2024-05-15T18:06:07-05:00 2023-06-30 135565207 KPMG LLP 1225 17TH STREET SUITE 800 DENVER CO 80202 990 2022-07-01 451027361 INTEGRIS HEALTH EDMOND INC INTE 4059496026 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 MIKE WEED CFO 4059496026 2024-05-15 1 MIKE WEED XXX-XX-XXXX 0 KIMBERLY J MAC NAMEE P02479140 3033827400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SEE SCHEDULE O MIKE WEED 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 125585939 0 X WWW.INTEGRISOK.COM X 2011 OK TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 16 14 619 78 0 0 3973735 1184399 114708460 124394592 1257 6948 0 0 118683452 125585939 0 0 0 0 36663576 40835140 0 0 0 78646649 88562032 115310225 129397172 3373227 -3811233 317913942 212055023 172975343 70927656 144938599 141127367 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 106574332 123721443 SEE SCHEDULE O. 106574332 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 619 1 0 0 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YEAR CFO 1.00 39.00 X 0 907662 130539 MICHAEL WEED PART YEAR CFO 1.00 39.00 X 0 394260 60017 ANGIE KAMERMAYER VP CHIEF NURSING OFFICER 40.00 0.00 X 228680 0 19421 JONATHAN RULE CHIEF HOSPITAL EXECUTIVE 40.00 0.00 X 302212 0 44446 ANGELA GUTIERREZ RESPIRATORY MANAGER 40.00 0.00 X 135623 0 8363 FREDERICK D MADDOX DIRECTOR OF FINANCE 40.00 0.00 X 229751 0 17673 KIRSTEN WALLACE MANAGER REHAB 40.00 0.00 X 139384 0 14019 LISA AISHMAN NURSING MANAGER 40.00 0.00 X 143067 0 9827 MITZY BAGGOTT NURSING MANAGER 40.00 0.00 X 152646 0 9071 AVILLA T WILLIAMS FORMER OFFICER 1.00 1.00 X 0 538222 83064 1331363 5356366 776643 25 1 1 0 VAYA WORKFORCE SOLUTIONS 5930 CORNERSTONE COURT WEST STE 30 SAN DIEGO CA 92121 MEDICAL SERVICES 6061075 DIAGNOSTIC LABORATORY OF OKLAHOMA LLC 225 NE 97TH STREET OKLAHOMA CITY OK 73114 REFERENCE LAB 3812253 NABHOLZ CONSTRUCTION CORP 6400 SUPERIOR AVENUE OKLAHOMA CITY OK 73149 CONSTRUCTION SERVICES 2645967 ANESTHESIA MEDICAL PROFESSIONALS PLLC PO BOX 1540 EDMOND OK 73083 ANESTHESIA SERVICE 2121350 INPATIENT CARE PHYSICIAN SERVICES 1409 TERRITORIES DR EDMOND OK 73034 PHYSICIAN CALL PAY 1701517 51 1184399 1184399 NET PATIENT REVENUE 621990 122496460 122496460 RENTAL INCOME 532000 1224983 1224983 CAFETERIA INCOME 722320 447136 447136 GIFT SHOP 459420 185867 185867 DISCOUNT ON PURCHASES 900099 14470 14470 25676 25676 124394592 6948 6948 125585939 123721443 0 680097 594759 594759 31419513 31419513 666146 666146 5784578 5784578 2370144 2370144 23207747 384907 22822840 26433 26433 5164240 5164240 2660 2660 22364525 22364525 1978642 1978642 27730 27730 11039 11039 6450099 6450099 8637743 8637743 39734 39734 PURCHASED SERVICES 8824736 8824736 CONTRACT LABOR 4621975 4621975 RIF & RECRUITMENT 4220344 4220344 SHOPP FEE 2597532 2597532 386853 386853 129397172 106574332 22822840 0 491116 485563 15079789 15721071 2529338 2901820 92828 99071 263086826 70366559 196339647 192720267 103381224 127231 317913942 212055023 112696387 70927656 60278956 0 172975343 70927656 X 144938599 141127367 144938599 141127367 317913942 212055023 -3811233 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8187716 8187716 197084541 35671735 161412806 53103903 33871976 19231927 4710666 822848 3887818 192720267 1 1 X 1 X 1 X 1 1 0 1 1 1102316 1102316 0.00850 20603665 13656291 6947374 0.05370 21705981 13656291 8049690 0.06220 4 157 21979 21979 0.00020 1 135 17027 17027 0.00010 3406 3406 0.00000 20434 20434 0.00020 5 292 62846 62846 0.00050 5 292 21768827 13656291 8112536 0.06270 444 444 0.00000 444 444 0.00000 1 5200960 0 25857710 28715833 -2858123 X 1 1 1 1 INTEGRIS HEALTH EDMOND INC 4801 INTEGRIS PARKWAY EDMOND OK 73034 WWW.INTEGRISOK.COM 2381 X X X INTEGRIS HEALTH EDMOND INC 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X X 1 21 1 SEE PART V, SECTION C 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X X X X 1 X HTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE X HTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE X HTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 INTEGRIS HEALTH EDMOND, INC. PART V, SECTION B, LINE 5: 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. INTEGRIS HEALTH EDMOND, INC. PART V, SECTION B, LINE 6A: 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. INTEGRIS HEALTH EDMOND, INC. PART V, SECTION B, LINE 6B: 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. INTEGRIS HEALTH EDMOND, INC. PART V, SECTION B, LINE 7D: 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. INTEGRIS HEALTH EDMOND, INC. PART V, SECTION B, LINE 11: 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 COMMUNITY GIVING FUND, INTEGRIS HEALTH FOOD PANTRIES/DISTRIBUTIONS, INTEGRIS HEALTH I-CREW, FOOD BANK PROGRAMS, AND PARTNERSHIPS WITH LOCAL COALITIONS. CURRENT GOALS FOR THE INTEGRIS HEALTH COMMUNITY GIVING FUND ARE TO ESTABLISH TWO PARTNERSHIP OPPORTUNITIES. INTEGRIS HEALTH FOOD PANTRIES/DISTRIBUTION PLANS TO SERVE 50 PERSONS. THE INTEGRIS HEALTH I-CREW WILL ESTABLISH TWO PARTNERSHIP OPPORTUNITIES DIRECTLY TARGETING IMPROVING ACCESS TO HEALTHY FOOD. INTEGRIS HEALTH EDMOND 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 COMMUNITY GIVING FUND, INTEGRIS HEALTH MOBILE CARE CLINIC, HOPE SQUAD GRANT FUNDING, AND PARTNERSHIPS WITH LOCAL COALITIONS. THE CURRENT GOAL FOR THE INTEGRIS HEALTH COMMUNITY GIVING FUND IS TO FUND ONE PROJECT. INTEGRIS HEALTH MOBILE CARE CLINIC SERVES 100 COMMUNITY MEMBERS. INTEGRIS HEALTH EDMOND WILL ALSO ESTABLISH ONE PARTNERSHIP OPPORTUNITIES FOR HOPE SQUAD GRANT FUNDING. IN ADDITION TO THE PROGRAMS MENTIONED, 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: INTEGRIS HEALTH COMMUNITY GIVING FUND, OKLAHOMA TOBACCO HELPLINE REFERRALS, SOCIAL MEDIA CAMPAIGNS, AND PARTNERSHIPS WITH LOCAL COALITIONS. THE CURRENT GOAL FOR THE INTEGRIS HEALTH COMMUNITY GIVING FUND IS TO ESTABLISH ONE PARTNERSHIP OPPORTUNITY. OKLAHOMA TOBACCO HELPLINE REFERRALS GOAL IS TO REFER 100 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. 