2025-05-15T18:19:36+00:00 2024-06-30 135565207 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2023-07-01 731192765 INTEGRIS Ambulatory Care Corp INTE 4059496026 3001 Quail Springs Parkway Oklahoma City OK 73134 Donna Wallace VP, Financial Reporting 4059496026 2025-05-15 true true Cassandra Wyatt P01943677 2253444000 2025-05-15 2023 2025-03-06 01:10:19Z SEE SCHEDULE O Donna Wallace 3001 Quail Springs Parkway Oklahoma City OK 73134 275071334 false X www.integrisok.com X 1983 OK TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 15 13 1491 268 0 0 2726270 2354977 261597738 272357198 733805 5855 701985 353304 265759798 275071334 0 355715 0 0 211457911 232370812 0 0 0 76447672 79112525 287905583 311839052 -22145785 -36767718 219591282 220854339 308568677 346035173 -88977395 -125180834 TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. false false 291976494 355715 272506359 INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS INCLUDED IN THE INTEGRIS HEALTH SYSTEM. IACC PROVIDED CHARITY CARE AT COST OF $9,346,697 USING A COST TO CHARGE RATIO METHOD OF CALCULATION. IACC ALSO PROVIDED CARE FOR PATIENTS WHO DID NOT PAY AND MUST BE WRITTEN OFF AS BAD DEBT COST OF $5,647,498, BASED ON A COST TO CHARGE RATIO METHOD OF CALCULATION. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT, SEE THE COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O. 291976494 true true false false false false false false false true false true true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true X 0 0 1491 true true false false false false false false false false false false false X 15 13 true false false false true true true true true false false true true true true true true false true true true OK X Donna Wallace 4059512744 3001 Quail Springs Parkway Oklahoma City OK 73134 Timothy Pehrson Director & President/CEO 1.0 39.0 X X 0 2426478 240122 Cathy O'Connor Director 1.0 3.0 X 0 32000 0 Christopher Turner Director 1.0 3.0 X 0 38250 0 Frank Merrick Director 1.0 3.0 X 0 31000 0 Georgianne Snowden MD Director 1.0 3.0 X 0 36175 0 Jim Couch Director 1.0 3.0 X 0 34250 0 Karla Marshall Director 1.0 4.0 X 0 37250 0 Linda Vytlacil PHD Director 1.0 3.0 X 0 38750 0 Mark Werner MD Director & Chairman 1.0 3.0 X 0 46500 0 Neal Hogan PHD Director & Vice Chairman 1.0 3.0 X 0 36000 0 Nico Gomez Director 1.0 3.0 X 0 38750 0 Peter Delaney Director 1.0 3.0 X 0 16000 0 Sam Combs Director 1.0 3.0 X 0 34250 0 Sherri Lance Director 1.0 3.0 X 0 33250 0 Michael Weed Treasurer & CFO 1.0 39.0 X 0 765566 109543 Jeffrey Cruzan Pres Physician Enterprise 40.0 0 X 718660 0 67324 Kristi McCormick VP Physician Operations 40.0 0 X 310109 0 46541 Sunnie Glover VP Physician Enterprise 40.0 0 X 663077 0 46808 Ashish Masih Physician 40.0 0 X 1335366 0 23948 Atul Walia Physician 40.0 0 X 1248242 0 26998 Christopher Lentz Physician 40.0 0 X 1452566 0 30141 Jeremy Phelps Physician 40.0 0 X 1498108 0 27199 Scott Shadfar Physician 40.0 0 X 1231636 0 22414 Douglas Smith Former CFO 0.0 0.0 X 0 173936 12139 Katherine Mansalis Former VP 0.0 40.0 X 0 324471 17627 8457764 4142876 670804 19 true true false CORE CLINICAL PARTNERS LLC 3330 CUMBERLAND BOULEVARD SE ATLANTA GA 30339 MEDICAL SERVICES 12418919 DICKERSON DESIGN BUILD INC 8333 DOUGLAS AVENUE SUITE 1300 DALLAS TX 75225 CONSTRUCTION SERVICES 1831629 WALTHER CONSTRUCTION INC PO BOX 720893 OKLAHOMA CITY OK 73172 CONSTRUCTION SERVICES 1623956 HTA OKLAHOMA CITY 16435 N SCOTTSDALE ROAD SUITE 320 SCOTTSDALE AZ 85254 PROPERTY RENTAL 1112789 LOCUMTENENSCOM LLC 2575 NORTHWINDS PARKWAY LAWRENCEVILLE GA 30043 STAFFING SERVICES 1075153 64 2354977 2354977 NET PATIENT REVENUE 621990 248379191 248379191 INCOME FROM JOINT VENTURES 621990 17487589 17487589 QUALITY INCENTIVES 900099 5421163 5421163 EMP WELLNESS SCREENINGS 900099 15763 15763 1053492 849349 0 204143 272357198 5855 5855 0 0 0 0 MISC. 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Each community health needs assessment aims to align local planning efforts with assessments and interventions conducted by county health departments. This planning process represents a commitment to a more deliberate approach to working together. Central Oklahoma Health Impact Team Member: Phil Maytubby, Deputy Chief Executive Officer, Oklahoma City County Health Department In conducting the CHNA, the hospitals took into account input from representatives of the community by stakeholder meetings, secondary data research, community surveys, community chats and informational interviews with community leaders. Ethnicities input was obtained from surveys by targeting population gathering places such as community clinics, churches, after school programs, and public transportation services. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. Four non-profit hospitals engaged in a joint Community Health Needs Assessment: INTEGRIS Health, Mercy Hospital Oklahoma City, OU Health, and SSM Health St. Anthony. This assessment evaluated the health needs of Oklahoma County. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. The four non-profit hospitals engaging in the joint Community Health Needs Assessment for Oklahoma County also partnered with the Oklahoma City County Health Department to assess the needs of the community. Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. The CHNA is widely available to the community. The plans were also added to each facility's website and clearly titled. The plans were also distributed to administration, local boards at community forums, coalitions, other local agencies, and organizations. Copies of the plan were placed in each facility's administration offices for distribution as well. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. The CHNA process assisted in determining available resources, gaps in services, and both perceived and actual needs within the INTEGRIS Health Service areas. This process led to the identification of four priority areas. Although there is no single factor that predicts a health outcome, the areas identified as priority for Oklahoma County, by the hospital systems and community stakeholders, include: access to education, access to meaningful employment, access to healthy food, and access to healthcare. The needs identified by the CHNA were initially prioritized through collaboration with the local community coalitions. The local prioritized needs were then reexamined by INTEGRIS Health through administration of the developed community health improvement plan and which, if any of the remaining, were currently being addressed through other community resources and/or services. INTEGRIS Health opted to concentrate on two of the four priority areas identified in each of the service areas- access to healthy food and access to healthcare believing that a united effort would allow for a sharing of resources, personnel, programs, etc., and ensure consistency in implementation and evaluation methods, thereby increasing potential to more effectively combat the issues system-wide. In addition to the two priority areas, tobacco use was also added to the system focus areas to continue to address this issue in all service areas. Access to healthy food is being addressed by the following program implementation: INTEGRIS Health I-CREW, food bank programs, and partnerships with local coalitions. The INTEGRIS Health I-CREW will establish two partnership opportunities directly targeting improving access to healthy food. Lakeside Women's Hospital will also coordinate at least one food drive. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support and increase access to healthy food. Access to healthcare is being addressed by the following program implementation: INTEGRIS Health Mobile Care Clinic and partnerships with local coalitions. INTEGRIS Health Mobile Care Clinic serves 50 community members. In addition, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on increasing access to care. Tobacco use prevention is being addressed by the following program implementation: Oklahoma Tobacco Helpline Referrals, Social Media Campaigns, and partnerships with local coalitions. Oklahoma Tobacco Helpline referrals goal is to refer 25 persons for tobacco cessation services. INTEGRIS Health will establish two partnership opportunities for social media campaigns that support and promote tobacco use prevention. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on tobacco use prevention. It was determined that the remaining priority areas identified in the CHNA were already being addressed through local agencies and/or coalitions and partnership efforts within the community. As such, INTEGRIS Health committed to provide support and resources to the community partners taking the lead on those particular issues. Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT FOR OKLAHOMA CENTER FOR ORTHOPAEDIC AND MULTI-SPECIALTY SURGERY, LLC (OCOM) ARE PRESENTED AS A PRIORITIZED DESCRIPTION OF THOSE NEEDS. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - FACILITY REPORTING GROUP B. OCOM HAS BEEN IN EXISTENCE SINCE 2002 AND IS COMPRISED OF TWO SURGICAL HOSPITALS, ONE OUTPATIENT PHYSICAL THERAPY LOCATION AND THREE OFF-SITE IMAGING CENTERS. ALL OF THE FACILITIES SERVICE OKLAHOMA CITY, IN OKLAHOMA COUNTY, OKLAHOMA. OCOM PRIDES ITSELF IN PROVIDING FIRST-CLASS SURGICAL SERVICES FOR THE LOCAL COMMUNITY IN A SAFE, COMFORTABLE, AND WELCOMING ENVIRONMENT; ONE IN WHICH HOSPITAL STAFF WOULD BE HAPPY TO TREAT THEIR OWN FAMILIES. OCOM STRIVES TO CREATE THE SURGICAL STANDARD ALL PHYSICIANS WANT FOR THEIR PATIENTS. OCOM EMPLOYS 224 TEAM MEMBERS INCLUDING FULLTIME, PART-TIME AND PRN WITH APPROXIMATELY 60 PHYSICIAN PROVIDERS. OCOM'S SOUTH HOSPITAL LOCATION INCLUDES NINE INPATIENT ROOMS, SIX OPERATING ROOMS, AND ONE ENDOSCOPIC/PAIN MANAGEMENT PROCEDURE ROOM. OCOM'S NORTH LOCATION INCLUDES THREE OPERATING ROOMS AND DOES NOT HAVE INPATIENT ROOMS. HOSPITAL OCOM'S STATE-OF-THE-ART EQUIPMENT ALLOWS SURGEONS TO PERFORM A VARIETY OF SURGICAL PROCEDURES IN THE SPECIALTY AREAS OF DENTISTRY, GENERAL SURGERY, GASTROENTEROLOGY (GI), GYNECOLOGY, IMAGING, OPTHALMALOGY, ORTHOPAEDIC, PAIN MANAGEMENT, PHYSICAL THERAPY, PLASTIC SURGERY, PODIATRY AND UROLOGY. OCOM HOLDS A TJC CERTIFICATE OF DISTINCTION FOR TOTAL HIP AND TOTAL KNEE PROGRAMS, IS A CMS FIVE-STAR RATED FACILITY, AND IS THE RECIPIENT OF THE PRESS GANEY GUARDIAN OF EXCELLENCE AND HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARDS. OKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA AND IS THE LARGEST COUNTY IN OKLAHOMA IN TERMS OF POPULATION. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434. OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONS THROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLIC TRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY. ACCORDING TO THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT 2021 DATA, THE MEDIAN AGE IN OKLAHOMA COUNTY WAS 34.5 YEARS, WHICH IS SLIGHTLY YOUNGER THAN THE STATE OF OKLAHOMA AT 36.4 YEARS. THE PERCENT LIVING IN POVERTY IN OKLAHOMA COUNTY IS 16.7% WHICH IS SLIGHTLY LOWER THAN THE STATE AT 16.0%. IN 2018, THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY OF $52,855 WAS SLIGHTLY HIGHER THAN THE STATE OF $51,424. BOTH LAGGED BEHIND THE NATIONAL MEDIUM INCOME OF $60,293. OKLAHOMA COUNTY RESIDENTS RECEIVED SLIGHTLY MORE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE RATE IN 2018 (13.3% VS. 13.1%.) THE RACIAL/ETHNIC BREAKOUT OF OKLAHOMA COUNTY WAS 56.0% WHITE, 14.8% BLACK OR AFRICAN AMERICAN, 17.4% HISPANIC OR LATINO, 6.7% AMERICAN INDIAN OR ALASKA NATIVE, AND 4.7% ASIAN AND PACIFIC ISLANDER. AMONG OKLAHOMA RESIDENTS 18 AND OLDER, 30% OF PERSONS HELD A BACHELOR'S DEGREE OR HIGHER AS OF 2019. ON SEPTEMBER 30, 2021, NEW UNEMPLOYMENT NUMBERS WERE RELEASED FROM THE U.S. BUREAU OF LABOR STATISTICS SHOWING OKLAHOMA CITY RANKS FIRST FOR METROPOLITAN COMMUNITIES WITH A 2010 CENSUS POPULATION OF ONE MILLION OR MORE. OKLAHOMA CITY HAD AN UNEMPLOYMENT RATE OF ONLY 2.6% AND IS THE LOWEST RATE SINCE 2019. THE PERCENT OF UNINSURED ADULTS (AGE 18-64), IN OKLAHOMA COUNTY, ACCORDING TO DATA FROM THE 2021 U.S. CENSUS BUREAU, WAS CONSISTENT WITH THE STATE RATE OF 16.8%. ACCORDING TO THE OKLAHOMA HEALTH CARE AUTHORITY FAST FACTS, JANUARY 2021, THERE WERE A TOTAL OF 200,287 PERSONS ENROLLED IN MEDICAID IN OKLAHOMA COUNTY AND 946,412 PERSONS ENROLLED IN MEDICAID IN THE STATE OF OKLAHOMA DURING THE SAME PERIOD. AS OF FEBRUARY 2021, THERE WERE 92,632 PERSONS IN OKLAHOMA COUNTY AND 572,942 PERSONS IN THE STATE OF OKLAHOMA ENROLLED IN MEDICARE ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, MEDICARE ENROLLMENT DASHBOARD. BETWEEN 2015 AND 2019, THE AVERAGE NUMBER OF PERSON PER HOUSEHOLD IN OKLAHOMA COUNTY WAS 2.56 WHICH WAS SLIGHTLY LOWER THAN THE STATE AT 2.58. DURING THE SAME PERIOD, THE PERCENT OF PERSONS, 5 YEARS OR OLDER, IN OKLAHOMA COUNTY WHO SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME WAS 17.4% COMPARED TO THE STATE RATE OF 10.5%. IN 2020, ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS FOR OKLAHOMA COUNTY, ACCESS TO A PRIMARY CARE PHYSICIAN, PEOPLE PER ONE PROVIDER, WAS 1,170 COMPARED TO THE STATE OF OKLAHOMA WHICH WAS 1,620 PEOPLE PER ONE PROVIDER. ACCESS TO DENTISTS AND MENTAL HEALTH IN OKLAHOMA COUNTY, PEOPLE PER ONE PROVIDER, ACCORDING TO THE SAME SOURCE, WAS 980 AND 150, RESPECTIVELY AND 1640 AND 250, PEOPLE PER ONE PROVIDER FOR THE STATE OF OKLAHOMA. BETWEEN 2015-2017, THE AVERAGE LIFE EXPECTANCY IN OKLAHOMA COUNTY IS 74.9 YEARS WHEREAS THE AVERAGE IN THE U.S. IS 78.8 YEARS. BETWEEN 2016-2018, CARDIOVASCULAR DISEASE WAS THE LEADING CAUSE OF DEATH IN OKLAHOMA COUNTY. AT 337.7 DEATHS PER 100,000, MALES HAD 100 MORE DEATHS PER 100,000 COMPARED TO FEMALES WITH A RATE OF 235.9 DEATHS PER 100,000. CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN OKLAHOMA CITY-COUNTY BETWEEN 2016-2018, THE AGE-ADJUSTED MORTALITY RATE IN OKLAHOMA COUNTY WAS 188.0 PER 100,000 DEATHS, ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS BUT 27.6 DEATHS PER 100,000 GREATER THAN THE NATIONAL CANCER DEATH RATE. OKLAHOMA COUNTY HAD HIGHER DIABETES MORTALITY BETWEEN 2016-2018 COMPARED TO THE STATE AND NATIONAL RATES. THE OVERALL AGE-ADJUSTED DIABETES MORTALITY RATE IN THE COUNTY WAS 34.6 DEATHS PER 100,000. OKLAHOMA IS THE NINTH MOST OBESE STATE IN THE NATION, OKLAHOMA'S OBESITY RATE AS OF 2021 WAS AT 36.4%. THE SUICIDE RATES IN OKLAHOMA COUNTY AND THE STATE OF OKLAHOMA WERE HIGHER THAN THE NATIONAL AVERAGE BETWEEN 2016-20 TED SUICIDE RATE IN OKLAHOMA COUNTY WAS 18 DEATHS PER 100,000 PEOPLE. Schedule H, Part V, Section B, Line 5 Facility B, 2 Facility B, 2 - FACILITY REPORTING GROUP B - CONTINUED. A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. THIS CHNA INCLUDED INTEGRIS HEALTH SYSTEM AND THEIR JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI SPECIALTY SURGERY. THE CHNA UTILIZES RELEVANT HEALTH DATA TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA. ALL OF THE JOINT VENTURE HOSPITALS LIE WITHIN OKLHOMA COUNTY, EXCEPT FOR ONE SMALL CAMPUS OF THE INTEGRIS COMMUNITY HOSPITALS (MOORE), WHICH LIES ON THE NORTHERN EDGE OF CLEVELAND COUNTY. THE GOAL OF THIS REPORT IS TO PROVIDE RESIDENTS WITH A DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THEIR COMMUNITY AND TO HELP GUIDE THE HOSPITALS IN THEIR COMMUNITY BENEFIT PLANNING EFFORTS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED NEEDS. COMMUNITY INPUT WAS RECEIVED DURING STAKEHOLDER MEETINGS AND COMMUNITY SURVEYS COLLECTED DURING APRIL 2021-JULY 2021, AND FROM ONLINE CHATS CONDUCTED FROM MAY 23, 2021 - JUNE 30, 2021. INTERVIEWS WERE CONDUCTED WITH PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. INDIVIDUALS PROVIDING INPUT INCLUDED MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS AND INDIVIDUALS WHO WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. STAKEHOLDER PARTICIPANTS INCLUDED: - ALLIANCE FOR ECONOMIC DEVELOPMENT OF OKLAHOMA CITY - AREAWIDE AGING AGENCY - BUTTERFIELD FOUNDATION - CENTENNIAL HEALTH - CITY COUNCILWOMAN, WARD 7 - CITY OF OKLAHOMA CITY - COUNTY COMMISSIONER, DISTRICT 1 - CROSSINGS COMMUNITY CLINIC - DENTISTS FOR THE DISABLED AND ELDERLY IN NEED OF TREATMENT (D-DENT) - EL LATINO NEWS - EMBARK OKC (TRANSPORTATION) - GOODWILL INDUSTRIES OF CENTRAL OKLAHOMA - GREATER OKLAHOMA CITY CHAMBER OF COMMERCE - GREATER OKC HISPANIC CHAMBER OF COMMERCE - HOMELESS ALLIANCE - HEALTH ALLIANCE FOR THE UNINSURED - HUNGER FREE OKLAHOMA - INASMUCH FOUNDATION - LANGSTON UNIVERSITY - LATINO COMMUNITY DEVELOPMENT AGENCY - LYNN INSTITUTE - METAFUND (CDFI) - METROTECH - MILLWOOD PUBLIC SCHOOLS - OKC BLACK EATS - OKLAHOMA CENTER FOR NONPROFITS - OKLAHOMA CHILDREN'S HOSPITAL AT OU HEALTH - OKLAHOMA CITY BLACK CHAMBER - OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT - OKLAHOMA CITY INDIAN CLINIC - OKLAHOMA CITY INNOVATION DISTRICT - OKLAHOMA DENTAL FOUNDATION - OKLAHOMA DEPARTMENT OF HUMAN SERVICES - OKLAHOMA DEPARTMENT OF HUMAN SERVICES, AGING SERVICES - OKLAHOMA HEALTH CARE AUTHORITY (MEDICAID) - OKLAHOMA HOSPITAL ASSOCIATION - OKLAHOMA STATE UNIVERSITY - OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET) - POTTS FAMILY FOUNDATION - REGIONAL FOOD BANK - RESTORE OKC - ST. LUKE'S UNITED METHODIST CHURCH (MEALS ON WHEELS) - STATE REPRESENTATIVE, DISTRICT 99 - SUNBEAM FAMILY SERVICES - UNITED WAY OF CENTRAL OKLAHOMA - UNIVERSITY OF OKLAHOMA COLLEGE OF NURSING - VARIETYCARE (FQHC) THE AFFORDABLE CARE ACT (ACA) REQUIRES 501(C)(3), TAX-EXEMPT HOSPITALS TO CONDUCT A CHNA AT LEAST ONCE EVERY THREE TAX YEARS AND TO ADOPT A STRATEGIC IMPLEMENTATION PLAN FOR ADDRESSING IDENTIFIED NEEDS. INTEGRIS HEALTH LAST CONDUCTED A CHNA DURING FISCAL YEAR 2022. THE OCOM BOARD OF DIRECTORS REVIEWED AND ADOPTED THE H NEEDS ASSESSMENT AND THE IMPLEMENTATION PLAN ON JULY 25, 2022. Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - FACILITY REPORTING GROUP B. THE HOSPITAL FACILITIES INCLUDED IN THE JOINT CHNA ARE AS FOLLOWS: - COMMUNITY HOSPITAL NORTH - COMMUNITY HOSPITAL SOUTH - COMMUNITY HOSPITAL NORTHWEST SURGICAL - INTEGRIS COMMUNITY HOSPITAL - MOORE - INTEGRIS COMMUNITY HOSPITAL - DEL CITY - INTEGRIS COMMUNITY HOSPITAL - OKC WEST - INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING - OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM) - LAKESIDE WOMEN'S HOSPITAL Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - FACILITY REPORTING GROUP B. INTEGRIS HEALTH COLLABORATED WITH LOCAL COMMUNITY PARTNERS ON THE CHNA AND EVALUATED AND SYNTHESIZED PRIMARY AND SECONDARY DATA TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS IN OKLAHOMA AND CLEVELAND COUNTY. THROUGHOUT THE NEEDS PROCESS, FOCUS WAS GIVEN TO THE INTERCONNECTEDNESS OF SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY. UPON REVIEW AND ANALYSIS OF ALL QUANTITATIVE AND QUALITATIVE FEEDBACK AND DATA, THE MOST RECENTLY CONDUCTED CHNA FOCUSED ON THE SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY. SOCIAL DETERMINATES OF HEALTH (SDoH) ARE THE CONDITIONS IN WHICH PEOPLE ARE BORN, GROW, LIVE, WORK AND AGE THAT SHAPE HEALTH. SDoH ARE PRIMARY DRIVERS OF HEALTH DISPARITIES AND INCLUDE SIGNIFICANT FACTORS LIKE ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, HEALTH CARE ACCESS AND QUALITY, NEIGHBORHOOD AND THE BUILT ENVIRONMENT AND SOCIAL AND COMMUNITY CONTEXT. THIS CHNA PROCESS WAS DESIGNED TO USE DATA TO IDENTIFY THOSE WHO MAY NOT BE THRIVING. INTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PROCESS LED TO THE IDENTIFICATION OF FOUR PRIORITY AREAS BASED ON CURRENT SYSTEM WIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO. THE FOLLOWING FOUR PRIORITIZED NEEDS WERE DETERMINED: - ACCESS TO EDUCATION - ACCESS TO MEANINGFUL EMPLOYMENT - ACCESS TO HEALTHY FOOD - ACCESS TO HEALTHCARE INTEGRIS HEALTH CHOSE TO FOCUS ON ALL OF THE IDENTIFIED PRIORITY ISSUES. * WHILE TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE. AMONG YOUTH, AS OF 2019, 30.8% OF OKLAHOMA HIGH SCHOOLERS REPORTED CURRENT USE OF ANY TOBACCO PRODUCT. THE STATE OF OKLAHOMA, WITH THE EXPANSION OF ELECTRONIC CIGARETTES AND VAPES, NICOTINE DEPENDENCY CONTINUES TO BE A WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS. INTEGRIS HEALTH TRACKS REFERRALS MADE TO THE OKLAHOMA TOBACCO HELPLINE AND REPORTS ARE MADE AVAILABLE QUARTERLY. INTEGRIS HEALTH PROVIDED 2,617 REFERRALS IN FY 2020 AND 2,002 REFERRALS IN FY 2021. EACH HOSPITAL THEN DEVELOPED AN INDIVIDUAL IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN IN A SEPARATE DOCUMENT TO ADDRESS THE NEEDS IDENTIFIED BASED ON THEIR INTERNAL PRIORITIES AND RESOURCES. ACCESS TO EDUCATION EDUCATION AND HEALTH HAVE ALWAYS BEEN CONNECTED, BUT NEVER AS GREATLY AS THEY CURRENTLY ARE. AMERICANS WITH LESS EDUCATION ARE DYING EARLIER THAN THEIR PEERS. WHILE THE RELATIONSHIP BETWEEN HEALTH AND EDUCATION IS A COMPLEX ONE, IT IS CLOSELY TIED TO A PERSON'S INCOME, SKILLS, AND OPPORTUNITIES THEY HAVE TO LEAD HEALTHY LIVES WITHIN THEIR COMMUNITIES. WHILE EDUCATION, BOTH FORMAL AND INFORMAL, CAN CREATE OPPORTUNITIES FOR BETTER HEALTH, POOR HEALTH, ON THE OTHER HAND, CAN PUT EDUCATION AT RISK. THE CHNA COMMUNITY SURVEY REVEALED MONEY WAS A MAJOR STRESS FACTOR FOR NEARLY ONE IN FIVE RESPONDENTS. WHILE 35% OF THE RESPONDENTS FELT FINANCIALLY SECURE IN MEETING THEIR FAMILY'S NEEDS, ALMOST 30% OF RESPONDENTS REPORTED THEY LIVED PAYCHECK TO PAYCHECK. WHEN ASKED ABOUT BARRIERS TO ACCESS EDUCATION, RESPONDENTS NOTED FINANCIAL CHALLENGES, AND THAT THERE WERE FEW OR NO RESOURCES AT HIGH SCHOOLS TO HELP STUDENTS GO TO AND PAY FOR COLLEGE. COMMUNITY CHAT PARTICIPANTS NOTED THAT HIGHER EDUCATION IN MORE RURAL PARTS OF OKLAHOMA WAS SIMPLY NOT SOUGHT AFTER AND WAS LINKED TO BEING A GENERATIONAL DECISION BASED ON WHETHER THEIR PARENTS WENT TO COLLEGE. HOWEVER, RESPONDENTS FELT THAT EVERYONE SHOULD HAVE THE OPPORTUNITY TO GO TO COLLEGE AND HAVE ACCESS TO NECESSARY RESOURCES. THE RESOURCES IDENTIFIED INCLUDED THINGS SUCH AS CHILDCARE, FINANCES, HEALTHCARE RESOURCES, AND MORE EDUCATIONAL SUPPORT. Schedule H, Part V, Section B, Line 11 Facility B, 2 Facility B, 2 - FACILITY REPORTING GROUP B. REPORTING GROUP B: PART V, SECTION B, LINE 11 CONTINUED: ACCESS TO MEANINGFUL EMPLOYMENT ONE COMPONENT OF A THRIVING COMMUNITY IS THE AVAILABILITY OF QUALITY EMPLOYMENT OPPORTUNITIES. WHILE THE MAJORITY OF OKLAHOMA COUNTY RESPONDENTS SURVEYED WERE EMPLOYED FULL-TIME (53%), THE ERCENTAGES VARIED DRAMATICALLY BASED ON PEDUCATION LEVEL. SIXTY-FIVE PERCENT OF OKLAHOMA COUNTY RESIDENTS WITH A COLLEGE DEGREE WERE EMPLOYED FULL-TIME COMPARED TO ONLY 28% WITH LESS THAN A HIGH SCHOOL DEGREE. RESPONDENTS ALSO NOTED THAT THE THINGS THAT MADE IT DIFFICULT TO WORK WERE THEIR HEALTH OR THE HEALTH OF A FAMILY MEMBER. THIS IMPORTANT FINDING SHOWED THE DIRECT IMPACT OF POOR HEALTH ON ACCESS TO EMPLOYMENT. COMMUNITY CHAT PARTICIPANTS NOTED THE NEED TO HAVE QUALITY JOBS AND JOBS THAT WERE MEANINGFUL AND FULFILLING. THE QUALITATIVE ANALYSIS TEAM FOUND FREQUENT ALIGNMENT BETWEEN A PERSON'S EMPLOYMENT STATUS AND JOB-SPECIFIC, WORK-RELATED RESOURCES AS WELL AS THE ABILITY TO ACHIEVE A HEALTHY WORK-LIFE BALANCE. MENTORSHIP WAS ALSO FREQUENTLY MENTIONED IN THE CONTEXT OF EMPLOYMENT. HAVING A JOB WHICH INCLUDED THE SUPPORT OF A MENTOR, AS WELL AS A CLEAR CAREER LADDER, COULD INCREASE EMPLOYEE RETENTION. COMMUNITY CHAT PARTICIPANTS ALSO FREQUENTLY BROUGHT UP INCOME WITH RESPECT TO WORK- RELATED RESOURCES, EMPLOYMENT STATUS, AND FINANCIAL BARRIERS AS IT IS NATURALLY A MAJOR DETERMINATE AS TO WHETHER A PERSON SEEKS EMPLOYMENT. WHILE THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY IS SLIGHTLY HIGHER THAN THE STATE ($52,855 VS $51,424) IT VARIES WIDELY BY RACE/ETHNICITY. MANY DISCUSSED HAVING FINANCIAL BARRIERS DUE TO THEIR INCOME, WAS MAKING IT DIFFICULT TO HAVE A GOOD QUALITY WORK-LIFE BALANCE. ACCESS TO HEALTHY FOOD A HEALTHY DIET CAN PROTECT AGAINST MANY CHRONIC NONCOMMUNICABLE DISEASES, SUCH AS HEART DISEASE, DIABETES, AND CANCER. THESE CONDITIONS ARE AMONG THE DEADLIEST IN OKLAHOMA COUNTY AND DISPROPORTIONATELY AFFECT RESIDENTS IN CERTAIN ZIP CODES AND BY RACE/ETHNICITY. THE MAJORITY OF COMMUNITY SURVEY RESPONDENTS (54%), SAID THEY COULD ALWAYS GET HEALTHY FOOD FOR THEIR FAMILY, BUT THIS VARIED BY RACE, ETHNICITY, AND EDUCATION LEVEL. THE MOST FREQUENT RESPONSE (64%) COMMUNITY MEMBERS NOTED AS A BARRIER TO ACCESSING HEALTHY FOODS WAS THE COST OF HEALTHY FOOD IN THE COMMUNITY. NEARLY ONE IN FOUR FELT THEY DID NOT HAVE THE TIME TO BUY OR PREPARE HEALTHY MEALS. FOOD ACCESS INFRASTRUCTURE IN THE COMMUNITY, WHICH INCLUDED TRANSPORTATION AND SCHEDULING, WAS ALSO A BARRIER TO CLAIMING ACCESS TO HEALTHY FOOD. WHILE THE DEFINITION OF HEALTHY FOOD INCLUDED GROCERY STORES, COMMUNITY GARDENS, AND THE PRESENCE OF HEALTHY FOOD, AS THE ANALYSIS OF COMMUNITY CHATS CONTINUED, IT BECAME APPARENT THAT CHOICE OF FOOD WAS JUST AS CRITICAL FOR FOOD ACCESS AS WAS THE PRESENCE OF QUALITY FOODS. ADDITIONALLY, WHILE SOME PEOPLE WERE ABLE TO ACCESS HEALTHY FOODS, THEY LACKED THE NUTRITIONAL EDUCATION TO KNOW WHAT TO EAT OR HOW TO COOK HEALTHY FOODS. IT WAS ALSO NOTED THAT MANY PEOPLE LACKED THE INCOME TO PURCHASE HEALTHY FOODS BECAUSE OFTENTIMES HEALTHY, FRESH FOODS ARE MORE EXPENSIVE. ACCESS TO HEALTHCARE AS HEALTHCARE ORGANIZATIONS, IT IS IMPORTANT THAT EACH HOSPITAL CONTINUE TO BE ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF INSURANCE STATUS, RACE, SOCIOECONOMIC STATUS, AND OTHER FACTORS. ACCESS TO AFFORDABLE AND QUALITY HEALTHCARE WERE COMMON MESSAGES HEARD FROM COMMUNITY MEMBERS. RESPONDENTS REPORTED THE MOST DIFFICULT TYPE OF HEALTH SERVICES TO GET FOR THEIR HOUSEHOLD WERE DENTAL HEALTH SERVICES, PARTICULARLY AMONG HISPANICS. HEALTHCARE ACCESS IS A MAJOR CHALLENGE IN RACIAL MINORITY COMMUNITIES IN OKLAHOMA COUNTY DUE TO BARRIERS WHICH INCLUDE PERCEIVED FINANCIAL BARRIERS, TRANSPORTATION BARRIERS, SCHEDULING CHALLENGES, AND CULTURAL BARRIERS. AS NOTED ABOVE, ALTHOUGH TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA COUNTY IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE. THE STATE OF OKLAHOMA CONTINUES TO HAVE A GRADE OF "F" IN HEART DISEASE DEATHS AND A GRADE OF "D" IN LUNG CANCER INCIDENCE. WITH THE EXPANSION OF ELECTRONIC CIGARETTES AND VAPES, NICOTINE DEPENDENCY CONTINUES TO BE A WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS. SIGNIFICANT COMMUNITY HEALTH NEEDS ADDRESSED BY OCOM INTEGRIS HEALTH WORKED WITH OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY, LLC (OCOM) TO DEVELOP AN IMPLEMENTATION STRATEGY TO PRIORITIZE AND ADDRESS NEEDS OF OCOM'S COMMUNITY, ENTITLED "COMMUNITY HEALTH IMPROVEMENT PLAN FOR FISCAL YEARS 2023, 2024, AND 2025." Schedule H, Part V, Section B, Line 11 Facility B, 3 Facility B, 3 - FACILITY REPORTING GROUP B - CONTINUED. THE OCOM CHIP ADDRESSES THE FOLLOWING PRIORITY ISSUES OF OCOM: - ACCESS TO HEALTHY FOOD - OBESITY - TOBACCO PRIORITY NEED #1: ACCESS TO HEALTHY FOOD OCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY ORGANIZING MULTIPLE FOOD DRIVES IN ITS COMMUNITY, IN PARTNERSHIP WITH A REGIONAL FOOD BANK AND COMMUNITY DIETICIANS. IN ADDITION, OCOM SUPPORTED FOOD BANKS AND PANTRIES IN ITS COMMUNITY THROUGH DONATIONS, AND BY ENCOURAGING ITS HOSPITAL STAFF TO VOLUNTEER THEIR TIME AT LOCAL FOOD BANKS AND PANTRIES. PRIORITY NEED #2: OBESITY OCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY PROVIDING PEDIATRIC HEALTHY LIVING EDUCATION, ADULT HEALTH LIVING EDUCATION, AND HEALTHY LIVING RESOURCES. FOR INSTANCE, OCOM PROVIDED EACH PEDIATRIC PATIENT WITH RESOURCES ON HEALTHY EATING EDUCATION, INCLUDED TSET EDUCATIONAL MATERIALS TO ALL PATIENTS IN DISCHARGE PACKETS, AND COMMUNICATED WITH STAFF ON HOW TO ADDRESS HEALTHY LIVING CHALLENGES WITH PATIENTS. OCOM ALSO PARTNERED WITH COMMUNITY CENTERS, SCHOOLS, POLICE DEPARTMENTS, FITNESS CENTERS, CAREER TECH CENTERS, QUALITY IMPROVEMENT ORGANIZATIONS, CHURCHES, LIBRARIES, CHRONIC DISEASE PREVENTION ORGANIZATIONS, AND SUPPORT GROUPS TO PROVIDE HEALTHY LIVING RESOURCES AND EDUCATION TO ITS COMMUNITY. PRIORITY NEED #3: TOBACCO OCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY MAINTAINING A TOBACCO-FREE POLICY ON ITS CAMPUS, PROVIDING TSET EDUCATIONAL MATERIALS IN ALL PATIENT WAITING AREAS, AND OFFERING TSET EDUCATION AND OTHER SMOKING CESSATION RESOURCES TO PATIENTS WHO USE TOBACCO. IT DEVELOPED THESE RESOURCES IN PARTNERSHIP WITH YOUTH AND FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE, THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENT, AND LYNN INSTITUTES' NORTHEAST OKLAHOMA CITY COLLABORATIVE. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT ADDRESSED BY OCOM OCOM CHOSE NOT TO FOCUS ON SOME OF THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, IN PARTICULAR ACCESS TO EDUCATION, ACCESS TO MEANINGFUL EMPLOYMENT AND ACCESS TO HEALTHCARE, AS THE HOSPITAL HAS LIMITED RESOURCES AND LACKS SOME OF THE EXPERTISE TO FOCUS ON AND ADDRESS THESE. ADDITIONALLY, INTEGRIS HEALTH, WHICH SERVES OKLAHOMA COUNTY, WAS ALREADY TAKING ACTIONS TO ADDRESS ALL OF THESE COMMUNITY HEALTH NEEDS. Schedule H, Part V, Section B, Line 5 Facility C, 1 Facility C, 1 - FACILITY REPORTING GROUP C. HEALTH VENTURES IS A PARTNERSHIP FORMED IN FY2019 BETWEEN IACC, AN OKLAHOMA NOT FOR PROFIT CORPORATION THAT IS TAX-EXEMPT UNDER SECTION 501(C)(3) AND USP OKLAHOMA, INC. (USP), AN UNRELATED OKLAHOMA FOR PROFIT CORPORATION FOR THE PURPOSE OF ACQUIRING OWNERSHIP IN OR DEVELOPLING FREESTANDING AMBULATORY SURGERY HOSPITALS. ON NOVEMBER 1, 2018, HEALTH VENTURES ACQUIRED 51% OF HPI HOLDINGS, LLC (HPI). HPI OWNS A 100% INTEREST IN COMMUNITY HOSPITAL, LLC AND TPG HOSPITAL, LLC. THIS JOINT VENTURE OPERATED THE COMMUNITY HOSPITAL AND TPG HOSPITAL FACILITIES DURING THE TAX YEAR. THE JOINT VENTURE IS A PARTNERSHIP FOR WHICH A FORM 1065 IS FILED. HOWEVER, WHEN HPI WAS ACQUIRED BY HEALTH VENTURES, COMMUNITY HOSPITAL AND TPG HOSPITAL BECAME SUBJECT TO THE 501(R) PROVISIONS. OKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434. OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONSTHROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLICTRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY. ACCORDING TO THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT 2021 DATA, THE MEDIAN AGE IN OKLAHOMA COUNTY WAS 34.5 YEARS, WHICH IS SLIGHTLY YOUNGER THAN THE STATE OF OKLAHOMA AT 36.4 YEARS. THE PERCENT LIVING IN POVERTY IN OKLAHOMA COUNTY IS 16.7% WHICH IS SLIGHTLY LOWER THAN THE STATE AT 16.0%. IN 2018, THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY OF $52,855 WAS SLIGHTLY HIGHER THAN THE STATE OF $51,424. BOTH LAGGED BEHIND THE NATIONAL MEDIUM INCOME OF $60,293. OKLAHOMA COUNTY RESIDENTS RECEIVED SLIGHTLY MORE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE RATE IN 2018 (13.3% VS. 13.1%.) THE RACIAL/ETHNIC BREAKOUT OF OKLAHOMA COUNTY WAS 56.0% WHITE, 14.8% BLACK OR AFRICAN AMERICAN, 17.4% HISPANIC OR LATINO, 6.7% AMERICAN INDIAN OR ALASKA NATIVE, AND 4.7% ASIAN AND PACIFIC ISLANDER. AMONG OKLAHOMA RESIDENTS 18 AND OLDER, 30% OF PERSONS HELD A BACHELOR'S DEGREE OR HIGHER AS OF 2019. ON SEPTEMBER 30, 2021, NEW UNEMPLOYMENT NUMBERS WERE RELEASED FROM THE U.S. BUREAU OF LABOR STATISTICS SHOWING OKLAHOMA CITY RANKS FIRST FOR METROPOLITAN COMMUNITIES WITH A 2010 CENSUS POPULATION OF ONE MILLION OR MORE. OKLAHOMA CITY HAD AN UNEMPLOYMENT RATE OF ONLY 2.6% AND IS THE LOWEST RATE SINCE 2019. THE PERCENT OF UNINSURED ADULTS (AGE 18-64), IN OKLAHOMA COUNTY, ACCORDING TO DATA FROM THE 2021 U.S. CENSUS BUREAU, WAS CONSISTENT WITH THE STATE RATE OF 16.8%. ACCORDING TO THE OKLAHOMA HEALTH CARE AUTHORITY FAST FACTS, JANUARY 2021, THERE WERE A TOTAL OF 200,287 PERSONS ENROLLED IN MEDICAID IN OKLAHOMA COUNTY AND 946,412 PERSONS ENROLLED IN MEDICAID IN THE STATE OF OKLAHOMA DURING THE SAME PERIOD. AS OF FEBRUARY 2021, THERE WERE 92,632 PERSONS IN OKLAHOMA COUNTY AND 572,942 PERSONS IN THE STATE OF OKLAHOMA ENROLLED IN MEDICARE ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, MEDICARE ENROLLMENT DASHBOARD. BETWEEN 2015 AND 2019, THE AVERAGE NUMBER OF PERSON PER HOUSEHOLD IN OKLAHOMA COUNTY WAS 2.56 WHICH WAS SLIGHTLY LOWER THAN THE STATE AT 2.58. DURING THE SAME PERIOD, THE PERCENT OF PERSONS, 5 YEARS OR OLDER, IN OKLAHOMA COUNTY WHO SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME WAS 17.4% COMPARED TO THE STATE RATE OF 10.5%. IN 2020, ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS FOR OKLAHOMA COUNTY, ACCESS TO A PRIMARY CARE PHYSICIAN, PEOPLE PER ONE PROVIDER, WAS 1,170 COMPARED TO THE STATE OF OKLAHOMA WHICH WAS 1,620 PEOPLE PER ONE PROVIDER. ACCESS TO DENTISTS AND MENTAL HEALTH IN OKLAHOMA COUNTY, PEOPLE PER ONE PROVIDER, ACCORDING TO THE SAME SOURCE, WAS 980 AND 150, RESPECTIVELY AND 1640 AND 250, PEOPLE PER ONE PROVIDER FOR THE STATE OF OKLAHOMA. BETWEEN 2015-2017, THE AVERAGE LIFE EXPECTANCY IN OKLAHOMA COUNTY IS 74.9 YEARS WHEREAS THE AVERAGE IN THE U.S. IS 78.8 YEARS. BETWEEN 2016-2018, CARDIOVASCULAR DISEASE WAS THE LEADING CAUSE OF DEATH IN OKLAHOMA COUNTY. AT 337.7 DEATHS PER 100,000, MALES HAD 100 MORE DEATHS PER 100,000 COMPARED TO FEMALES WITH A RATE OF 235.9 DEATHS PER 100,000. CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN OKLAHOMA CITY-COUNTY BETWEEN 2016-2018, THE AGE-ADJUSTED MORTALITY RATE IN OKLAHOMA COUNTY WAS 188.0 PER 100,000 DEATHS, ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS, ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS BUT 27.6 DEATHS PER 100,000 GREATER THAN THE NATIONAL CANCER DEATH RATE. OKLAHOMA COUNTY HAD HIGHER DIABETES MORTALITY BETWEEN 2016-2018 COMPARED TO THE STATE AND NATIONAL RATES. THE OVERALL AGE-ADJUSTED DIABETES MORTALITY RATE IN THE COUNTY WAS 34.6 DEATHS PER 100,000. OKLAHOMA IS THE NINTH MOST OBESE STATE IN THE NATION, OKLAHOMA'S OBESITY RATE AS OF 2021 WAS AT 36.4%. THE SUICIDE RATES IN OKLAHOMA COUNTY AND THE STATE OF OKLAHOMA WERE HIGHER THAN THE NATIONAL AVERAGE BETWEEN 2016-2018. THE AGE-ADJUSTED SUICIDE RATE IN OKLAHOMA COUNTY WAS 18 DEATHS PER 100,000 PEOPLE. A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. THIS CHNA INCLUDED INTEGRIS HEALTH SYSTEM AND INCLUDES THE JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI SPECIALTY SURGERY THE CHNA UTILIZES RELEVANT HEALTH DATA TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA. ALL OF THE JOINT VENTURE HOSPITALS LIE WITHIN OKLHOMA COUNTY, EXCEPT FOR ONE SMALL CAMPUS OF THE INTEGRIS COMMUNITY HOSPITALS (MOORE), WHICH LIES ON THE NORTHERN EDGE OF CLEVELAND COUNTY. THE GOAL OF THIS REPORT IS TO PROVIDE RESIDENTS WITH A DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THEIR COMMUNITY AND TO HELP GUIDE THE HOSPITALS IN THEIR COMMUNITY BENEFIT PLANNING EFFORTS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED NEEDS. COMMUNITY INPUT WAS RECEIVED DURING STAKEHOLDER MEETINGS, COMMUNITY SURVEYS COLLECTED DURING APRIL 2021-JULY 2021 AND ONLINE CHATS WHICH WERE CONDUCTED FROM MAY 23, 2021 - JUNE 30, 2021. THE AFFORDABLE CARE ACT (ACA) REQUIRES 501(C)(3), TAX-EXEMPT HOSPITALS TO CONDUCT A CHNA AT LEAST ONCE EVERY THREE TAX YEARS AND TO ADOPT A STRATEGIC IMPLEMENTATION Plan for addressing identified needs. HPI and Its Collaborators last conducted a CHNA IN its 2021 Tax Year. Schedule H, Part V, Section B, Line 6a Facility C, 1 Facility C, 1 - FACILITY REPORTING GROUP C. THE HOSPITAL FACILITIES INCLUDED IN THE JOINT CHNA ARE AS FOLLOWS: - COMMUNITY HOSPITAL NORTH - COMMUNITY HOSPITAL SOUTH - COMMUNITY HOSPITAL NORTHWEST SURGICAL - INTEGRIS COMMUNITY HOSPITAL - MOORE - INTEGRIS COMMUNITY HOSPITAL - DEL CITY - INTEGRIS COMMUNITY HOSPITAL - OKC WEST - INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING - OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM) Schedule H, Part V, Section B, Line 11 Facility C, 1 Facility C, 1 - FACILITY REPORTING GROUP C. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED A NUMBER OF SIGNIFICANT NEEDS IN THE OKLAHOMA COUNTY COMMUNITY SERVED BY HPI AND THE OTHER COLLABORATORS FACILITIES, WHICH WERE DETERMINED BY EVALUATING AND SYNTHESIZING PRIMARY AND SECONDARY DATA TO IDENTIFY significant community health needs in Oklahoma and Cleveland County. UPON REVIEW AND ANALYSIS OF ALL QUANTITATIVE AND QUALITATIVE FEEDBACK AND SURVEYS THE FOLLOWING SIGNIFICANT NEEDS FOR OKLAHOMA COUNTY WERE IDENTIFIED: - EMPLOYMENT - Food Insecurity - Housing - Health Education and Promotion - Access to Healthcare - Obesity - Mental Health - Transportation THE ABOVE NEEDS SPAN THE AREAS DENOTED BELOW AND WERE OFTEN INTERRELATED. ALL ARE SOCIAL DETERMINATES OF HEALTH. SIGNFICANT COMMUNITY HEALTH NEEDS WERE THEN IDENTIFIED AND PRIORITIZED IN ALL OF THE FOLLOWING AREAS: - economic stability - neighborhood and built environment - health and healthcare - social and community context - education INTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ISSUES WERE PRIORITIZED BASED ON CURRENT SYSTEM WIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO. THE Implementation plan for HPI, Entitled "FY 2022 Community Health Improvement Plan," Specifically addresses the following priority issues: - Access to care - food insecurity - tobacco HPI ADDRESSED THIS NEED DURING THE TAX YEAR BY PROVIDE RESOURCES AND HELP ENROLLING IN NEW MEDICAID EXPANSION. ALL CAMPUSES HAVE INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS. PROVIDE FREE HEALTH CLINIC SERVICE INFORMATION TO PATIENTS IN NEED. PRIORITY NEED #2: FOOD INSECURITY HPI ADDRESSED THIS NEED DURING THE TAX YEAR BY ORGANIZING FOOD DRIVE AND SUPPORTING FOOD BANK/PANTRIES FINANCIALLY THROUGH DONATIONS. ESTABLISH ONE FOOD DRIVE IN 2ND QUARTER (APRIL, MAY, AND JUNE 2022). PRIORITY NEED #3: TOBACCO HPI ADDRESSED THIS NEED DURING THE TAX YEAR BY HOSPITAL RESOURCES: EDUCATIONAL MATERIAL, REFERRAL SYSTEM, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT PARTNERSHIP AND WELLNESS INITIATIVES, EMPLOYEE ASSISTANCE PROGRAM, FINANCIAL SUPPORT, MOBILE ASSESSMENT TEAM AND SCREENING TOOL IN PARTNERSHIP WITH YOUTH AND FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE, AMERICAN FOUNDATION FOR SUICIDE PREVENTION, 211 REFERRAL SYSTEM, YWCA, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT AND LIGHTHOUSE MEDICAL CLINIC. ALSO PROVIDING TSET EDUCATION TO ALL PATIENTS AND ENSURING SIGNAGE IS POSTED. 75 INTEGRIS BASS SPECIALITIES GASTRO 707 S MONROE ENID OK 73701 SPECIALITY CLINIC INTEGRIS CANADIA VALLEY SPECIALTY CLINIC 1703 PROFESSIOANL CIRCLE SUITE 101 YUKON OK 73099 SPECIALITY CLINIC INTEGRIS DIABETES CLINIC 600 S MONROE ENID OK 73701 SPECIALITY CLINIC INTEGRIS EAR NOSE AND THROAT CLINIC YUKON 1608 PROFESSIONAL CIRCLE YUKON OK 73009 SPECIALITY CLINIC INTEGRIS HEALTH ANTICOAGULATION CLINIC 4221 S WESTERN SUITE 1045 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC INTEGRIS HEALTH BAPTIST WOUND CARE 5700 N PORTLAND SUITE 310 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP PAIN MGT MOO 1401 SW 34TH SUITE 200 MOORE OK 73160 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP BAPTIST 3330 NW 56TH ST SUITE 220 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP BAPTIST PULM 3366 NW EXPRESSWAY BLDG D SUITE 660 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP BREAST SURGE 10900 HEFNER POINT DR SUITE 505 OKLAHOMA CITY OK 73120 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP CENTRAL 3400 NW EXPRESSWAY BLDG C SUITE 500 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP CROSS TIMBER 2557 OLD TIMBERS DR EDMOND OK 73034 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP DEL CITY 4801 SE 15TH SUITE 300 DEL CITY OK 73115 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP DERMATOLOGY 5915 W MEMORIAL ROAD SUITE 300 OKLAHOMA CITY OK 73142 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP DOWNTOWN 117 PARK AVE OKLAHOMA CITY OK 73102 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP EDMOND RENAL 1700 RENAISSANCE BLVD EDMOND OK 73013 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP ENDOCRIINLOLO 5401 N PORTLAND AVE SUITE 410 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP ENDOCRINOLOG 4112 S WESTERN AVE SUITE 4045 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP ENID 401 S 3RD STREET OKLAHOMA CITY OK 73701 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP ENT EDMOND 4509 INTEGRIS PARKWAY SUITE 200 EDMOND OK 73034 SPEICALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP GARRIOTT 915 E GARRIOTT ROAD SUITE I ENID OK 73701 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP GASTROENTERO 5401 N PORTLAND AVE SUITE 540 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP GENERALSURG 620 S MADISON ST SUITE 108 ENID OK 73701 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP GREAT PLAINS 3625 NW 56TH SUITE 200 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP GROVE 601 E 13TH STREET SUITE H GROVE OK 74344 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP GROVE 601 E 13TH ST SUITE G GROVE OK 74344 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP HAND SURGERY 3366 NW EXPRESSWAY SUITE 700 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP HAND SURGERY 5401 N PORTLAND AVE SUITE 600 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP HEFNER POINT 11101 HEFNER POINTE DR SUITE 105 OKLAHOMA CITY OK 73120 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP HENNESSEY 500 N CHEROKEE ST HENNESSEY OK 73742 PRIMARY CARE CLINIC INTERGRIS HEALTH MEDICAL GROUP HINTON 1714 N BROADWAT BLVD HINTON OK 73047 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP INTERNAL MED 310 2ND AVE SW SUITE 103 OKLAHOMA CITY OK 74354 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP INTERNAL MED 620 S MADISON SUITE 105 ENID OK 73701 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP INTERNAL MED 601 E 13TH SUITE A GROVE OK 74344 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP LAKEPOINTE 101914 HEFNER POINTE DR SUITE 202 OKLAHOMA CITY OK 73120 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE 203 MIAMI OK 74354 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE 107 MIAMI OK 74354 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE 105 MIAMI OK 74354 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE 205 MIAMI OK 74354 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP MOORE 1401 SW 34TH SUITE 200 MOORE OK 73160 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP MULTISPECIAL 4509 INTEGRIS PARKWAY SUITE 300 EDMOND OK 73034 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP MUSTANG 2929 S MUSTANG ROAD YUKON OK 73099 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP NORMAN 700 24TH AVE NW NORMAN OK 73069 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP NORTH MACART 5720 W MEMORIAL RD OKLAHOMA CITY OK 73142 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP NW FAMILY ME 3330 NW 56TH ST SUITE 305 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP NW FAMILY ME 620 S MADISON ENID OK 73701 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP PEDIATRICS 3330 NW 56TH SUITE 500 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP PULMONARY SO 4221 S WESTERN AVE SUITE 4005 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP RHEUMATOLOGY 3330 NW 56TH ST SUITE 305 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP SOUTHWEST 4221 S WESTERN AVE SUITE 3030 OKLAHOMA CITY OK 73109 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP SURREY HILLS 12200 ASHFORM DR YUKON OK 73099 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP WAYNOKA 1084 NICKERSON ST WAYNOKA OK 73860 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP WEATHERFORD 211 N ILLINOIS STREET WEATHERFORD OK 73096 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP YUKON 1205 HEALTH CENTER PARKWAY SUITE 10 0 YUKON OK 73099 PRIMARY CARE CLINIC INTEGRIS HEALTH PULMONARY HYPERTENSION CENTER 3400 NW EXPRESSWAY BLDG C SUITE 200 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS HEALTH WEIGHT LOSS CENTER 3433 NW 56TH BLDG A SUITE 909 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS MEDICAL GROUP COFFEE CREEK 2916 N KELLY AVE EDMOND OK 73003 PRIMARY CARE CLINIC INTEGRIS MEDICAL GROUP COLON AND RECTAL SU 3366 NW EXPRESSWAY BLDG D SUITE 800 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS MEDICAL GROUP COUNCIL CROSSING 9417 N COUNCIL RD SUITE 200 OKLAHOMA CITY OK 73162 PRIMARY CARE CLINIC INTEGRIS MEDICAL GROUP GROVE 601 E 13TH ST SUITE C GROVE OK 74344 PRIMARY CARE CLINIC INTEGRIS MEDICAL GROUP NEWCASTLE 2191 NORTH MAIN ST SUITE E NEWCASTLE OK 73065 PRIMARY CARE CLINIC INTEGRIS MEDICAL GROUP ROSE CREEK 16400 N MAY AVE EDMOND OK 73013 PRIMARY CARE CLINIC INTEGRIS MEDICAL GROUP UROLOGY 4200 DOUGLAS AVE SUITE 200 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC INTEGRIS PULMONOLOGY ASSC ENID 620 S MADISON SUITE 209 ENID OK 73701 SPECIALITY CLINIC INTEGRIS WOUND CARE BAPTIST MEDICAL CENTER 3300 NW EXPRESSWAY THIRD FLOOR OKLAHOMA CITY OK 73112 SPECIALITY CLINIC INTEGRIS WOUND CARE CLINIC MIAMI 200 2ND AVE SW MIAMI OK 74354 SPECIALITY CLINIC INTEGRIS WOUND CARE EDMOND 4500 INTEGRIS PARKWAY SUITE 145 EDMOND OK 73034 SPECIALITY CLINIC INTEGRIS WOUND CARE SOUTHWEST 4221 S WESTERN SUITE 1030 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC MEDICAL GROUP ENID N VAN BUREN 2821 N VAN BUREN ST ENID OK 73703 PRIMARY CARE CLINIC TROY AND DOLLIE SMITH WELLNESS CENTER 5911 W MEMORIAL OKLAHOMA CITY OK 73142 SPECIALITY CLINIC SOUTHWEST AMBULATORY SURGERY CENTER 8125 SOUTH WALKER OKLAHOMA CITY OK 73139 AMBULATORY SURGERY CENTER INTEGRIS HEALTH MEDICAL GROUP EDMOND EAST 4509 INTEGRIS PARKWAY