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        <PersonNm>DOUGLAS M SMITH</PersonNm>
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        <PersonNm>LEWIS L PERKINS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KERRI BAYER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALY EL BANAYOSY</PersonNm>
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        <PersonNm>JAMES LONG</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>296878123</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>236733229</DepreciationAmt>
        <BookValueAmt>60144894</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>19885076</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4042000</DepreciationAmt>
        <BookValueAmt>15843076</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>168433267</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CASH SURRENDER VALUE</Desc>
        <BookValueAmt>1089975</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>BOARD DESIGNATED BOND FUNDS</Desc>
        <BookValueAmt>158385000</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>RESTRICTED FOR CONSTRUCTION (BOND)</Desc>
        <BookValueAmt>3084612</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MARGIN CALLS-RESTRICTED CASH</Desc>
        <BookValueAmt>2880000</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>LONG-TERM INVESTMENTS</Desc>
        <BookValueAmt>330032986</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>495472573</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>3622116</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG TERM LIABILITY</Desc>
        <Amt>235000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICARE ADVANCES</Desc>
        <Amt>41132419</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>6209415</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>51198950</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. AND ITS TAX-EXEMPT CONTROLLED AFFILIATES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT UNDER THE PROVISION OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>19622860</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>19622860</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01830</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>195069702</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>157225773</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>37843929</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03520</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>214692562</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>157225773</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>57466789</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05350</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>253356</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>149</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>253207</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>7753067</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2052916</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5700151</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00530</TotalExpensePct>
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      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>34959</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>34959</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>214238</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>6202555</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00570</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>222948182</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>159278838</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>63669344</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05920</TotalExpensePct>
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      <EconomicDevelopmentGrp>
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        <NetCommunityBenefitExpnsAmt>2132</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
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      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>2132</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2132</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
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      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>7457833</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>205555303</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>230936099</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-25380796</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 QUALITY CARDIAC CARE CENTERS LLC (DBA QC-III)</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>CARDIAC CARE</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.49420</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.00000</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.50580</PhysiciansProfitOrOwnershipPct>