1 1 - INTEGRIS HEALTH ARCADIA TRAILS 4851 INTEGRIS PARKWAY EDMOND OK 73034 BEHAVIORAL HEALTH PART I, LINE 6A: INTEGRIS HEALTH INC. 73-1192764, THE PARENT ORGANIZATION OF IHE, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC. PART I, LINE 7: COSTING METHODOLOGY: 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. 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. PART III, LINE 2: AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO EDMOND THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. PART III, LINE 3: IHE 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. PART III, LINE 4: IHE 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. PART III, LINE 8: COMMUNITY BENEFIT: ------------------------------THE HOSPITAL BELIEVES THAT ALL OF THE $2,858,123 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH OUR COST EXCEEDS REIMBURSEMENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING ELDERLY IN OUR COMMUNITY. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. COSTING METHODOLOGY:--------------------MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT. ANY RESULTING SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. PART III, LINE 9B: 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. INTEGRIS HEALTH EDMOND DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PART VI, LINE 2: 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. PART VI, LINE 3: 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. PART VI, LINE 4: INTEGRIS HEALTH SYSTEM IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS, WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN'S CLINICS, MENTAL HEALTH FACILITIES, CANCER CENTERS, INDEPENDENT LIVING CENTERS, AND HOME HEALTH AGENCIES THROUGHOUT MOST OF THE STATE. ALL COUNTIES IN WHICH INTEGRIS HEALTH OPERATES INCLUDE ONE OR MORE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. INTEGRIS HEALTH EDMOND IS LOCATED IN THE CITY OF EDMOND, WHICH IS IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA. THIS CAMPUS OFFERS 40 INPATIENT BEDS, 4 SURGICAL SUITES, AND 17 EMERGENCY DEPARTMENT ROOMS. INTEGRIS HEALTH EDMOND OPENED IN 2011. THERE ARE THREE OTHER HOSPITALS SERVING THE COMMUNITY OF EDMOND. PART VI, LINE 5: EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS. ALL INTEGRIS HEALTH FACILITIES ARE GOVERNED BY A BOARD OF DIRECTORS SPECIFICALLY MADE UP OF MEN AND WOMEN WHO LIVE AND WORK IN THE COMMUNITY INCLUDING: LOCAL BUSINESS OWNERS, CIVIC LEADERS, COMMUNITY VOLUNTEERS, REPRESENTATIVES WORKING IN HIGHER EDUCATION, UTILITY COMPANIES, AND A VARIETY OF NON-PROFIT ORGANIZATIONS. PATIENT AND COMMUNITY ADVISORY GROUPS HAVE ALSO BEEN ESTABLISHED AT SEVERAL INTEGRIS FACILITIES ACROSS THE STATE. THESE GROUPS GIVE HOSPITAL LEADERS INPUT, SUGGESTIONS, AND FEEDBACK ON WAYS TO IMPROVE PROGRAMS, SERVICES, COMMUNITY NEEDS, AND PROCESS IMPROVEMENT IN CLINICAL AREAS.PROGRAMS ESTABLISHED TO MEET COMMUNITY NEEDS INCLUDE COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES AND EDUCATIONS. AND STROKE LECTURES. ADVOCACY INITIATIVES FOR PROMOTING COMMUNITY-WIDE, STATE OR NATIONAL EFFORTS TO IMPROVE HEALTH OF THE POPULATION AND INCREASE ACCESS. INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA LIONS CLUB MOBILE HEALTH UNIT, THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE OKLAHOMA TURNING POINT PROGRAM TO INCREASE HEALTH SCREENING OPPORTUNITIES AND HEALTH ACCESS FOR PEOPLE LIVING IN RURAL, UNDERSERVED AREAS OF OKLAHOMA. THE PARTNERSHIP INCLUDES DONATION OF RESOURCES AND MONEY TO SPONSOR THE OPERATION OF THE LIONS MOBILE HEALTH UNIT WHICH TRAVELS AROUND THE STATE OFFERING FREE HEALTH SCREENINGS AND MEDICAL INFORMATION. THE OKLAHOMA STATE HEALTH DEPARTMENT AND THE OKLAHOMA TURNING POINT PROGRAM ASSIST WITH HEALTH SCREENINGS AND HELP WITH REFERRALS TO MEDICAL HOMES AND CLINICS FOR PEOPLE WITHOUT A PHYSICIAN AND FOR THOSE UNINSURED OR UNDERINSURED. INTEGRIS HEALTH HAS ESTABLISHED THE INTEGRIS HEALTH COMMUNITY GIVING FUND GRANT TARGETING THE THREE PRIORITIZED HEALTH AREAS. INTEGRIS HEALTH'S 2023-2025 COMMUNITY HEALTH PRIORITIES ARE ACCESS TO CARE (INCLUDING MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION MANAGEMENT), ACCESS TO HEALTHY FOOD, AND TOBACCO USE PREVENTION, THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING, AND TREATMENT STRATEGIES. EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS OR CREATE ACCESS TO COMPREHENSIVE MEDICAL CARE CONTINUE TO BE A PRIORITY OF THE COMMUNITY GIVING FUND. IN ORDER TO QUALIFY FOR GRANT FUNDING, THE PROGRAM OR SERVICE MUST ALIGN WITH ONE OR MORE OF THE FOLLOWING HEALTH PRIORITIES AND PROVIDE EVIDENCE-BASED DATA TO SUPPORT THE PROGRAM STRATEGIES (REPORTED QUARTERLY TO INTEGRIS HEALTH DURING THE GRANT YEAR): ACCESS TO CARE (INCLUDES MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT)-IMPROVE ACCESS TO MEDICAL CARE SERVICES, BEHAVIORAL; HEALTH, OR SUBSTANCE USE TREATMENT. IMPROVE THE PREVENTION, DETECTION, TREATMENT AND/OR MANAGEMENT OF DEPRESSION, AND REDUCE THE SUICIDE RATES. ACCESS TO HEALTHY FOOD-IMPROVE ACCESS TO HEALTHY AND AFFORDABLE FOOD AND KNOWLEDGE OF HEALTHY FOOD AND LIFESTYLE CHOICES. TOBACCO USE-REDUCE VAPING, ELECTRIC CIGS, TOBACCO USE AND SECONDHAND SMOKE EXPOSURE.INTEGRIS HEALTH PARTNERS WITH LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE HEALTH ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION. THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES AND REDUCING HEALTH CARE COSTS. INTEGRIS COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS ABOUT HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT HOW THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HEALTH HAS BEEN ABLE TO HELP SLOWLY IMPROVE THE ACCESS TO HEALTHCARE IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS. ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS. PART VI, LINE 6: IHE IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. INTEGRIS BAPTIST MEDICAL CENTER IS THE FLAGSHIP HOSPITAL OF THE SYSTEM. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON SCHEDULE H, PART V AND THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES OK 0 PART I, LINE 2 INTEGRIS HEALTH EDMOND, INC. (IHE) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS AND ORGANIZATIONS TO SUPPORT THEIR OPERATIONS. IRH DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS. AS PART OF ITS COMMITTMENT TO THE COMMUNITIES IT SERVES, IHE 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 IHE. SEE SCHEDULE O FOR A FULL COPY OF THE INTEGRIS HEALTH SYSTEM COMMUNITY BENEFIT REPORT, WHICH PROVIDES GREATER DETAIL WITH RESPECT TO IHE'S RETURNSHIP AND COMMUNITY BUILDING EFFORTS. 0 1 0 0 0 0 0 1 0 TIMOTHY PEHRSON DIRECTOR & PRESIDENT/CEO 0 1230472 0 1003444 0 305092 0 280336 0 6600 0 2825944 0 286003 DOUGLAS M SMITH PART YEAR CFO 0 613208 0 149498 0 144956 0 123939 0 6600 0 1038201 0 131709 BRENT HUBBARD DIRECTOR 0 470133 0 150000 0 28816 0 89609 0 3658 0 742216 0 0 AVILLA T WILLIAMS FORMER OFFICER 0 398114 0 129615 0 10493 0 81220 0 1844 0 621286 0 0 MICHAEL WEED PART YEAR CFO 0 311224 0 72029 0 11007 0 53417 0 6600 0 454277 0 0 JONATHAN RULE CHIEF HOSPITAL EXECUTIVE 241896 0 50242 0 10074 0 41428 0 3018 0 346658 0 0 0 ANGIE KAMERMAYER VP CHIEF NURSING OFFICER 172478 0 31488 0 24714 0 17577 0 1844 0 248101 0 0 0 FREDERICK D MADDOX DIRECTOR OF FINANCE 206529 0 21971 0 1251 0 12641 0 5032 0 247424 0 0 0 MITZY BAGGOTT NURSING MANAGER 131986 0 12413 0 8247 0 9071 0 0 0 161717 0 0 0 KIRSTEN WALLACE MANAGER REHAB 124560 0 10982 0 3842 0 11503 0 2516 0 153403 0 0 0 LISA AISHMAN NURSING MANAGER 128785 0 12386 0 1896 0 7311 0 2516 0 152894 0 0 0 PART I, LINE 3 THE PRESIDENT/CEO AND COO ARE PAID BY INTEGRIS HEALTH, INC., A RELATED TAX-EXEMPT ORGANIZATION. THE INTEGRIS HEALTH, INC. BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE EXECUTIVES' COMPENSATION PERIODICALLY. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING COMPENSATION SURVEY FROM AN INDEPENDENT CONSULTANT. THE COMMITEE REVIEWS COMPENATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMMITTEE AND KEPT AS CORPORATE RECORD. PART I, LINE 4B 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 INDIVIDUAL LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT DURING THE YEAR: MICHAEL WEED BRENT HUBBARD THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 RECEIVED A PAYMENT DURING THE YEAR: TIMOTHY PEHRSON $286,003 DOUGLAS SMITH $131,709 PART I, LINE 7 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, BOX C: DOING BUSINESS AS INTEGRIS LIFE HEALTH INSTITUTE INTEGRIS HEALTH EDMOND WOUND CARE INTEGRIS HEALTH JIM THORPE REHABILITATION HOSPITAL EDMOND INTEGRIS HEALTH EDMOND HOSPITAL PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2022 A MESSAGE FROM OUR PRESIDENT AND CEO: INTEGRIS HEALTH IS OKLAHOMA'S LARGEST NOT-FOR-PROFIT HEALTH SYSTEM AND HAS CARED FOR OKLAHOMANS FOR MORE THAN 100 YEARS. OUR MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE ARE COMMITTED TO IMPROVING THE HEALTH OF THOSE IN OUR COMMUNITY. WE EXIST TO SERVE AND CARE FOR OUR FELLOW NEIGHBORS, WHICH EXTENDS BEYOND OUR HOSPITALS AND CLINICS. WE PARTNER WITH OTHER ORGANIZATIONS TO BRING MORE PROGRAMS INTO OUR COMMUNITIES, SUCH AS FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, HEALTH SUPPORT GROUPS, MENTORING PROGRAMS FOR AT-RISK YOUTH, ASSISTANCE FOR THE ELDERLY AND SERVING AS A LEADER DURING A PANDEMIC. I HOPE YOU ENJOY OUR 2022 COMMUNITY BENEFIT REPORT, WHICH HIGHLIGHTS IN GREATER DETAIL WAYS INTEGRIS HEALTH POSITIVELY IMPACTED OUR COMMUNITIES LAST YEAR. 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: ICARE-INTEGRITY. COMPASSION. ACCOUNTABILITY. RESPECT. EXCELLENCE. INTEGRIS HEALTH COMMUNITY BENEFIT HIGHLIGHTS SERVING OUR COMMUNITY INTEGRIS HEALTH'S MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS OKLAHOMA'S LARGEST NON-FOR-PROFIT COMMUNITY HEALTH SYSTEM, INTEGRIS HEALTH HAS LONG SERVED THIS MISSION THROUGH INNOVATIVE AND TRANSFORMATIVE COMMUNITY HEALTH PROGRAMS. WE LEARNED A LONG TIME AGO THAT WE CAN'T FULLY CARE FOR OUR COMMUNITY BY STAYING EXCLUSIVELY WITHIN THE WALLS OF OUR FACILITIES. THAT'S WHY "RETURNSHIP" IS SUCH AN IMPORTANT PART OF OUR PHILOSOPHY. WHAT IS RETURNSHIP? IT'S GIVING BACK PART OF OURSELVES TO THE COMMUNITIES WE SERVE. AT INTEGRIS HEALTH, THE PHYSICIANS, EMPLOYEES AND VOLUNTEERS TAKE THEIR EDUCATION AND SKILLS INTO THE COMMUNITY TO MAKE A DIFFERENCE IN THE LIVES OF FELLOW OKLAHOMANS. THEIR DEDICATION, COMBINED WITH OUR RESOURCES, HELPS ACCOMPLISH A VARIETY OF THINGS-FROM PROVIDING FREE CLINICAL SERVICES, SCREENINGS AND EDUCATION PROGRAMS TO PROVIDING GREATER ACCESS TO HEALTHY FOOD AND TOBACCO CESSATION SERVICES. WE ALSO REALIZE THAT THE HEALTH OF A COMMUNITY ISN'T JUST PHYSICAL AND MENTAL-IT'S ECONOMIC AND SPIRITUAL AS WELL. THAT'S WHY WE OFFER A MYRIAD OF PROGRAMS THAT ADDRESS ALL OF THESE IMPORTANT ISSUES. INTEGRIS HEALTH MOBILE CARE CLINIC NAME OF PROJECT: YUKON PUBLIC SCHOOLS HEALTH FAIR PROGRAM/PROJECT OVERVIEW: YUKON PUBLIC SCHOOLS (YPS) AND THE INTEGRIS HEALTH MOBILE CARE CLINIC TEAM UP EVERY YEAR TO COORDINATE THE YPS EMPLOYEE HEALTH FAIR. DURING THIS EVENT INTEGRIS HEALTH PROVIDES FREE HEALTH AND WELLNESS SCREENINGS TO HUNDREDS OF TEACHERS AND STAFF FROM ALL OF THE YUKON PUBLIC SCHOOLS. THE EVENT ALSO INVITES COMMUNITY ORGANIZATIONS FROM ALL OVER YUKON TO THE EVENT TO PROVIDE INFORMATION ON THEIR SERVICES. HIGHLIGHTS: JASON BRUNK, ASSISTANT SUPERINTENDENT OF HUMAN RESOURCES, SHARED THAT ONCE AGAIN THE HEALTH FAIR WAS VERY WELL RECEIVED. THE EVENT HAD MORE THAN 100 ATTENDEES THIS YEAR AND THERE ARE PLANS TO HAVE MORE AT NEXT YEAR'S EVENT. HE MENTIONED THAT THEY WILL BE WORKING ON SOME IDEAS TO INCORPORATE A PARTICIPATION COMPETITION BETWEEN BUILDINGS. JASON POINTED OUT A SUCCESS STORY FROM ONE OF HIS STAFF MEMBERS THAT ATTENDED THE HEALTH FAIR. JASON SAID THAT RIGHT AFTER THE EVENT, ONE OF HIS TEACHERS TOLD HIM THAT THANKS TO THE SCREENING PROVIDED BY INTEGRIS HEALTH MOBILE CARE CLINIC, SHE WAS ABLE TO FIND OUT THAT BOTH HER BLOOD PRESSURE AND CHOLESTEROL WERE AT AN ELEVATED LEVEL. ACCORDING TO JASON, SHE FOLLOWED UP WITH HER PRIMARY CARE PROVIDER