SUITE 200 EDMOND OK 73034 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP SOUTHWEST WEST 1600 SW 119TH OKLAHOMA CITY OK 73170 PRIMARY CARE CLINIC INTEGRIS HEALTH MEDICAL GROUP RECONSTRUCTION 4509 INTEGRIS PARKWAY SUITE 350 EDMOND OK 73034 SPECIALITY CLINIC INTEGRIS HEALTH MEDICAL GROUP MEMORIAL W 5915 W MEMORIAL ROAD SUITE 300 OKLAHOMA CITY OK 73142 PRIMARY CARE CLINIC Schedule H, Part V, Section A INTEGRIS AMBULATORY CARE CORP, (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IACC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW. Schedule H, Part I, Line 6a INTEGRIS HEALTH, INC., (EIN: 73-1192764), THE PARENT ORGANIZATION OF INTEGRIS AMBULATORY CARE CORPORATION, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC. Schedule H, Part I, Line 7 FACILITY REPORTING GROUP A & B REPORTING GROUP A A cost to charge ratio was used to calculate Part I, line 7a and 7b. The cost to charge ratio was derived from IRS Worksheet 2, Ratio of Patient Care Cost 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. REPORTING GROUP B OCOM'S TOTAL EXPENSE INCLUDED IN PART IX, LINE 25, COLUMN (A) OF FORM 990 WAS $213,047,296, WHICH WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Schedule H, Part V, Section B, Line 20d FACILITY REPORTING GROUP B & C NEITHER OCOM OR HPI MADE ANY PRESUMPTIVE ELIGIBILITY DETERMINATIONS. DURING THE TAX YEAR, ALL PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION AND A PLAIN LANGUAGE SUMMARY AT ADMISSION OR UPON REQUEST. ALL PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE DURING THE APPLICATION PERIOD, WHICH ENDS ON THE 240TH DAY AFTER OCOM MAILS OR ELECTRONICALLY PROVIDES THE INDIVIDUAL WITH THE FIRST BILLING STATEMENT. ONCE AN APPLICATION IS RECEIVED IT IS GIVEN TO A BUSINESS OFFICE REPRESENTATIVE TO REVIEW FOR PRE-APPROVAL PER FPL GUIDELINES IN THE FINANCIAL ASSISTANCE POLICY. IF PRE-APPROVED, AN ADJUSTMENT REQUEST IS THEN GIVEN TO THE CONTROLLER TO REVIEW FOR FIRST LEVEL APPROVAL. IF APPROVED FIRST LEVEL, THE FINANCIAL ASSISTANCE APPLICATION AND ADJUSTMENT REQUEST ARE SENT TO THE CEO FOR FINAL APPROVAL. THE PATIENT IS THEN NOTIFIED VIA CALL AND/OR LETTER THAT HIS OR HER APPLICATION HAS BEEN APPROVED. Schedule H, Part VI, Line 7 FACILITY REPORTING GROUP B & C REPORTING GROUP B LAKESIDE WAS REQUIRED TO FILE, AND DID FILE, A COMMUNITY BENEFIT REPORT WITH THE STATE OF OKLAHOMA FOR THE FISCAL YEAR ENDED JUNE 30, 2023. REPORTING GROUP B OCOM WAS NOT REQUIRED TO FILE, AND DID NOT FILE, A COMMUNITY BENEFIT REPORT WITH THE STATE OF OKLAHOMA FOR THE FISCAL YEAR ENDED JUNE 30, 2023. Schedule H, Part II Community Building Activities 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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO IACC THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology IACC 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote REPORTING GROUP A: IACC 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. REPORTING GROUP B: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: OCOM DOES NOT HAVE A STAND-ALONE AUDIT AND IS INCLUDED IN THE CONSOLIDATED FINANCIALS OF INTEGRIS AMBULATORY CARE CORP, WHICH DOES NOT SPECIFICALLY ADDRESS BAD DEBT. OCOM ACCOUNTS FOR BAD DEBT EXPENSE AS FOLLOWS: -75% OF ACCOUNTS RECEIVABLE NET OF THE CONTRACTUAL ALLOWANCE AGED 120 DAYS OR GREATER (EXCLUDING LEGAL LIABILITY), PLUS 25% OF ACCOUNTS RECEIVABLE NET OF THE CONTRACTUAL ALLOWANCE IN THE 90 DAY BUCKET. WE RESERVE 50% OF LEGAL LIABILITY OVER 120 DAYS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs REPORTING GROUP A THE AMOUNTS REPORTED ON PART III, LINES 5 AND 6 REPRESENT INTEGRIS AMBULATORY CARE CORPORATION'S (IACC) PROPORTIONATE SHARE OF THE ALLOWABLE COSTS AND MEDICARE REIMBURSMENTS THAT ARE REPORTED ON OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY'S (OCOM) MEDICARE COST REPORT & LAKESIDE WOMEN'S HOSPITAL LLC (LWH) MEDICARE COST REPORT. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT. REPORTING GROUP B THE COST TO CHARGE METHODOLOGY WAS USED IN ORDER TO CALCULATE THE MEDICARE ALLOWABLE COSTS RELATED TO PAYMENTS RECEIVED FROM MEDICARE. ANY RESULTING SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance REPORTING GROUP A 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. IACC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. Schedule H, Part V, Section B, Line 16a FAP website A - LAKESIDE WOMEN'S HOSPITAL LLC: Line 16a URL: https://integrisok.com/patient-information/financial-assistance; B - OK CTR ORTHPDIC & MLTI-SPCLTY SURG: Line 16a URL: https://ocomhospital.com/financial-assistance-policy-2/; C - COMMUNITY HOSPITAL, LLC: Line 16a URL: https://nwsurgicalokc.com/patients/account-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - LAKESIDE WOMEN'S HOSPITAL LLC: Line 16b URL: https://integrisok.com/patient-information/financial-assistance; B - OK CTR ORTHPDIC & MLTI-SPCLTY SURG: Line 16b URL: https://ocomhospital.com/financial-assistance-policy-2/; C - COMMUNITY HOSPITAL, LLC: Line 16b URL: https://nwsurgicalokc.com/patients/account-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - LAKESIDE WOMEN'S HOSPITAL LLC: Line 16c URL: https://integrisok.com/patient-information/financial-assistance; B - OK CTR ORTHPDIC & MLTI-SPCLTY SURG: Line 16c URL: https://ocomhospital.com/financial-assistance-policy-2/; C - COMMUNITY HOSPITAL, LLC: Line 16c URL: https://nwsurgicalokc.com/patients/account-assistance; Schedule H, Part VI, Line 2 Needs assessment REPORTING GROUP A: INTEGRIS HEALTH UTILIZES A VARIETY OF TOOLS TO DETERMINE THE HEALTH CARE NEEDS OF OUR COMMUNITIES. THESE INCLUDE PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES AND ORGANIZATIONS TO DETERMINE SPECIFIC TARGET MARKET NEEDS, PROGRAM SURVEYS AND COMMUNITY FOCUS GROUPS, PROGRAM EVALUATIONS FROM PARTICIPANTS IN OUR COMMUNITY HEALTH SCREENINGS, HEALTH EDUCATION AND SUPPORT GROUPS, THE COUNTY HEALTH RANKINGS REPORT AND THE OKLAHOMA STATE HEALTH DEPARTMENT'S "STATE OF THE STATE HEALTH REPORT." AFTER REVIEWING THESE MATERIALS FOR ISSUES CONCERNING ACCESS TO CARE, HEALTH EDUCATION NEEDS AND GAPS IN SERVICES IN OUR COMMUNITIES, INTEGRIS HEALTH DETERMINES HOW TO ADDRESS THESE ISSUES BY DEVELOPING PROGRAMS/SERVICES TO IMPLEMENT, INCLUDING, BUT NOT LIMITED TO, HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION AND WELLNESS PROGRAMS, SUPPORT GROUPS, AND ACCESS TO HEALTH CARE FACILITIES. INTEGRIS HEALTH UTILIZES OUR HEALTH SYSTEM RESOURCES, FACILITIES AND PERSONNEL FOR MANY OF THESE PROGRAMS, BUT ALSO PARTNERS WITH OUR COMMUNITIES AND DEVELOPS COLLABORATIONS WITH LOCAL NON-PROFIT AGENCIES, CIVIC ORGANIZATIONS, SCHOOLS, AND CHURCHES TO IMPROVE THE ISSUES IDENTIFIED. REPORTING GROUP B: A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. INTEGRIS HEALTH SYSTEM WAS ONE OF THE FOUR NON-PROFIT HEALTH SYSTEMS THAT CONDUCTED THIS CHNA. INTEGRIS HEALTH SYSTEM INCLUDES THEIR JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS, AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY BY INTEGRIS HEALTH DURING THE FISCAL YEAR ENDED JUNE 30, 2022. THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDED OCOM, WAS APPROVED AND ADOPTED BY OCOM'S BOARD OF DIRECTORS ON JULY 25, 2022. ADDITIONALLY, THE RELATED IMPLEMENTATION STRATEGY, OCOM PREPARED, REFERRED TO AS THEIR COMMUNITY HEALTH IMPROVEMENT PLAN OR CHIP, WAS ALSO APPROVED AND ADOPTED BY THEIR BOARD ON JULY 25, 2022. AS DISCUSSED IN SCHEDULE H, SECTION B, PART V ABOVE, A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR HEALTHCARE PARTNERS INVESTMENTS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY BY INTEGRIS HEALTH DURING THE FISCAL YEAR ENDED JUNE 30, 2022. THE CHNA UTILIZES RELEVANT HEALTH DATA RECEIVED FROM THE HOSPITAL CHNA COLLABORATORS AND FROM OKLAHOMA COUNTY RESIDENTS OF ALL BACKGROUNDS, SOCIOECONOMIC STATUS, AND DEMOGRAPHICS TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA. INTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ISSUES WERE PRIORITIZED BASED ON CURRENT SYSTEMWIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO. FOCUS WAS ALSO GIVEN TO THE INTERCONNECTEDNESS OF SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY. THE FOLLOWING FOUR PRIORITIZED NEEDS WERE DETERMINED: - ACCESS TO EDUCATION - ACCESS TO MEANINGFUL EMPLOYMENT - ACCESS TO HEALTHY FOOD - ACCESS TO HEALTHCARE TOBACCO * INTEGRIS HEALTH CHOSE TO FOCUS ON ALL OF THE IDENTIFIED PRIORITY ISSUES. * AS ALSO NOTED IN SCHEDULE H, SECTION B, PART V, WHILE TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA COUNTY IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE AND NICOTINE DEPENDENCY CONTINUES TO BE A WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS. EACH HOSPITAL THEN DEVELOPED AN INDIVIDUAL CHIP IN A SEPARATE DOCUMENT TO ADDRESS THE NEEDS IDENTIFIED, BASED ON THEIR INTERNAL PRIORITIES AND RESOURCES. THE IMPLEMENTATION PLAN FOR OCOM SPECIFICALLY ADDRESSES THE FOLLOWING PRIORITY ISSUES: - ACCESS TO HEALTHY FOOD - OBESITY - TOBACCO IN ORDER TO ADDRESS EACH PRIORITIZED NEED, HOSPITAL RESOURCES WERE ALLOCATED AND COMMUNITY PARTNERSHIPS WERE IDENTIFIED TO ASSIST. SPECIFIC PROGRAMS WERE