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      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>INTEGRIS BAPTIST MEDICAL CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>3300 NORTHWEST EXPRESSWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73112</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.INTEGRISOK.COM</WebsiteAddressTxt>
        <StateLicenseNum>2297</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>INTEGRIS BAPTIST MEDICAL CENTER INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IBMC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>INTEGRIS BAPTIST MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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 MEMBERS: 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>INTEGRIS BAPTIST MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>INTEGRIS BAPTIST MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>INTEGRIS BAPTIST MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>INTEGRIS BAPTIST MEDICAL CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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, MEALS ON WHEELS, INTEGRIS HEALTH I-CREW, FOOD BANK PROGRAMS, AND PARTNERSHIPS WITH LOCAL COALITIONS. CURRENT GOALS FOR THE INTEGRIS HEALTH COMMUNITY GIVING FUND ARE TO FUND TWO PROJECTS. INTEGRIS HEALTH FOOD PANTRIES/DISTRIBUTION PLANS TO SERVE 200 PERSONS. MEALS ON WHEELS PROVIDES 4,200 MEALS TO THE COMMUNITY. THE INTEGRIS HEALTH I-CREW WILL OFFER TWO EVENTS DIRECTLY TARGETING IMPROVING ACCESS TO HEALTHY FOOD. INTEGRIS HEALTH BAPTIST MEDICAL CENTER 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 COMMUNITY CLINIC AT STANLEY HUPFELD, INTEGRIS HEALTH MOBILE CARE CLINIC, FEDERAL QUALIFIED HEALTH CENTER PARTNERSHIPS, HOPE SQUAD GRANT FUNDING, AND PARTNERSHIPS WITH LOCAL COALITIONS. CURRENT GOALS FOR THE INTEGRIS HEALTH COMMUNITY GIVING FUND ARE TO FUND TWO PROJECTS. INTEGRIS HEALTH COMMUNITY CLINIC AT STANLEY HUPFELD ACADEMY PLANS TO SERVE 2,000 PERSONS. INTEGRIS HEALTH MOBILE CARE CLINIC SERVES 600 COMMUNITY MEMBERS. INTEGRIS HEALTH WILL CONTINUE TO ESTABLISH PARTNERSHIP OPPORTUNITIES WITH FEDERAL QUALIFIED HEALTH CENTERS. INTEGRIS HEALTH BAPTIST MEDICAL CENTER WILL ALSO ESTABLISH TWO 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. CURRENT GOALS FOR THE INTEGRIS HEALTH COMMUNITY GIVING FUND ARE TO ESTABLISH TWO PARTNERSHIP OPPORTUNITIES. OKLAHOMA TOBACCO HELPLINE REFERRALS GOAL IS TO REFER 200 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A AND LINE 10A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON PART 1, LINE 7. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 18.72%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>IBMC DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>IBMC DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF INTEGRIS HEALTH, INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:A PORTFOLIO APPROACH BY MAJOR PAYOR CATEGORIES AND TYPES OF SERVICE WAS USED TO ESTIMATE THE HISTORICAL COLLECTIONS EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED AT LEAST QUARTERLY BASED ON ACTUAL COLLECTIONS EXPERIENCE.INTEGRIS HEALTH BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WAS USED. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE ASSESSED FIRST FOR ELIGIBILITY FOR CHARITY CARE OR RECORDED AS BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFIT: ------------------------------THE HOSPITAL BELIEVES THAT ALL OF THE $25,380,796 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH OUR COST EXCEEDS REIMBURSEMENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING ELDERLY IN OUR COMMUNITY. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES. ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED. IBMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES: *POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS. *A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS. *A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ON-LINE CHARITY APPLICATION. *A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL. FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH SYSTEM IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS, WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN'S CLINICS, MENTAL HEALTH FACILITIES, CANCER CENTERS, INDEPENDENT LIVING CENTERS, AND HOME HEALTH AGENCIES THROUGHOUT MOST OF THE STATE. ALL COUNTIES IN WHICH INTEGRIS HEALTH OPERATES INCLUDE ONE OR MORE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS.INTEGRIS BAPTIST MEDICAL CENTER IS LOCATED IN OKLAHOMA CITY, WHICH IS IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA. THIS CAMPUS OFFERS MORE THAN 500 LICENSED BEDS AND HAS BEEN SERVING THE STATE SINCE 1959. SERVICES INCLUDE A BURN CENTER, TRANSPLANT CENTER, AND FERTILITY CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS. ALL INTEGRIS HEALTH FACILITIES ARE GOVERNED BY A BOARD OF DIRECTORS SPECIFICALLY MADE UP OF MEN AND WOMEN WHO LIVE AND WORK IN THE COMMUNITY INCLUDING: LOCAL BUSINESS OWNERS, CIVIC LEADERS, COMMUNITY VOLUNTEERS, REPRESENTATIVES WORKING IN HIGHER EDUCATION, UTILITY COMPANIES, AND A VARIETY OF NON-PROFIT ORGANIZATIONS. PATIENT AND COMMUNITY ADVISORY GROUPS HAVE ALSO BEEN ESTABLISHED AT SEVERAL INTEGRIS FACILITIES ACROSS THE STATE. THESE GROUPS GIVE HOSPITAL LEADERS