cultivating a Mindfulness Practice - An Experiential Evening Canadian Valley Tech Board Meeting Canadian Valley Tech Stakeholders Zoom Meeting CWE Team Luncheon at Canadian Valley Tech DEEP (Diabetes Empowerment Education Program) Diabetes Education at ICC Drug Take Back Day Economic Development for Tim Pehrson, CEO for FY 2023 Edmond Mobile Meals Volunteer El Latino American Mother's Day Celebration Sponsorship Enid Chamber of Commerce Annual Meeting Enid Chamber of Commerce Board Meeting Enid Regional Development Alliance Quarterly Meeting Enid Senior Social Center BP Checks Enid SOS Pop-Up Event Enid Young Professionals &gt;40 Luncheon Executive Leadership Council Facebook live information sessions in Spanish Feed the Neighborhood Fight for Air Climb Committee Meeting Copy First Aid Kits Donated for Local Church Mission Trip First Aid Kits Donated to Enid Public Schools FY23 Community Benefit Hours - United Way FY23 Expenses for non-employed students, residents, and fellows- INTEGRIS Health Baptist Medical Center FY23 Expenses for non-employed students, residents, and fellows- INTEGRIS Health Southwest Medical Center FY23 Student, Resident and Fellow Education Hours with Physicians- INTEGRIS Health Enid Hospital FY23 Student, Resident and Fellow Education Hours with Physicians- INTEGRIS Health Baptist Medical Center FY23 Student, Resident and Fellow Education Hours with Physicians- INTEGRIS Health Canadian Valley Hospital FY23 Student, Resident and Fellow Education Hours with Physicians- INTEGRIS Health Grove Hospital FY23 Student, Resident and Fellow Education Hours with Physicians- INTEGRIS Health Community Hospital Moore FY23 Student, Resident and Fellow Education Hours with Physicians- INTEGRIS Health Southwest Medical Center GCHLC Accountability Group Planning Great 100 Nurses Celebration Great Land Run Health Alliance for the Uninsured Sponsorship Health Kits Donated to Knees to Warriors 5k Hedges Speech and Hearing Silent Movie HES 200 Student Internships Jan 1 to June 30 2023 HES 200 Student Internships July 1 to Dec 31 2022 Hispanic Health Fair Hispanic Radio, television and newspaper Hope Center of Edmond Volunteer Hospice Circle of Love Clay Shoot I-CREW Enid Welcome Table I-CREW Loaves and Fishes In-Kind Donation of Staff for MDA Clinic In-Kind Donations for Space for MDA Clinic INTEGRIS Health Community Clinic at Stanley Hupfeld Academy INTEGRIS Health Community Clinics INTEGRIS Health Mobile Care Clinic INTEGRIS Health Pharmaceutical Assistance Program FY 2023 INTEGRIS Health Turkey Toss Donations (System) FY 23 ITN Central Oklahoma Sponsorship John Adams-South OKC Chamber Board Meeting John Adams-South OKC Chamber Executive Committee Jumbo Foods Golf Tournament June Tobacco Education - INTEGRIS Health Enid Hospital JWL Charity Gala Kurt DeVaney-South OKC Chamber Board Meeting Kurt DeVaney-South OKC Chamber Board of Directors Meeting Leadership Greater Enid Tuition Leukemia &amp; Lymphoma Society - Light the Night Meeting Leukemia &amp; Lymphoma Society Sponsorship LifeShare Foundation Sponsorship Light the Night Walk Sponsorship Lung Association - Meditation and Sound Healing Lung Climb Walk Sponsorship LYNN Institute Holiday Party Lynn Institute Sponsorship Make A Wish Oklahoma March of Dimes Celebration March of Dimes FY23 March of Dimes Sponsorship May Tobacco Education - INTEGRIS Health Enid Hospital Meals Donated to Local Church Meals on Wheels FY 2022-23 - INTEGRIS Health Baptist Medical Center Medical Students Family Medicine Rotation 22-23 Men's Health Presentation Men's Health Wellness Day Milk Bar - Support Group for Breastfeeding mothers Mindfulness Meditation for Us All Mini Health Fairs Mobile Meals - INTEGRIS Health Enid Hospital Monthly Lectures/Conferencias Mensuales MT 200 Student Internships July 1 to Dec. 31, 2022 National Prostate Cancer Awareness Non-Reimbursed IRB Fees FY 2023 (July 2022 to June 2023) Northwest Oklahoma Legislative Reception Nurses, AUA, Surgical Tech(s), and Paramedic Clinical Students - INTEGRIS Health Edmond Hospital Nurses, AUA, Surgical Tech(s), Paramedic Clinical Students - INTEGRIS Health Enid Hospital Nurses, AUA, Surgical Tech(s), Paramedic Clinical Students - INTEGRIS Health Baptist Medical Center Nurses, AUA, Surgical Tech(s), Paramedic Clinical Students - INTEGRIS Health Canadian Valley Hospital Nurses, AUA, Surgical Tech(s), Paramedic Clinical Students - INTEGRIS Health Southwest Medical Center NW OK Non-Profit Conference</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report - continued</FormAndLineReferenceDesc>