THE NEXT DAY TO START TREATING THESE CONDITIONS THAT SHE WAS NOT AWARE OF. INTEGRIS HEALTH JAMES R. DANIEL STROKE CENTER NAME OF PROJECT: COMMUNITY STROKE EDUCATION PROGRAM/PROJECT OVERVIEW: UP TO 80 PERCENT OF STROKES ARE PREVENTABLE AND IT'S THE THING MOST LIKELY TO DISABLE YOU AND MAKE YOU DEPENDENT ON YOUR FAMILY FOR YOUR NEEDS. INTEGRIS HEALTH IS OKLAHOMA'S LEADING PROVIDER OF STROKE MEDICINE, SPECIALIZING IN PREVENTION, TREATMENT AND REHABILITATION WITH A COMMITMENT TO EXCELLENCE, INTEGRITY AND COMPASSION. STROKES HAPPEN EVERY 40 SECONDS IN THE U.S., AND WE WANT OUR COMMUNITIES TO KNOW WE ARE "STROKE READY." *THE GOALS FOR COMMUNITY STROKE EDUCATION ARE THE FOLLOWING: *RAISE AWARENESS ABOUT CONTROLLABLE RISK FACTORS. *LEARN HOW TO RESPOND QUICKLY TO STROKE SYMPTOMS. *REGAIN MAXIMUM ABILITIES WITH IMMEDIATE STROKE REHABILITATION INTERVENTIONS. HIGHLIGHTS: STROKE COMMUNITY EDUCATION PARTNERS WITH COMMUNITY ORGANIZATIONS RANGING FROM STUDENTS IN 3RD GRADE TO SENIORS AND FROM CHURCHES TO WELLNESS CLINICS AND HEALTH CLUBS.HUNDREDS OF PATRONS HAVE RECEIVED INTEGRIS HEALTH STROKE AWARENESS TRAINING DURING AND POST PANDEMIC. HOWEVER, "AT-RISK" POPULATIONS HAVE BEEN DIFFICULT TO REACH. DURING THE MAY 2022 "STROKE AWARENESS CAMPAIGN," A NEW PARTNERSHIP WITH BLACK COMMUNITIES PERMITTED A LARGE DISTRIBUTION OF STROKE EDUCATION FLYERS, "LIVE" STROKE AWARENESS PRESENTATIONS AND INFORMATIONAL BOOTH EXHIBITS. INTEGRIS HEALTH COMMUNITY CLINIC "IT'S BEEN WONDERFUL TO HAVE THESE SERVICE AT THE ICC. I WAS GIVEN EYE DROPS AND MY HEADACHES ARE GONE FOR GOOD. FOR YEARS I HAD HEADACHES AND AT WORK MY EYES WOULD GET IRRITATED AND TEARY WEARING THE EYE GEAR THAT I NEEDED. I DO NOT NEED EYEGLASSES YET, BUT IF IT EVER BECOMES NECESSARY, I KNOW I CAN GET HELP WITH THEM THROUGH THE ICC". OUR HEALTH CARE SYSTEM IN THE UNITED STATES CONTINUES TO CHANGE DUE TO AN AGING POPULATION, INCREASE IN CHRONIC DISEASES AND INCREASING COSTS FOR CARE. WHAT MANY ACROSS OUR COUNTRY ARE RECOGNIZING IS THE NEED OF TIMELY IDENTIFICATION OF HEALTH RISKS. FOLLOWING MEDICAID EXPANSION, INTEGRIS COMMUNITY CLINIC PATIENT POPULATION HAS CHANGED. THE PATIENTS SEEN AT THE CLINIC ARE IMMIGRANTS AND THOSE IN CONTINUED NEED FOR CHRONIC DISEASE MANAGEMENT WITHOUT ACCESS TO GOVERNMENT PROGRAMS. INTEGRIS HEALTH RECOGNIZES MANY VULNERABLE POPULATIONS DO NOT HAVE ACCESS TO CONSISTENT CARE, AND WE ARE COMMITTED TO BEING PART OF HEALTHCARE ACCESSIBILITY THROUGH THE INTEGRIS COMMUNITY CLINIC (ICC) PROVIDING THEM WITH CONSISTENT ACCESS TO MEDICAL CARE, EDUCATION, ASSISTANCE WITH RESOURCES AND THE ABILITY TO FOLLOW PATIENTS THROUGH A SECURE DATABASE IN ORDER TO SUPPORT OUR LONG-TERM GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. SINCE JANUARY 1993, INTEGRIS HEALTH OPENED THE ICC, A FREE MEDICAL CLINIC IN THE INNER CITY OF OKLAHOMA. THE CLINIC IS ALL-VOLUNTEER AND OFFERS FREE MEDICAL CARE TO LOW-INCOME, UNINSURED AND UNDERINSURED POPULATIONS. THE CLINIC OFFERS ADULT CARE OF CHRONIC DISEASES, ON-SITE PHARMACY, DIABETES EDUCATION CLASSES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES, VISION SERVICES AND FRESH PRODUCE DISTRIBUTION FOR FOOD INSECURE FAMILIES. NAME OF PROJECT: EYE CLINIC SERVICES/DEAN A MCGEE EYE INSTITUTE RESIDENTS PROGRAM/PROJECT OVERVIEW: ONCE A MONTH, DEAN A MCGEE'S OPHTHALMOLOGY RESIDENTS SEE PATIENTS AT THE ICC AND REFER PATIENTS TO DEAN A MCGEE EYE INSTITUTE FOR SURGERY OR TO LENS CRAFTERS FOR FREE EYEGLASSES WHEN NEEDED. HIGHLIGHTS: CATALINA SERRANO IS ONE OF THE ICC PATIENTS THAT HAS RECEIVED SERVICES: EYE EXAM, DIAGNOSTIC SCREENINGS AND THE PEACE OF MIND KNOWING THAT SHE'S BEEN TREATED BY THE BEST TEAM. NAME OF PROJECT: PATIENT CARE AND PRESCRIPTION ASSISTANCE PROGRAM/PROJECT OVERVIEW: THE INTEGRIS HEALTH COMMUNITY CLINIC SERVES UNINSURED AND UNDERINSURED PATIENTS ON MONDAYS. THE ICC IS A PRIMARY CARE CLINIC WITH FULL PRESCRIPTION ASSISTANCE TO THOSE IN MOST NEED. HIGHLIGHTS: NIBIA IGLESIAS HAS BENEFITTED THROUGH THE INTEGRIS HEALTH COMMUNITY CLINIC FOR TWO YEARS, RECEIVING MEDICAL CARE AND FREE PRESCRIPTIONS FOR HER DIABETES, ALLERGIES AND A RECENT CYST REMOVAL FROM HER NECK. NIBIA STATES "THANKS TO THE INTEGRIS HEALTH COMMUNITY CLINIC I AM IN A BETTER PLACE NOW. HERE THEY HAVE HELPED ME TO UNDERSTAND MY CONDITION AS A DIABETIC AND I'VE ADOPTED LIFE-CHANGING HABITS IN MY NUTRITION AND PHYSICAL ACTIVITY AFTER I ATTENDED THE NUTRITION AND DIABETES CLASS SERIES." PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED NAME OF PROJECT: PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY PROGRAM/PROJECT OVERVIEW: JIM THORPE REHABILITATION PROVIDES FREE CONSULTATIONS AND THERAPY SESSIONS TO INTEGRIS HEALTH COMMUNITY CLINIC PATIENTS AND REFERRED PATIENTS FROM OTHER FREE AND LOW-COST CLINICS. THERAPISTS VOLUNTEER THEIR TIME EVERY DAY THAT THE INTEGRIS HEALTH COMMUNITY CLINIC IS OPEN TO SEE PATIENTS. HIGHLIGHTS: MICHELLE, A KIDNEY TRANSPLANT RECIPIENT, EXPERIENCED SCIATICA NERVE PAIN AND WAS SEEN AS A WALK-IN PATIENT IN PT CLINIC AND WAS REFERRED FOR AN MRI AND FOLLOW-UP VISITS WITH HER PCP, WHICH RESULTED IN HER GOING BACK TO HER NORMAL ACTIVITIES IN A FEW DAYS. "I WILL ALWAYS BE GRATEFUL TO INTEGRIS HEALTH COMMUNITY CLINIC AND THERAPISTS. THEY HELPED ME TO GET TREATMENT WITHOUT DELAY AND SAVED ME FROM STAYING AT HOME WITH AN EXCRUCIATING PAIN FOR DAYS AND WITHOUT DIAGNOSTIC," SAID MICHELLE. "I KNOW I CAN GET HELP WITH THEM THROUGH THE INTEGRIS HEALTH COMMUNITY CLINIC." INTEGRIS HEALTH COMMUNITY GIVING FUND NAME OF PROJECT: YWCA ENID PROGRAM/PROJECT OVERVIEW: THE YWCA ENID HAS SERVED THE COMMUNITY FOR 101 YEARS, PROVIDING EMERGENCY SHELTER, FORENSIC EXAMS, COUNSELING, COURT ADVOCACY AND MORE TO THOSE ESCAPING INTIMATE PARTNERS VIOLENCE. WE EMPOWER SURVIVORS TO REBUILD THEIR LIVES FREE FROM SHAME, BLAME AND FUTURE VIOLENCE. THE INTEGRIS HEALTH COMMUNITY GIVING FUND HAS PROVIDED FUNDING FOR THE YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. THE SANE PROGRAM OFFERS FREE FORENSIC EXAMS TO ADULT VICTIMS OF SEXUAL ASSAULT