INPUT, SUGGESTIONS, AND FEEDBACK ON WAYS TO IMPROVE PROGRAMS, SERVICES, COMMUNITY NEEDS, AND PROCESS IMPROVEMENT IN CLINICAL AREAS.PROGRAMS ESTABLISHED TO MEET COMMUNITY NEEDS INCLUDE COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES AND EDUCATIONS. AND STROKE LECTURES. ADVOCACY INITIATIVES FOR PROMOTING COMMUNITY-WIDE, STATE OR NATIONAL EFFORTS TO IMPROVE HEALTH OF THE POPULATION AND INCREASE ACCESS. INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA LIONS CLUB MOBILE HEALTH UNIT, THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE OKLAHOMA TURNING POINT PROGRAM TO INCREASE HEALTH SCREENING OPPORTUNITIES AND HEALTH ACCESS FOR PEOPLE LIVING IN RURAL, UNDERSERVED AREAS OF OKLAHOMA. THE PARTNERSHIP INCLUDES DONATION OF RESOURCES AND MONEY TO SPONSOR THE OPERATION OF THE LIONS MOBILE HEALTH UNIT WHICH TRAVELS AROUND THE STATE OFFERING FREE HEALTH SCREENINGS AND MEDICAL INFORMATION. THE OKLAHOMA STATE HEALTH DEPARTMENT AND THE OKLAHOMA TURNING POINT PROGRAM ASSIST WITH HEALTH SCREENINGS AND HELP WITH REFERRALS TO MEDICAL HOMES AND CLINICS FOR PEOPLE WITHOUT A PHYSICIAN AND FOR THOSE UNINSURED OR UNDERINSURED. INTEGRIS HEALTH HAS ESTABLISHED THE INTEGRIS HEALTH COMMUNITY GIVING FUND GRANT TARGETING THE THREE PRIORITIZED HEALTH AREAS. INTEGRIS HEALTH'S 2023-2025 COMMUNITY HEALTH PRIORITIES ARE ACCESS TO CARE (INCLUDING MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION MANAGEMENT), ACCESS TO HEALTHY FOOD, AND TOBACCO USE PREVENTION, THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING, AND TREATMENT STRATEGIES. EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS OR CREATE ACCESS TO COMPREHENSIVE MEDICAL CARE CONTINUE TO BE A PRIORITY OF THE COMMUNITY GIVING FUND. IN ORDER TO QUALIFY FOR GRANT FUNDING, THE PROGRAM OR SERVICE MUST ALIGN WITH ONE OR MORE OF THE FOLLOWING HEALTH PRIORITIES AND PROVIDE EVIDENCE-BASED DATA TO SUPPORT THE PROGRAM STRATEGIES (REPORTED QUARTERLY TO INTEGRIS HEALTH DURING THE GRANT YEAR): ACCESS TO CARE (INCLUDES MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT)-IMPROVE ACCESS TO MEDICAL CARE SERVICES, BEHAVIORAL; HEALTH, OR SUBSTANCE USE TREATMENT. IMPROVE THE PREVENTION, DETECTION, TREATMENT AND/OR MANAGEMENT OF DEPRESSION, AND REDUCE THE SUICIDE RATES. ACCESS TO HEALTHY FOOD-IMPROVE ACCESS TO HEALTHY AND AFFORDABLE FOOD AND KNOWLEDGE OF HEALTHY FOOD AND LIFESTYLE CHOICES. TOBACCO USE-REDUCE VAPING, ELECTRIC CIGS, TOBACCO USE AND SECONDHAND SMOKE EXPOSURE.INTEGRIS HEALTH PARTNERS WITH LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE HEALTH ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION. THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES AND REDUCING HEALTH CARE COSTS. INTEGRIS COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS ABOUT HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT HOW THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HEALTH HAS BEEN ABLE TO HELP SLOWLY IMPROVE THE ACCESS TO HEALTHCARE IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS. ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>IBMC 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STATES WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:OK</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INTEGRIS SOUTHWEST MEDICAL CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PKWY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <RecipientEIN>731089149</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4582101</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO FUND OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INTEGRIS AMBULATORY CARE CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PKWY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <RecipientEIN>731192765</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>3560942</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO FUND OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INTEGRIS RURAL HEALTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PKWY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <RecipientEIN>731444504</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4712051</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO FUND OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH EDMOND INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>3001 QUAIL SPRINGS PKWY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <RecipientEIN>451027361</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1462949</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO FUND OPERATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HIGH SCHOOL SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>36</RecipientCnt>