IMPLEMENTED WITH SUPPORTING ACTIVITIES AND YEARLY TARGET GOALS. REPORTING GROUP C: HPI COLLABORATED WITH INTEGRIS HEALTH IN A JOINT CHNA. https://communityhospitalokc.com/application/files/2916/2826/6047/CHNA2021.pdf https://nwsurgicalokc.com/application/files/6016/2826/5929/CHNA2021.pdf https://www.integriscommunityhospital.com/int-assets/uploads/forms/INTEGRIS-Health-Joint-CHNA_2020-2021.pdf Schedule H, Part VI, Line 3 Patient education of eligibility for assistance REPORTING GROUP A 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. REPORTING GROUP B OCOM PATIENTS WERE INFORMED AND EDUCATED OVER THE PHONE OR IN PERSON PRIOR TO MEDICAL SERVICES BEING PROVIDED ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. IF A PATIENT DECIDED TO APPLY FOR FINANCIAL ASSISTANCE AFTER THE MEDICAL SERVICES WERE PROVIDED, PATIENTS WERE FURTHER EDUCATED OVER THE PHONE OR IN PERSON ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY APPLICATION INSRUCTIONS WERE ALSO MADE AVAILABLE ONLINE WITH THE ABILITY TO BE PRINTED DIRECTLY FROM THE OCOM WEBSITE, WITHOUT CHARGE. PATIENTS COULD ALSO REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY APPLICATION INSTRUCTIONS FROM OCOM'S WEBSITE OR BY MAIL BY CALLING THE OCOM BUSINESS OFFICE. REPORTING GROUP C HPI FACILITY PATIENTS WERE INFORMED AND EDUCATED ONLINE, BY TELEPHONE, BY MAIL, ON POSTED SIGNS AND PAPER COPIES OR BROCHURES LOCATED IN ALL REGISTRATION AREAS THROUGHOUT THE FACILITIES, IN PERSON, AND IN BILLING STATEMENTS ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. REGISTRATION STAFF REFERS PATIENTS TO WEBSITE AND TO THE BILLING DEPARTMENT AS NEEDED OR REQUESTED. THEY PRINT OFF CHARITY APPLICATIONS AND ASSISTS PATIENTS IN COMPLETING. IF TRANSLATION IS NEEDED TO HELP COMPLETE FORMS A CALL IS MADE INTO THE LANGUAGE LINE FOR ASSISTANCE. IF FINANCIAL NEED IS DETERMINED WHEN PATIENT IS IN PERSON AT FACILITY, EXAMPLE LACK OF INSURANCE OR UNABLE TO PAY, PATIENT IS ASSISTED WITH APPLICATION AND/OR REFERRED TO BILLING TO ASSIST. SCHEDULING, FINANCIAL COUNSELOR, REGISTRATION, AND AUTHORIZATION DEPARTMENT, REFER PATIENTS IN NEED OF ASSISTANCE TO WEBSITE AND TO BILLING AS NEEDED. Schedule H, Part VI, Line 4 Community information REPORTING GROUP A 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 AMBULATORY CARE CORPORATION (IACC) IS LOCATED IN OKLAHOMA CITY, WHICH IS IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA. REPORTING GROUP B OCOM IS LOCATED IN OKLAHOMA CITY WITH AN HOPD LOCATION (OCOM NORTH) IN NORTHWEST OKLAHOMA CITY AND THREE FREESTANDING IMAGING FACILITIES TO SERVICE OKLAHOMA CITY, IN OKLAHOMA COUNTY, OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. THE ECONOMY SPECIALIZES IN OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. OKLAHOMA COUNTY'S POPULATION IS GROWING ACROSS ALL RACIAL AND ETHNIC GROUPS. THERE WAS A 5.9% INCREASE IN TOTAL POPULATION FROM 2014-2019. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434. AS OF 2019, THE MEDIAN AGE FOR OKLAHOMA COUNTY WAS 34.6 YEARS WHILE THE MEDIAN AGE FOR THE STATE OF OKLAHOMA WAS 34.1 YEARS. AS OF 2018, APPROXIMATELY 16.7% OF THE PEOPLE IN OKLAHOMA COUNTY LIVED BELOW THE POVERTY LEVEL AND WERE NOT ALWAYS ABLE TO MEET THEIR BASIC NEEDS LIKE AFFORDABLE HOUSING, HEALTH CARE, HEALTHY FOOD, TRANSPORTATION, AND SOCIAL SERVICES (2018). THE MEDIAN HOUSEHOLD INCOME FOR OKLAHOMA COUNTY WAS $52,855 COMPARED TO $51,424 FOR THE STATE OF OKLAHOMA AND $60,293 FOR THE NATIONAL AVERAGE (2021 WELLNESS SCORE FROM 2018). THE MAJORITY OF RESIDENTS IN OKLAHOMA COUNTY IDENTIFY AS WHITE (56%). THE NEXT LARGEST RACES/ETHNICITIES IN OKLAHOMA COUNTY ARE HISPANIC/LATINO (17.4%), BLACK OR AFRICAN AMERICAN (14.8%), AMERICAN INDIAN/ALASKAN NATIVE (6.7%), AND ASIAN/PACIFIC ISLANDER (4.7%) OR SOME OTHER RACE (4.1%). THE OVERALL MORTALITY RATES IN OKLAHOMA CITY COUNTY FROM 2016-2018 WAS 932.6 DEATHS PER 100,000 PEOPLE. THAT WAS GREATER THAN THE NATIONAL RATE OF 728.9 AND THE STATE RATE OF 894.7 DEATHS PER 100,000. MORTALITY RATES WERE HIGHEST AMONG AMERICAN INDIANS. NON-HISPANICS HAD A HIGHER MORTALITY RATE THAN HISPANICS. THE ZIP CODES WITH THE HIGHEST MORTALITY RATES WERE 73007, 73141, AND 73102. AMONG OKLAHOMA COUNTY RESIDENTS, 30% HELD A BACHELOR'S DEGREE OR HIGHER IN 2019. SINCE THE COVID-19 PANDEMIC, THE EMPLOYMENT SITUATION IN OKLAHOMA HAS IMPROVED. ON SEPTEMBER 30, 2019, THE UNEMPLOYMENT RATE FOR OKLAHOMA CITY WAS 2.6%. ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, OKLAHOMA RANKED FIRST FOR METROPOLITAN CITIES WITH A CENSUS POPULATION OF GREATER THAN ONE MILLION OR MORE. REPORTING GROUP C Oklahoma County is in the central part of Oklahoma. Oklahoma City is the county seat and is the largest city in the state. There are 20 cities and small towns located in the county. (1) Oklahoma County employs 379,291 people. The economy specializes in mining, oil, gas, quarrying, extraction, management of companies and enterprises, and public administration. According to the 2019 population estimates, the population of Oklahoma County was 797,434. (1) The county occupies 708 square miles. As of 2010 census, there were 1,013 persons per square mile. (1) Oklahoma County has 14 hospitals, two federally qualified health centers with 14 satellite clinics, approximately 17 free community clinics, one tribal clinic, a city-county health department with multiple locations throughout the county, and a state health department. Public transportation, taxi services, two public and several private airports, and paramedic level ambulance services are also located within the county. Schedule H, Part VI, Line 5 Promotion of community health REPORTING GROUP A EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS. IACC'S BOARD OF DIRECTORS IS APPOINTED BY INTEGRIS HEALTH, INC. INTEGRIS HEALTH, INC. IS 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 A FALLS PREVENTION PROGRAM FOR SENIOR CITIZENS, 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 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 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, electronic 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 Health 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 Health community health programs across the state are implemented to educate our residents and 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 Health for many years in an effort to better educate the public on taking care of their health and creating awareness about 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. REPORTING GROUP B OCOM IS A MEMBER OF THE OHA, WHICH ADVOCATES FOR AFFORDABLE, HIGH-QUALITY CARE FOR THE STATE OF OKLAHOMA AND SUPPORTING RURAL HEALTH. OCOM CONTRACTS WITH RESEARCH INTERNATIONAL TO PERFORM IMAGING STUDIES FOR PATIENTS INVOLVED IN RESEARCH. OCOM HELD TWO FOOD DRIVES AND ONE CEREAL DRIVE THAT RECIEVED BOTH INTERNAL AND EXTERNAL DONATIONS. ADDITIONALLY, OCOM HAD A TEAM THAT VOLUNTEERED AT THE OKLAHOMA FOOD BANK TO PREPARE FOOD BASKETS AND MEALS TO HELP SUPPORT OKLAHOMA'S MOST VULNERABLE AND HUNGRY. OCOM ALSO PARTICIPATED IN THE OKLAHOMA BLOOD INSTITUTE BLOOD DRIVE QUARTERLY DURING 2023. Schedule H, Part VI, Line 6 Affiliated health care system REPORTING GROUP A IACC 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. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. REPORTING GROUP B AS DESCRIBED ABOVE, OCOM WAS RESTRUCTURED EFFECTIVE NOVEMBER 1, 2018 WHEN A NEW JOINT VENTURE WAS FORMED BETWEEN INTEGRIS AND USP OK. WHEN THE NEW JOINT VENTURE WAS FORMED WITH INTEGRIS, OCOM BECAME SUBJECT TO THE 501(R) PROVISIONS. REPORTING GROUP C HPI IS A JOINT VENTURE FORMED BETWEEN INTEGRIS AND USP OK. WHEN THE NEW JOINT VENTURE WAS FORMED WITH INTEGRIS, HPI BECAME SUBJECT TO THE 501(R) PROVISIONS. Schedule H, Part VI, Line 7 State filing of community benefit report OK true UNITED WAY OF CENTRAL OKALHOMA INC 1444 NW 28TH STREET OKLAHOMA CITY OK 731063430 730589829 501(C)(3) 107750 GENERAL SUPPORT ALLIED ARTS OF OKLAHOMA INC 1015 N BROADWAT AVE STE 200 OKLAHOMA CITY OK 73102 730804291 501(C)(3) 10000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION PO BOX 841750 DALLAS TX 75284 135613797 501(C)(3) 50500 GENERAL SUPPORT ALZHEIMERS ASSOICATION 6660 SOUTH SHERIDAN ROAD TULSA OK 74133 133039601 501(C)(3) 10000 GENERAL SUPPORT STATE CHAMBER OF OKLAHOMA PO BOX 53217 OKLAHOMA CITY OK 73152 731270209 501(C)(3) 25265 GENERAL SUPPORT March of Dimes Inc PO Box 18819 Atlanta GA 31126 131846366 501(c)(3) 10000 General Assistance Health Alliance For the Uninsured 3000 United Founders Blvd Oklahoma City OK 73112 261789292 501(c)(3) 142200 General Assistance 7 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. INTEGRIS AMBULATORY CARE CORPORATION (IACC) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS AND ORGANIZATIONS TO SUPPORT THEIR OPERATIONS. IACC DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS. AS PART OF ITS COMMITMENT TO THE COMMUNITIES IT SERVES, IACC SOMETIMES 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 IACC. SEE SCHEDULE O FOR A FULL COPY OF THE INTEGRIS HEALTH SYSTEM COMMUNITY BENEFIT