AND DOMESTIC VIOLENCE IN A COMFORTABLE AND CONFIDENTIAL MEDICAL ROOM ON-SITE. THE SANE PROGRAM IS THE ONLY ADULT PROGRAM IN THE AREA. HIGHLIGHTS: THERE IS AN AVERAGE OF 45 TO 50 SANE EXAMS DONE EACH YEAR. SUPPORT SERVICES FOR VICTIMS ARE ALSO PROVIDED IF THEY CHOOSE TO FOREGO THE EXAM. THE YWCA PROVIDES SANE EXAMS FOR BOTH MEN AND WOMEN. EACH PERSON WILL HAVE A SEXUAL ASSAULT RESPONSE ADVOCATE (SARA) THERE, SO THEY DO NOT HAVE TO BE ALONE DURING THE EXAM OR THEIR TIME AT THE YWCA. YWCA HAS AN AGREEMENT WITH VANCE AIR FORCE BASE WHERE THE EXAMS ARE PROVIDED TO THE DEPARTMENT OF DEFENSE, AND THE BASE WILL SEND AN ADVOCATE TEAM MEMBER WITH THE VICTIM. COUNTNEY DENNIS, EXECUTIVE DIRECTOR, SAYS, "I THINK SANE IS THE MOST IMPORTANT PROGRAM WE PROVIDE. IF WE DID NOT PROVIDE THIS SERVICE, VICTIMS WOULD HAVE TO GET INTO A COP CAR TO WOODWARD OR STILLWATER FOR THE EXAMS. WE CAN PROVIDE SAFE, TRAUMA-INFORMED EXAMS FOR SEXUAL ASSAULT SURVIVORS RIGHT HERE IN OUR COMMUNITY." INTEGRIS HEALTH COMMUNITY GIVING FUND NAME OF PROJECT: BOYS & GIRLS CLUB OF OTTAWA COUNTY PROGRAM/PROJECT OVERVIEW: AS THE LEADING NONPROFIT OUT-OF-SCHOOL-TIME PROVIDER WITHIN THIS COMMUNITY, BOYS & GIRLS CLUBS OF OTTAWA COUNTY IS PART OF A NATIONAL MOVEMENT OF OTHER BOYS & GIRLS CLUBS. TOGETHER, WE STAND READY TO SOLVE GAPS IN HEALTHY EATING, PHYSICAL ACTIVITY AND GENERAL HEALTHY LIFESTYLE DEVELOPMENT. OUR GOAL IS TO PROVIDE ACCESS AND OPPORTUNITIES TO SUPPORT YOUTH IN THREE KEY WAYS: *MAKE HEALTHY FOOD CHOICES *PARTICIPATE IN DAILY PHYSICAL ACTIVITY *DEVELOP THE SKILLS AND DESIRE TO CREATE SUSTAINABLE, HEALTHY ROUTINES HIGHLIGHTS: THE CLUB HAS SEEN AND REPORTED 478 YOUTH THAT ARE COMPLETING AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY PER DAY WHILE ALSO PARTICIPATING IN EITHER OUR TRAIL PROGRAM OR HEALTHY HABITS. THEY HAVE ALSO BEEN ABLE TO TRAIN AN ADDITIONAL THREE STAFF MEMBERS ON HEALTHY HABITS PROGRAMMING AND 32 STAFF MEMBERS DURING THE SUMMER PROGRAM. SINCE THE START OF THE GRANT YEAR, THE CLUB IMPLEMENTED A CACFP FEEDING PROGRAM ACROSS THREE OF THE LOCATIONS, SERVING DINNER EACH EVENING. THE IMPLEMENTATION OF THE CACFP FEEDING PROGRAM WAS TRANSFORMATIONAL FOR THE CLUB KIDS AND COMMUNITY BECAUSE THE PROGRAM ENSURES KIDS LEAVE THE FACILITY WITH DINNER. EACH EVENING, THREE OF THE FIVE LOCATIONS SERVE DINNER TO ALL YOUTH. SO, BETWEEN THE SCHOOL DISTRICT AND THE BOYS & GIRLS CLUB THEY ARE ENSURING ALL YOUTH HAVE AT LEAST THREE MEALS PER DAY. OVERALL, THIS IS IMPROVING ACCESS TO HEALTHY AND AFFORDABLE FOOD OPTIONS FOR KIDS AND FAMILIES. INTEGRIS HEALTH MOBILE CARE CLINIC NAME OF PROJECT: ON THE ROAD TO HEALTH PROGRAM/PROJECT OVERVIEW: THE LYNN INSTITUTE'S "ON THE ROAD TO HEALTH" PROGRAM IS IN PARTNERSHIP WITH THE INTEGRIS HEALTH MOBILE CARE CLINIC. THE CLINIC HAS PARTNERED WITH THE LYNN INSTITUTE TO PROVIDE SUPPORT IN BOTH THE BIOMETRIC COLLECTION AND EDUCATION COMPONENTS OF THE PROGRAM. THE GOAL OF THE PROGRAM IS TO MOTIVATE AND CHANGE THE LIFESTYLE OF THE PARTICIPANTS TO LIVE HEALTHIER LIVES THROUGH AN EIGHT-WEEK SERIES OF IN-PERSON CLASSES WHERE PARTICIPANTS RECEIVE EDUCATION AND INFORMATION ABOUT NUTRITION, EXERCISE AND THE SCIENCE OF HOPE. HIGHLIGHTS: THROUGH THE MOBILE CARE CLINIC BIOMETRIC SCREENINGS, THE CLINIC TEAM WAS ABLE TO IDENTIFY ABNORMALITIES IN THE PARTICIPANTS' SCREENING VALUES AND ADDRESS THEM BY PROVIDING EDUCATION AND REFERRALS. DURING THE INITIAL BIOMETRIC COLLECTION FOR THE PROGRAM, THE CLINIC TEAM IDENTIFIED A FEMALE PARTICIPANT WITH AN A1C OF 14 (NORMAL IS BELOW 5.7). SHE WAS DETERMINED TO MAKE A HEALTHY CHANGE IN HER LIFE. SHE ATTENDED ALL THE PROGRAM SESSIONS AND LEARNED HOW AND WHY IT IS IT IMPORTANT TO TAKE HER MEDICINE AS INDICATED. DURING THE FINAL BIOMETRIC COLLECTION, HER A1C HAD DROPPED TO 7.2 (ALMOST HALF OF WHAT SHE HAD WHEN SHE STARTED THE PROGRAM). SHE WAS HAPPY WITH THE IMPROVEMENTS SHE HAD MADE AND STARTED TO MOTIVATE OTHERS IN THE PROGRAM TO KEEP ATTENDING AND PROGRESSING WITH THEIR GOALS. UNDERSTANDING HOSPITAL CHARGES CAN SOMETIMES BE 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. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED WHERE DOES THE INTEGRIS DOLLAR GO? BILL CHARGED $1.00 EXPENSES: *DISCOUNTS TAKEN BY MEDICARE, MEDICAID, MANAGED CARE COMPANIES AND OTHER INSURERS 0.59 *FREE SERVICE/CHARITY CARE 0.02 *BAD DEBT EXPENSE FROM PATIENTS NOT PAYING BILLS 0.04 *EMPLOYEE SALARIES 0.13 *EMPLOYEE HEALTH INSURANCE EXPENSE 0.01 *EMPLOYEE RETIREMENT EXPENSE 0.01 *MEDICAL, SURGICAL AND DRUG SUPPLIES 0.05 *OTHER GENERAL SUPPLIES 0.01 *PURCHASED SERVICES FOR MAINTENANCE, LAB AND OTHER SERVICES 0.05 *TELEPHONE, UTILITY AND RENTAL EXPENSES 0.01 *OTHER OPERATIONAL EXPENSES 0.03 TOTAL EXPENSES 0.96 *FUNDS AVAILABLE FOR NEW EQUIPMENT, CONSTRUCTION AND CLINICAL PROGRAM IMPROVEMENT 0.04 2022 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS HEALTH PROVIDED $108,551,020.29 IN COMMUNITY BENEFITS. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR COMMUNITY. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA - FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE AS REFLECTED IN THE PREVIOUS PAGES. OUR RETURNSHIP EFFORTS EQUALED $4,747,748.34. COMMUNITY BUILDING COMMUNITY BUILDING IS ANOTHER VITAL WAY WE GIVE BACK. THESE EFFORTS ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. SOME OF OUR ACTIVITIES IN COMMUNITY BUILDING ARE PHYSICAL IMPROVEMENTS IN HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL ENHANCEMENTS AND ADVOCACY FOR ADVANCEMENTS IN COMMUNITY HEALTH. OUR COMMUNITY BUILDING EFFORTS EQUALED $116,032.00. UNCOMPENSATED SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS HEALTH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH-NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. INTEGRIS HEALTH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY CARE BY OFFERING FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. INTEGRIS HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED COST OF $34,901,770.58. BAD DEBT IN ADDITION, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $20,452,766.23 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO. MEDICAID SERVICES INTEGRIS HEALTH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. THIS INCLUDES THE ACTUAL UNPAID COST OF PROVIDING CARE TO MEDICAID PATIENTS AND REPRESENTS A SHORTFALL BETWEEN COST OF CARE AND PAYMENTS RECEIVED BY MEDICAID. INTEGRIS HEALTH PROVIDED MEDICAID SERVICES AT AN ESTIMATED COST OF $68,785,469.37. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: INTEGRIS HEALTH EDMOND INC (IHE) IS A MEMBER OF THE INTEGRIS HEALTH SYSTEM (INTEGRIS HEALTH). INTEGRIS HEALTH IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE CORPORATION AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS (ABOUT 9,000 EMPLOYEES STATEWIDE), WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN CLINICS, MENTAL HEALTH FACILITIES, FITNESS CENTERS, INDEPENDENT LIVING CENTERS AND HOME HEALTH AGENCIES THROUGHOUT MUCH OF THE STATE. AS A MEMBER OF INTEGRIS HEALTH AND A NOT-FOR-PROFIT ORGANIZATION, IHE PROVIDES THOUSANDS OF DOLLARS OF CHARITY CARE TO PATIENTS THROUGHOUT THE STATE OF OKLAHOMA. WHILE THIS CARE REPRESENTS A LARGE PERCENTAGE OF IHE'S GIFT BACK TO THE COMMUNITY, IT IS STILL ONLY PART OF WHAT IHE CHOOSES TO CALL RETURNSHIP. RETURNSHIP EPITOMIZES IHE'S MISSION OF GIVING BACK TO ITS COMMUNITY. IT TAKES THE FORM OF MANY PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA - FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE. IN ADDITION, IHE PROVIDES SIGNIFICANT AMOUNTS OF UNCOMPENSATED SERVICES. UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED COST CARE, WHICH INCLUDES CHARITY CARE AND UNPAID COSTS OF MEDICAID PROGRAMS. AS A NOT-FOR-PROFIT HOSPITAL, IHE PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE COVERAGE. THUS, IT PROVIDES A MUCH-NEEDED SAFETY NET FOR MEMBERS OF THE IHE COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IHE PROVIDED CHARITY CARE OF $1,093,642. IHE ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS FOR WHICH THE ORGANIZATION RECEIVES INADEQUATE PAYMENTS. UNPAID COSTS OF MEDICAID PROGRAMS REFLECT THE DIFFERENCE BETWEEN COSTS TO PROVIDE PATIENT CARE SERVICES AND THE RATE AT WHICH THE HOSPITAL IS REIMBURSED. MEDICAID COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IHE'S UNPAID COSTS OF MEDICAID PROGRAMS EQUALED $6,947,374. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS 2022 AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB EVENT 32ND ANNUAL HISPANIC HEALTH FAIR CANCER SCREENINGS A CHANCE TO CHANGE ACHIEVERS UNDER 40 AWARD CEREMONY ACS HOPE LODGE TOPPING CEREMONY ACUPUNCTURE 101 ALZHEIMER'S ASSOCIATION ENID WALK TO END ALZ ALZHEIMER'S ASSOCIATION OKC WALK TO END ALZ AMBUCS MEETING AMERICAN CANCER SOCIETY BOARD MEETING AMERICAN CANCER SOCIETY CATTLE BARON TOURNAMENT AMERICAN CANCER SOCIETY CATTLE BARON'S NETWORKING AMERICAN CANCER SOCIETY CATTLEBARON'S BALL AMERICAN CANCER SOCIETY LUNG CANCER WEBINAR AMERICAN CANCER SOCIETY MEETING AMERICAN CANCER SOCIETY'S CATTLE BARRON BALL COMMUNITY AWARENESS E AMERICAN LUNG ASSOCIATION "FIGHT FOR AIR CLIMB" BOOTH AMERICAN LUNG ASSOCIATION 2022 PLANNING AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB PACKET PICKUP AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB PLANNING MEETING ANNUAL OKLAHOMA SPORTS HALL OF FAME GOLF CLASSIC AUTRY TECH CENTER STRATEGIC PLANNING SESSION BENEFITS OF TEA CANCER SUPPORT GROUP IN SPANISH CANCERCHECK HISPANIC HEALTH FAIR CDSA WINE TOUR CELEBRATION OF LIFE, NATIONAL CANCER SURVIVORS DAY CHAMBER COMMUNITY DEVELOPMENT PARTNER- GOLD CHAMBER OF COMMERCE MEMBERSHIP CHAMPAGNE AND DIAMONDS COMMUNITY SPONSOR CHILI COOK OFF - UNITED WAY CITY RESCUE MISSION HEARTS OF HOPE CLINICAL HOURS NURSING/EMT/PARAMEDIC FY 22 COMMUNITY BENEFIT BUDGET FY 2021-22 COMMUNITY BENEFIT TRACKING COMMUNITY CLINIC FLU VACCINE DONATION COMMUNITY CLINICS BUDGET FY 2021-22 COMMUNITY HOURS FOR TIM PEHRSON, CEO, FY 2021-22 CRISTO REY ENTREPRENEUR DA ELDER ABUSE TEAM MEETING DEEP (DIABETES EMPOWERMENT EDUCATION PROGRAM) DIABETES EDUCATION AT ICC ECONOMIC DEVELOPMENT FOR TIM PEHRSON, CEO FOR FY 2021-22 EDMOND COMMUNITY HEALTH FAIR ENID CHAMBER OF COMMERCE ANNUAL MEETING ENID HIGH SCHOOL CAREER FAIR ENID HOPE SUMMIT ENID REGIONAL DEVELOPMENT ALLIANCE QUARTERLY MEETING ENID STAMPEDE/FAIRVIEW TRIATHLONS ENID STATE OF AFFAIRS MEETING ENID YOUNG PROFESSIONALS MEETING ESSENTIALS FOR SOMATIC MOVEMENT EVENING CELEBRATING OK HEALTHCARE HEROES - MARCH OF DIMES EXECUTIVE LEADERSHIP COUNCIL MEETING FACEBOOK LIVE INFORMATION SESSIONS IN SPANISH FIGHT FOR AIR CLIMB COMMITTEE MEETING FY 23 COMMUNITY BENEFIT HOURS - CLINICAL PROGRAMS GREAT LAND RUN- BRONZE SPONSOR GROCERY STORE TOUR HEALTH ALLIANCE FOR THE UNINSURED HEALTH BY CHOCOLATE HEALTHY LIVING, LIVESTRONG AT THE YMCA HEDGES SPEECH AND HEARING SILENT MOVIE HES 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 HES 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 HES 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 HISPANIC HEALTH FAIR HISPANIC RADIO, TELEVISION AND NEWSPAPER HOSPICE CIRCLE OF LOVE BENEFIT CLAY SHOOT HOSPICE CIRCLE OF LOVE MINT JULEP JUBILEE IBBHC CHIP MEETING IBBHC COMMUNITY EDUCATION STROKE AWARENESS IBBHC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS I-CREW ENID WELCOME TABLE IHBMC COMMUNITY EDUCATION STROKE AWARENESS IHBMC FY22 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS, AND FELLOWS IHBMC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHBMC NURSING, AUA, SURGICAL TECH AND PARAMEDIC STUDENT CLINICALS IHBMC OT AND OTA 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 IHBMC OT AND OTA 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 IHBMC PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING STUDENTS IHBMC PRECEPTORSHIP FOR ADVANCED DEGREE NURSING STUDENTS IHCVH COMMUNITY EDUCATION STROKE AWARENESS IHCVH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHCVH NURSING, AUA, SURGICAL TECH AND PARAMEDIC CLINICAL STUDENTS IHE COMMUNITY EDUCATION STROKE AWARENESS IHE