        <CashGrantAmt>36000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS TO SUPPORT THEIR OPERATIONS. IBMC DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS. AS PART OF ITS COMMITMENT TO THE COMMUNITIES IT SERVES, INTEGRIS BAPTIST MEDICAL CENTER, INC. MAKES GRANTS TO OTHER CHARITABLE AND CIVIC ORGANIZATIONS THAT BENEFIT THOSE COMMUNITIES. GRANTS ARE REVIEWED AND APPROVED THROUGH THE ANNUAL BUDGETARY PROCESS BY THE CEO AND THE BOARD OF DIRECTORS OF INTEGRIS BAPTIST MEDICAL CENTER, INC. SEE SCHEDULE O FOR A FULL COPY OF THE INTEGRIS HEALTH SYSTEM COMMUNITY BENEFIT REPORT, WHICH PROVIDES GREATER DETAIL WITH RESPECT TO INTEGRIS BAPTIST MEDICAL CENTER, INC.'S RETURNSHIP AND COMMUNITY BUILDING EFFORTS. COLLEGE SCHOLARSHIPS ARE PROVIDED TO EMPLOYEES' CHILDREN WHO QUALIFY BASED ON CERTAIN CRITERIA. A COLLEGE TRANSCRIPT MUST BE PROVIDED FOR EACH SEMESTER AS LONG AS THE SCHOLARSHIP IS IN PLACE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <PersonNm>JAMES LONG</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>ALY EL BANAYOSY</PersonNm>
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        <PersonNm>DOUGLAS M SMITH</PersonNm>
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        <DeferredCompRltdOrgsAmt>123939</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17340</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>938161</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE WATSON</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>611261</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>102346</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11035</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>109168</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1252</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>835062</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIVEK KOHLI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>722389</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24446</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>27027</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21059</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>794921</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ABBASS RAZA</PersonNm>
        <TitleTxt>PHYSICIAN/MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>713850</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15503</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23364</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17714</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>770431</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUGLAS A HORSTMANSHOF</PersonNm>
        <TitleTxt>PHYSICIAN/MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>744604</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1884</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22125</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>768613</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLISON PETERSEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>401580</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>148801</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11790</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>100418</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17173</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>679762</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERRI BAYER</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>336903</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>124724</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13209</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>87171</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17286</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>579293</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JORDAN CASH</PersonNm>
        <TitleTxt>CHIEF HOSPITAL EXECUTIVE</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>75238</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>69832</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>36437</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8255</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>467734</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEWIS L PERKINS</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>132072</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7359</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331963</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, IBMC RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUAL LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT IN THE CURRENT REPORTING YEAR: DOUGLAS M. SMITH THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED PAYMENTS IN THE CURRENT REPORTING YEAR: JORDAN D. CASH - $ 62,224 TIMOTHY PEHRSON - $114,191</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. IN THE SECOND PLAN, CERTAIN EMPLOYED PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION PURSUANT TO THEIR WRITTEN EMPLOYMENT AGREEMENTS. ALL INCENTIVE COMPENSATION IS SUBJECT TO A CAP AND DOES NOT EXCEED 50% OF THE PHYSICIAN'S TOTAL COMPENSATION. THERE ARE A VARIETY OF METHODS USED TO CALCULATE INCENTIVE COMPENSATION BASED ON THE PHYSICIAN'S PERSONAL PRODUCTION, RANGING FROM (I) A SPECIFIED PERCENTAGE OF NET INCOME LESS EXPENSES; (II) A SPECIFIED PERCENTAGE OF TOTAL COLLECTIONS LESS EXPENSES; (III) A SPECIFIED PERCENTAGE OF BASE SALARY BASED COMPLIANCE WITH CERTAIN QUALITY, PATIENT SATISFACTION, PRODUCTION AND FINANCIAL INDICATORS; (IV) A SPECIFIED PERCENTAGE OF BASE SALARY BASED ON COMPLIANCE WITH QUALITY, GUIDING VALUES, PATIENT SATISFACTION AND PRODUCTRION CRITERIA; (V) A SPECIFIED PERCENTAGE OF FEE-BASED COLLECTIONS AND CAPITATION COLLECTIONS, IF APPLICABLE, IN EXCESS OF QUARTERLY SALARY; (VI) QUARTERLY BONUSES MEASURED BY RVUS THAT EXCEED A SPECIFIED TARGET PER QUARTER; AND (VII) PRO RATA SHARE OF ANNUAL INCENTIVE POOLS BASED UPON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <IssuerName>