REPORT, WHICH PROVIDES GREATER DETAIL WITH RESPECT TO IACC'S RETURNSHIP AND COMMUNITY BUILDING EFFORTS. true true false false false false false true false Timothy Pehrson Director & President/CEO 0 1261559 0 903360 0 261559 0 233113 0 7009 0 2666600 0 237683 Michael Weed Treasurer & CFO 0 585164 0 148090 0 32312 0 102534 0 7009 0 875109 0 17356 Jeffrey Cruzan Pres Physician Enterprise 482898 0 184155 0 51607 0 62611 0 4713 0 785984 0 36920 0 Sunnie Glover VP Physician Enterprise 255476 0 91350 0 316251 0 45600 0 1208 0 709885 0 135095 0 Kristi McCormick VP Physician Operations 225578 0 75783 0 8748 0 26777 0 19764 0 356650 0 0 0 Jeremy Phelps Physician 588567 0 905024 0 4517 0 20450 0 6749 0 1525307 0 0 0 Christopher Lentz Physician 856871 0 590540 0 5155 0 27427 0 2714 0 1482707 0 0 0 Ashish Masih Physician 809493 0 523997 0 1876 0 17199 0 6749 0 1359314 0 0 0 Atul Walia Physician 962599 0 279125 0 6518 0 20249 0 6749 0 1275240 0 0 0 Scott Shadfar Physician 921825 0 308729 0 1082 0 20450 0 1964 0 1254050 0 0 0 Douglas Smith Former CFO 0 69508 0 0 0 104428 0 11061 0 1078 0 186075 0 103139 Katherine Mansalis Former VP 0 243717 0 80104 0 650 0 17400 0 227 0 342098 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, IACC RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS IOFFICERS. INTEGRIS UTILIZES A COMPENSATION COMMITEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION. Schedule J, Part I, Line 4a Severance or change-of-control payment A SEVERANCE PAYMENT WAS MADE TO AN OFFICER DOUGLAS SMITH. $104,428 OF THE CALENDAR YEAR 2023 COMPENSATION REPORTED FOR THIS INDIVIDUAL ON FORM 990, PART VII AND SCHEDULE J, PART II REPRESENTS A SEVERANCE PAYMENT. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH 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 RECEIVED A PAYMENT DURING THE YEAR: TIMOTHY PEHRSON - $237,683 MICHAEL WEED - $17,356 DOUGLAS SMITH - $103,139 JEFREY CRUZAN - $36,920 SUNNIE GLOVER - $135,095 Schedule J, Part I, Line 7 Non-fixed payments 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 PRODUCTION 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 ON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA. Form 990, Part III, Line 4a Community Benefit Report INTEGRIS COMMUNITY BENEFIT REPORT 2023 A MESSAGE FROM OUR PRESIDENT & 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 Form 990, Part III, Line 4a Community Benefit Report - continued 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%. Form 990, Part III, Line 4a Community Benefit Report - continued 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. Form 990, Part III, Line 4a Community Benefit Report - continued 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. Form 990, Part III, Line 4a Community Benefit Report - continued INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS 32nd Annual Hispanic Health Fair A Day of Connection, Healing and Inspiration AAU Track & 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 >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 & Lymphoma Society - Light the Night Meeting Leukemia & 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 Form 990, Part III, Line 4a Community Benefit Report - continued 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 & Public Health Practicum & 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 & 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 Form 990, Part V, Line 1a Form 990, Part V, Line 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. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons TIMOTHY PEHRSON - Business relationship, MICHAEL WEED - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS AMBULATORY CARE CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS AMBULATORY CARE CORPORATION. AS SUCH IT HAS THE POWER (1) TO ELECT THE DIRECTORS OF THE CORPORATION AND TO REMOVE THE ENTIRE BOARD OF DIRECTORS OR ANY INDIVIDUAL DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, AND (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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders PLEASE SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION A, LINE 7A. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. Form 990, Part VI, Line 12c Conflict of interest policy 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 ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS, AND 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 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 GOVERANCE 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). COMPENSATION FOR 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. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part VIII, Line 2f Other Program Service Revenue ALL OTHER PROGRAM SERVICE REVENUE - Total Revenue: 1053492, Related or Exempt Function Revenue: 849349, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 204143; FORM 990, BOX C: DOING BUSINESS AS Form 990, Box C: Doing Business As CHEST PAIN EMERGENCY CENTER PROHEALTH LABORATORY MEDICAL PLAZA IMAGING CENTER MERIDIAN OCCUPATIONAL HEALTH CENTER MERIDIAN PRIORITY OCCUPATIONAL HEALTH CENTER FAMILY PHYSICIANS OF OKLAHOMA CITY INTEGRIS HOMECARE PLUS SAMARITAN HOME INFUSION SAMARITAN HEALTH SERVICES INTEGRIS FAMILY CARE CENTER SOUTH PENN FAMILY MEDICINE CENTER SOUTH PENN FAMILY MEDICINE CLINIC INTEGRIS AMBULATORY CARE REHABILITATION SERVICES INTEGRIS FAMILY CARE CENTRAL BAPTIST COMMUNITY CLINIC INNER EAR RESEARCH TEAM INTEGRIS EXPRESS CARE INTEGRIS MEDICAL GROUP INTEGRIS JIM THORPE REHABILITATION INTEGRIS ADVANCED CARDIAC CARE INTEGRIS JIM THORPE OUTPATIENT REHABILITATION HEFNER POINTE INTEGRIS JIM THORPE REHABILITATION ENID INTEGRIS OCCUPATIONAL MEDICINE ENID INTEGRIS JIM THORPE REHABILITATION HOBBY LOBBY INTEGRIS MEDICAL GROUP OCCUPATIONAL MEDICINE INTEGRIS JIM THORPE REHABILITATION EARLYWINE PARK YMCA INTEGRIS JIM THORPE REHABILITATION MITCH PARK YMCA INTEGRIS MOBILE WELLNESS CLINIC INTEGRIS HEALTH URGENT CARE INTEGRIS JIM THORPE REHABILITATION BETHANY YMCA CARAVAN HEALTH ACO 34 LLC 3001 Quail Springs Parkway Oklahoma City OK 73134 300865115 ACO DE IACC INTEGRIS HEALTH INC 3001 Quail Springs Parkway Oklahoma City OK 73134 731192764 HEALTH CARE OK 501(c)(3) Type I NA false INTEGRIS HOSPTICE INC 3001 Quail Springs Parkway Oklahoma City OK 73134 731369586 HEALTH CARE OK 501(c)(3) 10 IH false INTEGRIS BAPTIST MEDICAL CENTER INC 3001 Quail Springs Parkway Oklahoma City OK 73134 731034824 HEALTH CARE OK 501(c)(3) 3 IH false INTEGRIS RURAL HEALTH INC 731444504 HEALTH CARE OK 501(c)(3) 3 IH false INTEGRIS SOUTHWEST MEDICAL CENTER INC 731089149 HEALTH CARE OK 501(c)(3) 3 IH false INTEGRIS HEALTH FOUNDATION INC 731047338 FUNDRAISING OK 501(c)(3) 7 IH false WESTERN VILLAGE ACADEMY INC 731588764 SCHOOL OK 501(c)(3) 2 IACC true INTEGRIS HEALTH EDMOND INC 451027361 HEALTH CARE OK 501(c)(3) 3 IH false INTEGRIS MENTAL HEALTH INC 730738716 HEALTH CARE OK 501(c)(3) 3 IH false INTEGRIS HEALTH ALLSET URGENT CARE LLC 923075963 HEALTH CARE OK 501(c)(3) 10 IACC true INTEGRIS HEALTH PONCA CITY HOSPITAL INC 3001 Quail Springs Parkway Oklahoma City OK 73134 932949739 HEALTH CARE OK 501(c)(3) 3 IH false INTEGRIS HEALTH WOODWARD HOSPITAL INC 932826081 HEALTH CARE OK 501(c)(3) 3 IH false BMPA LTD 731228665 MED. 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OK NA N/A false false QC-III 3001 Quail Springs Parkway Oklahoma City OK 73134 208723857 MEDICAL OK NA N/A false false DIAGNOSTIC LAB OF OKLAHOMA 500 PLAZA DR TAX DEPT FL 8 SECAUCUS NJ 07094 731560760 CLINICAL LAB NJ NA N/A false false LAKESIDE WOMEN'S HOSPITAL LLC 731493662 MEDICAL OK IACC Related 4388235 28384971 false false 0.75 INTEGRISUSP HEALTH VENTURES LLC 14201 DALLAS PARKWAY DALLAS TX 75254 352632292 MEDICAL SERVICES TX IACC Related false false 0.501 INTEGRIS EMERGENCY HOSPITALS LLC 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 901215089 HEALTH CARE TX IACC Related -2276757 7286716 false false 0.51 INTEGRIS DDSI ENDOSCOPY CENTERS LLC 854253589 HEALTH CARE OK IACC Related false false 0.51 IH-USRS IMAGING LLC 3001 Quail Springs Parkway Oklahoma City OK 73134 MEDICAL IMAGING OK NA N/A false false HPI HOLDINGS LLC 3001 Quail Springs Parkway Oklahoma City OK 73134 HEALTH CARE OK IACC Related false false INTEGRIS PROHEALTH INC 731046179 RETAIL PHARMACY OK NA C Corporation false THE STANLEY F HUPFELD CHARITABLE REMAINDER TRUST 3001 Quail Springs Parkway Oklahoma City OK 73134 266238051 FINANCIAL OK NA Trust false QUALITY ALLIANCE ASSURANCE CO 981060671 INSURANCE CJ NA C Corporation false BAPTIST HEALTH SYSTEM INC 3001 Quail Springs Parkway Oklahoma City OK 73134 731477468 DORMANT OK NA C Corporation false INTEGRIS HEALTH PARTNERS LLC 3001 Quail Springs Parkway Oklahoma City OK 73134 453482852 HEALTH CARE OK NA C Corporation false INTEGRIS CARDIOVASCULAR PHYSICIANS LLC 3001 Quail Springs Parkway Oklahoma City OK 73134 452867352 HEALTH CARE OK NA C Corporation false false false true false false false false false false false true true true false false true true false true INTEGRIS HEALTH ALLSET URGENT CARE LLC Q 54138 FMV