        <ExplanationTxt>OBI Blood Drive at Drug Take Back Day OBI Blood Drive at INTEGRIS Health Enid Hospital OHA Advocacy Reception OHA Convention OHA Forum OK Men Count Golf Tournament OK Men Count Golf Tournament Health Screenings OK Project Woman Sponsorship OKC Light the Night Executive Committee Breakfast Oklahoma County Medical Society Alliance Sponsorship Oklahoma Hospital Association Oklahoma Hospital Association Zoom Call Oklahoma Hospital Association: Human Trafficking Webinar Oklahoma Medical Research Foundation Sponsorship Oklahoma Men Count Golf Tournament BP Checks Oklahoma Nurses Association Academic Clinical Nurse Partnership Me Oklahoma Nurses Association-Oklahoma Organization of Nurse Execs Oklahoma Organization of Nurse Activities Oklahoma Osteopathic Association Leadership Reception Oklahoma Project Woman Sponsorship Osteopathic Foundation Charity Ball OT and OTA 100 Student Internships Jan. 1 to June 30, 2023 OT and OTA 100 Student Internships July 1 to Dec. 31, 2022 OT and OTA 200 Student Internships Jan. 1 to June 30, 2023 OT and OTA 200 Student Internships July 1 to Dec 31, 2022 Out of the Darkness Community Walk Paint Enid Pink Color Run Pediatric Respiratory Emergency Refresher Pediatric Simulation for School Nurses Pre and Post Conference Room Reservation for Clinical Students - INTEGRIS Health Baptist Medical Center Pre and Post Conference Space Reservations for Clinical Students - INTEGRIS Health Southwest Medical Center Project 31 Sponsorship Project 66-Resource Fair PT 100 Student Internships July 1 to Dec 31, 2022 PT and PTA 200 Student Internships Jan. 1 to June 30, 2023 PT and PTA 200 Student Internships July 1 to Dec. 31, 2022 Pulmonary Hypertension Association Sponsorship Regional Food Bank I-CREW Regional Food Bank volunteering - INTEGRIS Health Baptist Medical Center Resource Room Rotary Club Saturday in the Park SLP 100 Student Internships Jan. 1 to June 30, 2023 SLP 100 Student Internships July 1 to Dec. 31, 2022 SLP 200 Student Internships Jan. 1 to June 30, 2023 SLP 200 Student Internships July 1 to Dec. 31, 2022 Souperbowl Health Fair South OKC Chamber Meeting with District Attorney Vicki Behenna Spanish Cancer Support Group/Grupo de Apoyo de Cancer Stanley Hupfeld Academy Budget FY 2023 Stitching For Sanity Stop the Bleed Class Stroke Community Education - INTEGRIS Health Grove Hospital Stroke Community Education - INTEGRIS Health Community Hospital Moore Stroke Community Education - INTEGRIS Health Southwest Medical Center Stroke Community Education- INTEGRIS Health Southwest Medical Center Stroke Community Education- INTEGRIS Health Southwest Medical Center Successful Breastfeeding Class- Prenatal Education Tenaciously Teal Sponsorship The Christ Tree TRIO- Oklahoma Sponsorship UCO Community &amp; Public Health Practicum &amp; Internships United Way Annual Meeting Sponsor United Way Campaign Coordinator Luncheon United Way Chili Cook Off United Way Golf Tournament United Way Governance Committee Meeting United Way Luncheon- Enid United Way Meeting United Way of Central Oklahoma Sponsorship United Way of Enid &amp; Northwest Oklahoma Sponsorship United Way Teams Meeting Vance Air Force Base Changing of Command Vance Air Force Base Clinic New Leader Meet and Greet Vance Air Force Base Honorary Commander Hail and Farewell Vance Air Force Base Ops C-17 Flight Variety Care Foundation Sponsorship Walktober Walktober Kick-Off Event Walktober Organized Walk Walktober Results YMCA Earlywine - Meditation and Sound Healing Yoda Nidra Experience Yukon Chamber Golf Tournament Yukon Chamber of Commerce Board Meeting Yukon Chamber of Commerce Luncheon Yukon Public Schools Reality Check YWCA Purses with Purpose</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V: QUESTION 1A - INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, PAYS ALL VENDORS FOR SERVICES PROVIDED TO ALL ENTITIES WITHIN THE SYSTEM. ACCORDINGLY, COMPENSATION PAID TO INDEPENDENT CONTRACTORS IS REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS OF INTEGRIS HEALTH, INC., EIN 73-1192764. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX, AS APPROPRIATE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a Form 990, Part V, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V: QUESTION 2A - THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC., EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE FILING ORGANIZATION DURING THE 2023 TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</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, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>TIMOTHY PEHRSON - Business relationship, MICHAEL WEED - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS HEALTH WOODWARD HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS HEALTH WOODWARD HOSPITAL, INC. AS SUCH IT HAS THE POWER (1) TO CONFIRM OR DENY THE ELECTION OF EACH MEMBER OF THE BOARD OF DIRECTORS, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, (3) TO VOTE ON ALL MATTERS WHERE THE AUTHORIZATION OR APPROVAL OF THE SOLE MEMBER IS REQUIRED BY THE CERTIFICATE OF INCORPORATION, THE BYLAWS OR STATE LAW, AND (4) TO SET THE FEES AND COMPENSATION, IF ANY, FOR DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE ORGANIZATION AND TO AUTHORIZE REIMBURSEMENT FOR EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE REFER TO PART VI, SECTION A, LINE 7A RESPONSE ABOVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (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, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS 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 SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST POLICES 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 INTEGRIS HEALTH BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF INTEGRIS AND A DISQUALIFIED PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR 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 INTEGRIS HEALTH 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, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). ALL DEPARTMENT DIRECTORS COMPENSATION IS REVIEWED ANNUALLY BY THE INTEGRIS COMPENSATION DEPARTMENT OF HUMAN RESOURCES. INDEPENDENT SALARY SURVEY SOURCES FROM THIRD PARTY PROVIDERS ARE USED TO DETERMINE LOCAL AND REGIONAL FAIR MARKET COMPETITIVENESS. ADJUSTMENTS IN SALARIES BASED ON INDIVIDUAL PERFORMANCE STANDARDS OR ANY MARKET EQUITY ADJUSTMENTS ARE APPROVED BY THE RESPECTIVE VICE PRESIDENT OR MANAGING DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS AMBULATORY CARE CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HOSPICE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <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>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</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>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
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          <StateAbbreviationCd>OK</StateAbbreviationCd>
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        </USAddress>
        <EIN>731192764</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS RURAL HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
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        </USAddress>
        <EIN>731444504</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>IH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS SOUTHWEST MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <StateAbbreviationCd>OK</StateAbbreviationCd>
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        </USAddress>
        <EIN>731089149</EIN>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
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          <StateAbbreviationCd>OK</StateAbbreviationCd>
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        </USAddress>
        <EIN>731047338</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <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>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IACC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>INTEGRIS HEALTH EDMOND INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS MENTAL HEALTH INC</BusinessNameLine1Txt>
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          <CityNm>Oklahoma City</CityNm>
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        </USAddress>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH ALLSET URGENT CARE LLC</BusinessNameLine1Txt>
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          <CityNm>Oklahoma City</CityNm>
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          <ZIPCd>73134</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH PONCA CITY HOSPITAL INC</BusinessNameLine1Txt>
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          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
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        <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>
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          <ZIPCd>73134</ZIPCd>
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        <PrimaryActivitiesTxt>CLINICAL LAB</PrimaryActivitiesTxt>
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          <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>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRISUSP HEALTH VENTURES LLC</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>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS EMERGENCY HOSPITALS LLC</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>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</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>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>IH-USRS IMAGING LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>MEDICAL IMAGING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HPI HOLDINGS LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</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>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</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>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>QUALITY ALLIANCE ASSURANCE CO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>981060671</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731477468</EIN>
        <PrimaryActivitiesTxt>DORMANT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH PARTNERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>453482852</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS CARDIOVASCULAR PHYSICIANS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>452867352</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>