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        <BondIssuedDt>2020-10-13</BondIssuedDt>
        <IssuePriceAmt>192400000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <IssuerName>
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        <BondIssuedDt>2019-11-26</BondIssuedDt>
        <IssuePriceAmt>100000000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
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      <TaxExemptBondsIssuesGrp>
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        <IssuerName>
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        <BondIssuedDt>2015-04-15</BondIssuedDt>
        <IssuePriceAmt>222198189</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
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      <TaxExemptBondsArbitrageGrp>
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        <VariableRateIssueInd>1</VariableRateIssueInd>
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        <HedgeProviderName>
          <BusinessNameLine1Txt>SEE PART VI</BusinessNameLine1Txt>
        </HedgeProviderName>
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        <HedgeTerminatedInd>0</HedgeTerminatedInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
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        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>BARCLAYS</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>29.600000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN F, BOND A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SERIES 2020BCD REFUNDED SERIES 2015C, DATED 6/1/2015, SERIES 2015B, DATED 4/15/2015; AND SERIES 2013AB, DATED 5/3/2013.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3, BOND B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND THE TRANSFERRED PROCEEDS FROM THE SERIES 2017A BONDS. APPROXIMATELY $52,548,717 OF UNEXPENDED PROCEEDS FROM THE 2017A BONDS WAS TRANSFERRED OVER TO THE 2019A BONDS ON THE DATE OF ISSUANCE, WITH THE AMOUNT OF $45,151,40 TRANSFERRED ON 1/29/2020 UPON CLOSURE OF THE 2017A PROCEEDS FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 11, BONDS A, B, &amp; C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2C, BOND C:</FormAndLineReferenceDesc>
        <ExplanationTxt>A REBATE ANALYSIS WAS PERFORMED ON 4/15/2020 WITH NO REBATE DUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 4B, BOND A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEDGE PROVIDER FOR THE SERIES 2020BCD ISSUE IS JP MORGAN CHASE BANK &amp; GOLDMAN SACHS CAPITAL MARKETS, LP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MEDICAL EQUIPMENT</Desc>
        <ContributionCnt>26</ContributionCnt>
        <NoncashContributionsRptF990Amt>183882</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, COL(B) REPORTS THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, BOX C</FormAndLineReferenceDesc>
        <ExplanationTxt>DOING BUSINESS AS: CANCER CENTER OF THE SOUTHWEST LIFEPASS OKLAHOMA TRANSPLANTATION INSTITUTE AMBULATORY INFUSION CENTER OF OKLAHOMA DIRECT CONNECT INTEGRIS MENTAL HEALTH CENTER - SPENCER MIRTH (MEDICAL INSTITUTE FOR RECOVERY THROUGH HUMOR) CHANGING YOUR WEIGHS INTEGRIS MENTAL HEALTH - SPENCER NAZIH ZUHDI TRANSPLANTATION INSTITUTE CERTIFIED BREAST FEEDING EDUCATOR CERTIFIED LACTATION EDUCATOR THIRD AGE LIFE THIRD AGE LIFE CENTER THE CHILDREN'S PLACE INTEGRIS ONCOLOGY SERVICES INTEGRIS ONCOLOGY SERVICES, NORTH TROY AND DOLLIE SMITH CANCER CENTER INTEGRIS ONCOLOGY SERVICES, NORTH/SOUTH COMPREHENSIVE BREAST CENTER OF OKLAHOMA HEARTSCAN OKLAHOMA INTEGRIS MENTAL HEALTH - INTEGRIS BEHAVIORAL SPECIALISTS INTEGRIS JOINT REPLACEMENT CENTER INTEGRIS HEARING RESOURCE CENTER OF OKLAHOMA AT HOUGH EAR INSTITUTE INTEGRIS DECISIONS DAY TREATMENT INTEGRIS CORPORATE ASSISTANCE PROGRAM INTEGRIS HEART CENTER HEARTSCAN COMPREHENSIVE BREAST CENTER COCHLEAR EAR IMPLANT CLINIC COCHLEAR IMPLANT CLINIC INTEGRIS HEARING ENRICHMENT LANGUAGE PROGRAM INTEGRIS HEALTH HOSPITAL HEART FAILURE INSTITUTE SAMARITAN HOME BASED SERVICES INTEGRIS SLEEP DISORDERS CENTER - EDMOND INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT INTEGRIS BAPTIST MEDICAL CENTER CANCER INSTITUTE - BAPTIST CANCER INSTITUTE OF BAPTIST INTEGRIS CANCER INSTITUTE OF OKLAHOMA PROTON CAMPUS INTEGRIS BAPTIST MEDICAL CENTER - PROTON CAMPUS INTEGRIS ADVANCED CARDIAC CARE SAMARITAN INFUSION SERVICES INTEGRIS MENTAL HEALTH PHYSICIANS INTEGRIS MEDICAL SUPPLY INTEGRIS HEART HOSPITAL INTEGRIS HEART HOSPITAL - DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY INTEGRIS HOME CARE OKLAHOMA CITY INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT ICIO THE OKLAHOMA ECMO HOTLINE THE OKLAHOMA ECMO NETWORK INTEGRIS OKLAHOMA ECMO NETWORK INTEGRIS CHILDREN'S AT BAPTIST MEDICAL