NURSES, AUA, SURGICAL TECH AND PARAMEDIC CLINICAL STUDENTS IHGH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHMH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHSMC COMMUNITY EDUCATION STROKE AWARENESS IHSMC FY22 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS, AND FELLOWS IHSMC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHSMC NURSES, AUA, SURGICAL TECH, PARAMEDIC CLINICAL STUDENTS IHSMC OT AND OTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 IHSMC OT AND OTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 IHSMC PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING STUDENTS IHSMC PRECEPTORSHIP FOR ADVANCED DEGREE NURSING STUDENTS IN-KIND DONATION FOR SPACE FOR MDA CLINIC IN-KIND DONATION OF STAFF FOR MDA CLINIC INTEGRIS COMMUNITY CLINIC INTEGRIS MOBILE CARE CLINIC INTEGRIS PHARMACEUTICAL ASSISTANCE PROGRAM FY 2021-22 ITN CENTRAL OKLAHOMA PROGRAMMATIC SUPPORT JOHN ADAMS-CITY OF OKC/ MAPS 3 SR WELLNESS GROUND BREAKING JOHN ADAMS-OBI AUDIT COMMITTEE MEETING JOHN ADAMS-OBI BOARD MEETING JOHN ADAMS-OKLAHOMA BOARD INSTITUTE (OBI) "VIRTUAL" BOARD MEETING JOHN ADAMS-SOUTH CHAMBER EXECUTIVE COMMITTEE MEETING JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE AT 8700 S. PENN JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE AT ENERGY FC JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE MEETING JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE-ARMSTRONG BANK JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE MEETING AT EARLYWINE YMCA JOHN ADAMS-SOUTH OKLAHOMA CITY CHAMBER BOARD MEETING JOY IN JULY JWL CHARITY GALA - TABLE SPONSOR LEADERSHIP GREATER ENID LEADERSHIP GREATER ENID GAMES COMMITTEE LEADERSHIP GREATER ENID GOLF TOURNAMENT LEADERSHIP GREATER ENID IBBHC HOST TOUR LEADERSHIP GREATER ENID ORIENTATION LEADERSHIP GREATER ENID PLANNING MEETING LEUKEMIA & LYMPHOMA SOCIETY - LIGHT THE NIGHT MEETING LEUKEMIA & LYMPHOMA SOCIETY'S LIGHT THE NIGHT T-SHIRT BOOTH LGE GOLF TOURNAMENT BRONZE SPONSOR LIGHT THE NIGHT EVENT LOAVES AND FISHES BOARD MEETING LOCAL HEALTHCARE WORKERS: A VIEW FROM THEIR EYES LYNN INSTITUTE LEGACY LUNCHEON PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED MAKE A WISH OKLAHOMA MARCH OF DIMES MEALS DONATED TO LOCAL CHURCH MEALS ON WHEELS FY 2021-22 MEDICAL STUDENT FAMILY MEDICINE ROTATION 21-22 MEDITATION MEETING WITH ATTORNEY GENERAL JOHN O'CONNER MEETING WITH GOVERNOR KEVIN STITT MEETING WITH ST. MARY'S COO MERIDIAN TECHNOLOGY STUDENTS MINDFULNESS MINDFULNESS MEDITATION MINI HEALTH FAIRS MOBILE MEALS MONTHLY LECTURES IN SPANISH MY HEALTH/OK SHINE UPDATE W/DR. KENDRICK ZOOM CALL NON-REIMBURSED IRB FEES FY 2022 (JUL 2021-JUN 2022) NUTRITION CLASS SERIES IN SPANISH OHA ADVOCACY DAY OHA CONVENTION OHA EXECUTIVE ONBOARDING MEETING OHA FEDERAL VACCINE MANDATE ZOOM CALL OHA MEMBER UPDATE ZOOM CALL OHA NW REGION CEOS AND CFOS MEDICAID PRESENTATION ZOOM CALL OHA OPEN CEREMONIES OHA PUBLIC RELATIONS AND MARKETING SOCIETY SESSION OK MEN COUNT GOLF TOURNAMENT OK PROJECT WOMAN SPONSORSHIP OKC CHAMBER "STATE OF THE CITY" OKC LIGHT THE NIGHT EXECUTIVE COMMITTEE BREAKFAST OKEENE HOSPITAL SITE VISIT OKLAHOMA BLOOD INSTITUTE BLOOD DRIVE AT INTEGRIS BASS BAPTIST HEAL OKLAHOMA CARING FOUNDATION CHAMPIONS OF HEALTH OKLAHOMA HOSPITAL ASSOCIATION OKLAHOMA NURSES ASSOCIATION OSSM BOARD OF TRUSTEES MEETING OSSM FOUNDATION BOARD MEETING OSSM TEACHER TOUR OSTEOPATHIC FOUNDATION CHARITY BALL TITLE SPONSOR PACIFIC ISLANDER HEALTH CLINIC PROJECT 31 MEETING PROJECT 31 PAINT THE TOWN PINK PROJECT 66 EDMOND-RESOURCE FAIR PROJECT WOMAN MEETING PT 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 PT 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 PT AND PTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 PT AND PTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 REMERGE LUNCHEON RESOURCE ROOM ROSE STATE COLLEGE STUDENTS ROTARY MEETING- GUEST SPEAKER SCOTT ANTHONY-EDMOND YMCA COUNCIL MEETING SEATED SOMATICS SHA COMMUNITY CLINIC SHATTUCK HOSPITAL SITE VISIT SLP 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 SLP 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 SLP 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 SLP 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 STANLEY HUPFELD ACADEMY BUDGET FY 2021-22 STITCHING FOR SANITY STRATEGY TEAM COMMUNITY VOLUNTEER EFFORT TENACIOUSLY TEAL SPONSORSHIP THE CHRIST TREE SPONSORSHIP- TITLE SPONSORSHIP TRINITY AT EDGMERE SCHOOL, PUBERTY PRESENTATION TURKEY DONATION TO LOAVES AND FISHES UCO COMMUNITY & PUBLIC HEALTH INTERNSHIPS UCO FAIR BOOTH UNITED WAY ANNUAL MEETING SPONSOR UNITED WAY CAMPAIGN COORDINATOR'S LUNCHEON HOSTED BY IBBHC UNITED WAY CHILI COOKOFF UNITED WAY GOLF TOURNAMENT UNITED WAY LUNCHEON UNITED WAY MEETING RECRUITING / DEVELOPING WORKFORCE UNITED WAY OF CENTRAL OKLAHOMA 100TH ANNIVERSARY UNITED WAY OF CENTRAL OKLAHOMA ANNUAL CORPORATE GIFT UNITED WAY OF CENTRAL OKLAHOMA SNOWFLAKE GALA 2022 UNITED WAY TEAMS MEETING VANCE SPOUSE'S CLUB CHARITY AUCTION YMCA GOLF TOURNAMENT YODA NIDRA EXPERIENCE YOGA HEALING THROUGH MOVEMENT/SAFER AT HOME YOGA YUKON CHAMBER OF COMMERCE 2021-2022 YUKON CITY COUNCIL MEETING YUKON PUBLIC SCHOOLS REALITY CHECK PART V: QUESTION 1A AND 2A PART V: QUESTION 1A - INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, PAYS ALL VENDORS FOR SERVICES PROVIDED TO ALL ENTITIES WITHIN THE SYSTEM. ACCORDINGLY, COMPENSATION PAID TO INDEPENDENT CONTRACTORS IS REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S INFORMATION RETURNS OF INTEGRIS HEALTH, INC., EIN 73-1192764. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX, AS APPROPRIATE. PART V: QUESTION 2A - THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC., EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF EMPOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE FILING ORGANIZATION DURING THE 2022 TAX YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE HOSPITAL ADVISORY BOARD FULFILLS THE NECESSARY GOVERNANCE AUTHORITY FOR MEDICAL STAFF MEMBERSHIP AND QUALITY OF CARE OVERSIGHT AS REQUIRED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES CONDITIONS OF PARTICIPATION. FORM 990, PART VI, SECTION A, LINE 2 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE FOLLOWING OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS OFFICERS, DIRECTORS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM: DOUGLAS M. SMITH TIMOTHY PEHRSON MIKE WEED FORM 990, PART VI, SECTION A, LINE 6 INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS HEALTH EDMOND, INC. FORM 990, PART VI, SECTION A, LINE 7A INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS HEALTH EDMOND, INC. AS SUCH IT HAS THE POWER (1) TO CONFIRM OR DENY THE ELECTION OF EACH MEMBERS OF THE BOARD OF DIRECTORS, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, 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 AND (4) TO SET THE FEES AND COMPENSATION, IF ANY, FOR DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B PLEASE REFER TO PART VI, SECTION A, LINE 7A RESPONSE ABOVE. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C 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 EMPOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION ARE ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS AND TO REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST 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, SECTION B, LINE 15 PART VI: QUESTION 15A - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). COMPENSATION FOR THE CEO, MANAGING DIRECTORS AND VICE PRESIDENTS IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE INTEGRIS HEALTH BOARD OF DIRECTORS AND ULTIMLATELY 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. PART VI: QUESTION 15B - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). ALL DEPARTMENT DIRECTORS COMPENSATION IS REVIEWED ANNUALLY BY THE INTEGRIS COMPENSATION DEPARTMENT OF HUMAN RESOURCES. INDEPENDENT SALARY SURVEY SOURCES FROM THIRD PARTY PROVIDERS ARE USED TO DETERMINE LOCAL AND REGIONAL FAIR MARKET COMPETITIVENESS. ADJUSTMENTS IN SALARIES BASED ON INDIVIDUAL PERFORMANCE STANDARDS OR ANY MARKET EQUITY ADJUSTMENTS ARE APPROVED BY THE RESPECTIVE VICE PRESIDENT OR MANAGING DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 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. SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION INTEGRIS HEALTH EDMOND, INC. HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE FOR THE TAX YEAR ENDING JUNE 30, 2023. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE (OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I). TAXPAYER NAME: INTEGRIS HEALTH EDMOND, INC. ADDRESS: 3001 QUAIL SPRINGS PARKWAY; OKLAHOMA CITY, OK 73134 TAXPAYER IDENTIFICATION NUMBER: 45-1027361 SECTION 1.263(A)-3(N) ELECTION - BOOK CONFORMITY ELECTION INTEGRIS HEALTH EDMOND, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL EXPENDITURES ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2023. TAXPAYER NAME: INTEGRIS HEALTH EDMOND, INC. ADDRESS: 3001 QUAIL SPRINGS PARKWAY; OKLAHOMA CITY, OK 73134 TAXPAYER IDENTIFICATION NUMBER: 45-1027361 ARCADIA TRAILS INTEGRIS CENTER FOR ADDICTION RECOVERY LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 HEALTHCARE OK 0 0 IHE INTEGRIS AMBULATORY CARE CORP 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731192765 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HOSPICE INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731369586 HEALTH CARE OK 501(C)(3) LINE 10 IH 0 INTEGRIS BAPTIST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731034824 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS RURAL HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731444504 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS SOUTHWEST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731089149 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731192764 HEALTH CARE OK 501(C)(3) LINE 12A, I N/A 0 INTEGRIS HEALTH FOUNDATION INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731047338 FUNDRAISING OK 501(C)(3) LINE 7 IH 0 WESTERN VILLAGE ACADEMY INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731588764 SCHOOL OK 501(C)(3) LINE 2 IACC 0 INTEGRIS MENTAL HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 730738716 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HEALTH ALLSET URGENT CARE LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 923075963 HEALTH CARE OK 501(C)(3) LINE 3 IACC 0 BMPA LTD 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731228665 MED. OFFICE BLDG. OK N/A N/A 0 0 QC-III 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 208723857 MEDICAL OK N/A N/A 0 0 DIAGNOSTIC LAB 500 PLAZA DR TAX DEPT FL 8 SECAUCUS NJ 07094 731560760 CLINICAL LAB NJ N/A N/A 0 0 LAKESIDE HOSPITAL 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731493662 MEDICAL OK N/A N/A 0 0 INTEGRISUSP HEALTH 14201 DALLAS PARKWAY DALLAS TX 75254 352632292 MEDICAL SERVICES TX N/A N/A 0 0 INTEGRIS EMERGENCY HOSPITAL 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 901215089 HEALTH CARE TX N/A N/A 0 0 INTEGRIS DDSI ENDOSCOPY CENTERS LLC 3366 NORTHWEST EXPRESSWAY STE 400 OKLAHOMA CITY OK 73112 854253589 HEALTH CARE OK N/A N/A 0 0 INTEGRIS PROHEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731046179 RETAIL PHARMACY OK N/A C 0 THE STANLEY F HUPFELD REMAIN TRUST 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 266238051 FINANCIAL OK N/A T 0 QUALITY ALLIANCE ASSURANCE CO PO BOX 10027 GRAND CAYMAN CJ KYI-1001 981060671 INSURANCE CJ N/A C 0 BAPTIST HEALTH SYSTEM INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731477468 DORMANT OK N/A C 0 ONE CARE INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 DORMANT OK N/A C 0 VADOVATIONS INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 270821922 HEALTH CARE OK N/A C 0 INTEGRIS HEALTH PARTNERS LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 453482852 HEALTH CARE OK N/A C 0 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 452867352 HEALTH CARE OK N/A C 0 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1