CENTER DECISIONS MENTAL HEALTH &amp; ADDICTION RECOVERY PROGRESS INTEGRIS DEACONESS MEDICAL PLAZA SURGERY CENTER INTEGRIS BAPTIST MEDICAL CENTER PORTLAND AVENUE INTEGRIS BAPTIST PORTLAND WOUND CARE INTEGRIS COMPREHENSIVE BREAST CENTER INTEGRIS HEART HOSPITAL CARDIAC REHABILITATION INTEGRIS CANCER INSTITUTE MEDICAL ONCOLOGY CLINIC OKLAHOMA SHOCK NETWORK MENTAL HEALTH ASSESSMENT TEAM (MHAT)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF THE INTEGRIS HEALTH SYSTEM (INTEGRIS HEALTH). INTEGRIS HEALTH IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE CORPORATION WITH HOSPITALS, PHYSICIAN CLINICS, MENTAL HEALTH FACILITIES, ASSISTED LIVING CENTERS AND HOME HEALTH AGENCIES THROUGHOUT THE STATE. AS A MEMBER OF INTEGRIS HEALTH AND A NOT FOR PROFIT ORGANIZATION, EACH YEAR IBMC PROVIDES MILLIONS OF DOLLARS OF CHARITY CARE TO PATIENTS THROUGHOUT THE STATE OF OKLAHOMA. WHILE THIS CARE REPRESENTS A LARGE PERCENTAGE OF IBMC'S GIFT BACK TO THE COMMUNITY, IT IS STILL ONLY PART OF WHAT IBMC CHOOSES TO CALL RETURNSHIP. RETURNSHIP EPITOMIZES IBMC'S MISSION OF GIVING BACK TO ITS 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. IN ADDITION, IBMC PROVIDES SIGNIFICANT AMOUNTS OF UNCOMPENSATED SERVICES. UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED COST CARE. AS A NOT-FOR-PROFIT HOSPITAL, IBMC 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 IBMC COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IBMC PROVIDED CHARITY CARE OF $19,622,860. IBMC ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS FOR WHICH THE ORGANIZATION HAD RECEIVED INADEQUATE PAYMENTS IN PRIOR YEARS. THE SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM (SHOPP) WAS CREATED AND IMPLEMENTED BY THE STATE OF OKLAHOMA IN FISCAL YEAR 2012 FOR THE PURPOSE OF ASSURING ACCESS TO QUALITY CARE FOR OKLAHOMA MEDICAID MEMBERS. THE PROGRAM IS DESIGNED TO ASSESS QUALIFIED OKLAHOMA HOSPITALS A FEE FOR THE SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM. THE COLLECTED FEES ARE PLACED IN POOLS AND THEN ALLOCATED TO HOSPITALS AS DIRECTED BY LEGISLATION. THE OKLAHOMA HEALTH CARE AUTHORITY DOES NOT GUARANTEE THAT ALLOCATIONS WILL EQUAL OR EXCEED THE AMOUNT OF FEE PAID INTO THE POOL BY THE HOSPITAL. THE SHOPP PROGRAM IS EXPECTED TO REMAIN IN EFFECT THROUGH FISCAL YEAR 2025. THIS FISCAL YEAR THE SHOPP PAYMENT HELPED OFFSET COSTS RELATED TO MEDICAID PATIENTS. IBMC'S UNPAID COSTS OF MEDICAID PROGRAMS EQUALED $37,843,928. IN ADDITION IBMC BAD DEBT COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IBMC'S BAD DEBT COSTS WERE $7,457,833. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT SEE THE ATTACHED COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS COMMUNITY BENEFIT REPORT 2021 A MESSAGE FROM OUR PRESIDENT AND 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. BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS, INTEGRIS HEALTH PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS TO IMPROVE ACCESS TO HEALTH CARE. SOME EXAMPLES OF THIS INCLUDE FUNDING FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, HEALTH SUPPORT GROUPS, MENTORING PROGRAMS FOR AT-RISK YOUTH, CLEAN UP AFTER NATURAL DISASTERS, ASSISTANCE FOR THE ELDERLY AND SERVING AS A LEADER DURING A PANDEMIC. THIS REPORT HIGHLIGHTS IN GREATER DETAIL A FEW WAYS INTEGRIS HEALTH POSITIVELY IMPACTED OUR COMMUNITIES LAST YEAR. WE ARE GRATEFUL AND HUMBLED TO BE OKLAHOMANS' MOST TRUSTED PARTNER FOR HEALTH. 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 GIVING FUND INTEGRIS HEALTH HAS LONG BEEN A LEADER IN COMMUNITY HEALTH OUTREACH. MANY ARE NOT AWARE OF THE COMMUNITY BENEFIT ASPECT OF OUR ORGANIZATION'S WORK. THIS GRANT INITIATIVE IS A GREAT OPPORTUNITY TO TELL THE STORY TO OUR INTERNAL AND EXTERNAL COMMUNITIES. INTEGRIS HEALTH HAS ESTABLISHED PRIORITIES FOR IMPROVING COMMUNITY HEALTH FOR 2020 THROUGH 2022. INTEGRIS HEALTH'S 2020-2022 COMMUNITY HEALTH PRIORITY IS TO ADDRESS OBESITY, MENTAL HEALTH, ACCESS TO CARE, FOOD INSECURITY AND TOBACCO THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING AND TREATMENT STRATEGIES. THE GRANTS ALLOW US TO PARTNER WITH OTHER ORGANIZATIONS, HELPING PEOPLE LIVE HEALTHIER LIVES AND MAXIMIZING THE IMPACT OF OUR COMMUNITY BENEFIT DOLLARS TO IMPROVE HEALTH OUTCOMES. FOR MORE INFORMATION CONTACT TOBI.CAMPBELL@INTEGRISOK.COM. VARIETY CARE NAME OF PROJECT: VARIETY CARE MAMMOGRAPHY PLAN IN PARTNERSHIP WITH THE URBAN LEAGUE PROJECT DESCRIPTION: VARIETY CARE AND THE URBAN LEAGUE WORK TOGETHER TO PROVIDE A PROGRAM OF OUTREACH, CLIENT NAVIGATION, CASE MANAGEMENT AND COUNSELING TARGETING AFRICAN AMERICAN WOMEN TO INCREASE ACCESS TO MAMMOGRAMS. PROGRESS: AS OF SEPTEMBER 2021, THE URBAN LEAGUE REFERRED 29 AFRICAN AMERICAN WOMEN TO VARIETY CARE FOR THEIR INITIAL HEALTH VISIT, WITH 16 OF THE 29 COMPLETING THEIR VISIT. FOURTEEN REFERRED BY THE URBAN LEAGUE ARE IN THE PROCESS OF OBTAINING AN APPOINTMENT. THE URBAN LEAGUE CONTINUES TO PROVIDE ENROLLMENT, CASE MANAGEMENT, PROMOTIONS AND FOLLOW-UP ACTIVITIES WITH CLIENTS. IN OCTOBER, THE URBAN LEAGUE HOSTED A "DAY OF PINK" BRUNCH EVENT FOR LOW-INCOME, UNINSURED AND UNDERINSURED AFRICAN AMERICAN WOMEN TO PROMOTE BREAST CANCER AWARENESS AND ASSIST CLIENTS TO REGISTER FOR THEIR VARIETY CARE OFFICE VISIT AND INTEGRIS HEALTH MAMMOGRAM. THE DAY OF PINK EVENT PROVIDED RESOURCES, SUPPORT AND INFORMATION FOR AFRICAN AMERICAN WOMEN WHO HAVE LOST LOVED ONES, ARE WORRIED ABOUT DEVELOPING BREAST CANCER OR NEED ANSWERS TO QUESTIONS ABOUT PREVENTING AND RECOGNIZING SYMPTOMS OF BREAST CANCER. IN ADDITION TO WOMEN IDENTIFIED BY THE URBAN LEAGUE, VARIETY CARE CARE MANAGEMENT STAFF LINK PATIENTS WITH RESOURCES FOR MAMMOGRAMS AND PERFORM IN-REACH WITH STAFF AND PATIENTS. BETWEEN JANUARY 1 AND SEPTEMBER 15, 2021, 3,165 WOMEN WERE REFERRED FOR MAMMOGRAMS, 279 (8.8%) OF WHICH WERE AFRICAN AMERICAN/BLACK, AN INCREASE FROM 7.9% AT THE SIX-MONTH MARK. UNINSURED WOMEN COMPRISED 1,382 (43.7%) OF THOSE REFERRED FOR MAMMOGRAMS. VARIETY CARE NAME OF PROJECT: MENTAL HEALTH AWARENESS AND REFERRAL TO TREATMENT PROJECT DESCRIPTION: VARIETY CARE MEDICAL ASSISTANTS SCREEN PATIENTS AGE 12 AND OLDER FOR DEPRESSION. IF THE SCREEN IS POSITIVE, THE MEDICAL PROVIDER WILL MAKE AN IN-HOUSE REFERRAL TO A BEHAVIORAL HEALTH PROVIDER. PROGRESS: IN THE FIRST NINE MONTHS OF THE GRANT YEAR, MEDICAL TEAMS SCREENED 22,609 (60.2%) OUT OF 37,574 MEDICAL PATIENTS FOR DEPRESSION AND DEVELOPED A TREATMENT PLAN FOR THOSE WITH A POSITIVE SCREEN. OF THOSE, 7,192 (31.8%) WERE UNINSURED. WE HAVE SEEN AN INCREASE IN THE NEED FOR BEHAVIORAL HEALTH DURING THE PANDEMIC. SOME THERAPISTS ARE SCHEDULED OUT FOUR TO FIVE WEEKS, WITH PSYCHIATRISTS BOOKED OUT ABOUT THREE WEEKS. IN ADDITION TO AN INCREASE IN THE NEED FOR TREATMENT OF DEPRESSION AND ANXIETY, WE SEE A CONTINUING NEED FOR MEDICATION ASSISTED TREATMENT. TELEHEALTH REMAINS AN ESSENTIAL METHOD OF SERVICE DELIVERY IN RESPONSE TO THE PANDEMIC. VARIETY CARE NAME OF PROJECT: OBESITY PREVENTION, REFERRAL TO TREATMENT AND HEALTHY FOOD ACCESS PROJECT DESCRIPTION: VARIETY CARE DIETITIANS AND BEHAVIORAL HEALTH STAFF WORK WITH OVERWEIGHT PATIENTS WITH DIABETES OR HYPERTENSION TO ATTAIN A HEALTHY WEIGHT. PROGRESS: IN THE FIRST NINE MONTHS OF THE GRANT YEAR, VARIETY CARE MEDICAL TEAMS DOCUMENTED BMI FOR 14,646 OUT OF 20,153 CHILDREN (72.7%) AND 14,689 OUT OF 31,232 ADULTS (47.0%), PROVIDING COUNSELING TO THOSE WHOSE WEIGHT WAS OUTSIDE NORMAL PARAMETERS. OF THE 14,646 CHILDREN WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 395 (2.0%) MADE SUSTAINED PROGRESS TOWARD IDEAL WEIGHT. OF THE 14,689 ADULTS WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 13,224 (90.0%) MADE PROGRESS TOWARD THEIR IDEAL WEIGHT. OF THOSE WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 8.3% OF CHILDREN AND 19.6% OF ADULTS WERE UNINSURED. HEALTHY FOODS ARE AN ESSENTIAL PART OF A DAILY DIET. OBTAINING FRESH FRUITS AND VEGETABLES IS ESPECIALLY DIFFICULT FOR LOW-INCOME PATIENTS. VARIETY CARE REGISTERED DIETITIANS DISTRIBUTED 41 $50 GIFT CARDS TO LOW-INCOME PATIENTS WITH HYPERTENSION AND/OR PREDIABETES OR DIABETES TO REMOVE A BARRIER TO THEIR ABILITY TO CHOOSE FRESH FRUITS AND VEGETABLES. THIRTEEN OF THE PATIENTS THAT RECEIVED GIFT CARDS FOR HEALTHY FOOD WERE UNDER AGE 18.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>YMCA OF GREATER OKLAHOMA CITY NAME OF PROJECT: EXERCISE IS MEDICINE PROJECT DESCRIPTION: THE EXERCISE IS MEDICINE PROGRAM INCORPORATES CARDIOVASCULAR, FLEXIBILITY, STRENGTH TRAINING AND MIND BODY EXERCISES, AWARENESS OF NUTRITIONAL IMPACT ON HEALTH, APPLICATION OF SUSTAINED HEALTHY HABITS, AND BEHAVIORAL AND ENVIRONMENTAL SUPPORT TO ELICIT LONG-TERM SUCCESS. PARTICIPANTS ARE REFERRED BY HEALTH CARE PROVIDERS. INSTRUCTION IS OVERSEEN BY A TEAM OF EXERCISE IS MEDICINE TRAINERS FOR 12 WEEKS, TWICE PER WEEK FOR A TOTAL OF 24 ONE-HOUR SESSIONS. THIS PROGRAM IS FACILITATED IN A SMALL GROUP SETTING WITH A RATIO OF 1:8 FOR OPTIMAL INSTRUCTION. PROGRESS: THE FIRST COHORT HAS FINALIZED THEIR PROGRAMMING AND ASSESSMENTS. WE ARE IN THE PROCESS OF RECRUITING FOR THE NEXT COHORT OF APPROXIMATELY 40 PARTICIPANTS THROUGH A PARTNERSHIP WITH LYNN INSTITUTE. THE NEXT QUARTER WILL BE THE LARGEST FOR PARTICIPATION AND EXPENDITURES. YWCA ENID NAME OF PROJECT: YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) AND COUNSELING PROGRAMS. PROJECT DESCRIPTION: YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM OFFERS FREE FORENSIC EXAMS TO ADULT VICTIMS OF SEXUAL ASSAULT. THE SPECIALLY TRAINED SANE NURSE PROVIDES AN EXAM AND PROTOCOL MEDICATIONS TO VICTIMS IN A COMFORTABLE AND CONFIDENTIAL MEDICAL ROOM ON-SITE AT THE YWCA. REQUESTS ARE RECEIVED FROM INDIVIDUALS FOR EXAMS, OR REFERRALS FROM LAW ENFORCEMENT. AFTER THE EXAM IS COMPLETE AND EVIDENCE IS TURNED OVER TO LAW ENFORCEMENT, THE SANE NURSE WILL THEN FOLLOW UP WITH THE VICTIM TWO WEEKS AFTER THE EXAM TO PROVIDE NEEDED RESOURCES AND ADDITIONAL MEDICAL ASSISTANCE. SEXUAL ASSAULT RESPONSE ADVOCATES (SARAS) ARE SPECIALLY TRAINED RECRUITED VOLUNTEERS PROVIDING EMOTIONAL SUPPORT AND RESOURCES TO VICTIMS AT THE TIME OF THE EXAM AND IN THE WEEKS FOLLOWING. THE STAFF COURT ADVOCATE IS ALSO AVAILABLE TO ACCOMPANY THE VICTIMS IN THE INSTANCE OF PROSECUTION. THE SANE NURSE REGULARLY TESTIFIES IN COURT TO AID IN THIS PROSECUTION. WITHOUT YWCA'S SANE PROGRAM, VICTIMS WOULD TRAVEL TO WOODWARD, STILLWATER OR PONCA CITY FOR AN EXAM IN THE MIDST OF THEIR TRAUMATIC INCIDENT. YWCA ENID'S COUNSELING PROGRAM OFFERS FREE INDIVIDUAL AND GROUP COUNSELING TO VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING, AS WELL AS THE COMMUNITY AT LARGE. REQUESTS COME FROM INDIVIDUALS FOR SERVICES, AND OCCASIONALLY OKDHS ARE RECEIVED WITH THIS PROGRAM. THE LICENSED PROFESSIONAL COUNSELOR WILL MEET WITH THOSE INDIVIDUALLY OR IN A GROUP SETTING TO FACILITATE AN UNDERSTANDING OF TRAUMA, NORMALIZE THEIR EXPERIENCE AND PROVIDE SUPPORT AND HEALTHY COPING SKILLS. OTHER SKILLS FOSTERED ARE APPROPRIATE PARENTING SKILLS AND TECHNIQUES TO MANAGE ANXIETY, DEPRESSION AND PTSD. PROGRESS: THE SANE NURSE PROVIDED ONE DOMESTIC VIOLENCE AND THREE SEXUAL ASSAULT EXAMS IN JULY 2021, TWO SEXUAL ASSAULT EXAMS IN AUGUST 2021, AND ONE SEXUAL ASSAULT EXAM IN SEPTEMBER. IN TOTAL, THE SANE NURSE PERFORMED SEVEN EXAMS THIS QUARTER. 100% OF INDIVIDUALS REQUESTING A SANE/DVNE EXAM WERE PROVIDED WITH ONE. 100% OF CLIENTS SERVED BY THE YWCA CRISIS CENTER SHELTER WERE ALSO OFFERED A SANE/DVNE EXAM. YWCA'S SANE NURSE ALSO FACILITATED 81 HOURS OF ADVOCACY SERVICES FOR THESE VICTIMS AND SUPPLIED FOUR LAW ENFORCEMENT DEPARTMENTS WITH FORENSIC EVIDENCE FOR PROSECUTION. ADDITIONALLY, THE SANE NURSE PROVIDED ONE TRAINING TO LAW ENFORCEMENT THIS QUARTER. YWCA HOSTED A SEXUAL ASSAULT RESPONSE ADVOCATE (SARA) OPEN HOUSE IN OCTOBER DURING DOMESTIC VIOLENCE AWARENESS MONTH TO RECRUIT MORE VOLUNTEERS TO ASSIST WITH THE SANE PROGRAM. YWCA ENID'S COUNSELING PROGRAM HAS BEEN EXTREMELY BUSY THIS QUARTER. IN FACT, AFTER REVIEWING METRICS FROM LAST FISCAL YEAR, COUNSELING SERVICES HAVE INCREASED BY 70% SINCE THE ONSET OF THE COVID-19 PANDEMIC. DURING THIS QUARTER (JULY- SEPTEMBER 2021), THE LICENSED PROFESSIONAL COUNSELOR PROVIDED 144 HOURS OF COUNSELING TO 70 CLIENTS. NINE OF THESE CLIENTS WERE NEW ADMISSIONS, AND 85% WERE NON-RESIDENTIAL COMMUNITY MEMBERS. 100% OF VICTIMS REQUESTING SERVICES IN ANY CAPACITY WERE OFFERED COUNSELING AT NO CHARGE. 92% OF CLIENTS SERVED ACQUIRED HEALTHY COPING SKILLS AND DEMONSTRATED IMPROVEMENT IN THEIR QUALITY OF LIFE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH ENID LIONS CLUB NAME OF PROJECT: EYEGLASSES FOR NEEDY RESIDENTS PROJECT DESCRIPTION: AS A CIVIC CLUB, THE GOAL IS TO PROVIDE SERVICE PROJECTS. THE PROJECT WE ARE WORKING ON IS TO PROVIDE EYE EXAMS AND GLASSES TO NEEDY INDIVIDUALS. PROGRESS: THE NORTH ENID LIONS CLUB HAS SPENT A TOTAL OF $1,115 ON EYEGLASSES FROM MAY THROUGH SEPTEMBER 2021. COMMUNITY DEVELOPMENT SUPPORT ASSOCIATION, INC. (CDSA) NAME OF PROJECT: EMERGENCY MEDICATION AND SHORT-TERM MEDICATION AND MEDICAL SUPPLIES SUPPORT PROJECT DESCRIPTION: PROGRAM SUPPORT TO ADDRESS THE LONG-STANDING NEED FOR EMERGENCY MEDICATIONS AND SHORT-TERM MEDICATION SUPPORT WHILE ACCESSING OTHER ASSISTANCE AND EMERGENCY MEDICAL SUPPLY NEEDS, INCLUDING THE NEED FOR ADULT INCONTINENCE SUPPLIES. PROGRESS: 1. PURCHASED INCONTINENCE SUPPLIES. 2. BEGAN MARKETING AVAILABILITY OF SUPPLIES. 3. DISTRIBUTED INCONTINENCE SUPPLIES TO FOUR INDIVIDUALS IN THE FIRST QUARTER AND SEVEN IN THE SECOND QUARTER DURING 2021. 4. DEVELOPED PARTNERSHIP WITH FAMILY PHARMACY FOR DISCOUNTED MEDICATION/SUPPLIES PRICING. 5. DISTRIBUTED TEST STRIPS AND TESTING MACHINE TO ONE DIABETIC PATIENT. 6. MARKETED SERVICES TO ENID COMMUNITY CLINIC, LOAVES AND FISHES, OUR DAILY BREAD, MEADOWS POINT APARTMENTS, AREA AGENCY ON AGING, ENID SENIOR CENTER AND TO RSVP TO DISTRIBUTE MATERIALS TO RECIPIENTS OF ENID MOBILE MEALS. 7. PROVIDED FIRST AID SUPPLIES (BANDAGES, ANTIBIOTIC OINTMENT, CLEANSING PADS, HOT/COLD PACKS AND TYLENOL FOR OUTREACH TO ENID SOS FOR HOMELESS OUTREACH. 8. ASSISTED 13 CLIENTS WITH MEDICATIONS CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OKLAHOMA CITY (CCAOKC) NAME OF PROJECT: COUNSELING SERVICES AND FAMILY SUPPORT SERVICES PROJECT DESCRIPTION: CATHOLIC CHARITIES OFFERS COUNSELING SERVICES THROUGH THEIR REGIONAL OFFICE. LICENSED PROFESSIONAL COUNSELORS OFFER AFFORDABLE OUTPATIENT COUNSELING FOR INDIVIDUALS, FAMILIES AND CHILDREN TO ADDRESS LIFE'S STRESSES AND PROBLEMS HINDERING THEIR DAILY FUNCTIONING. COUNSELORS PROVIDE A MENTAL HEALTH CONTINUUM OF CARE THAT INCLUDES SUPPORT, PREVENTION, INTERVENTION AND TREATMENT. THE SKILLED AND CARING STAFF ARE GUIDED BY EVIDENCE-BASED STRATEGIES AND WORK COLLABORATIVELY WITH THE CLIENT TO DEVELOP CARE PLANS THAT ARE INDIVIDUALIZED. ALSO OFFERED THROUGH THIS REGIONAL OFFICE IS THE FAMILY SUPPORT SERVICES PROGRAM, WHICH HAS TWO KEY COMPONENTS (EMERGENCY RENT AND UTILITY ASSISTANCE, AND FAMILY HOPE) THAT ADDRESS IMMEDIATE CLIENT NEEDS AND FACILITATE A PATH TO A STABLE AND ECONOMICALLY INDEPENDENT FUTURE. THROUGH THE EMERGENCY RENT AND UTILITY ASSISTANCE PROGRAM CLIENTS FACING A FINANCIAL CRISIS ARE ASSISTED WITH A PORTION OF THEIR PAST DUE RENT AND/OR UTILITY PAYMENT. THE PROGRAM OBJECTIVES ARE TO PREVENT HOMELESSNESS AND UNSAFE LIVING CONDITIONS BY HELPING CLIENTS AVOID EVICTION DUE TO OVERDUE RENT OR UTILITY SHUT-OFFS, WHICH IS GROUNDS FOR EVICTION IN OKLAHOMA. THE FAMILY HOPE (HELP, ORGANIZE, PRIORITIZE AND EMPOWER) PROGRAM PROMOTES INDEPENDENCE AND EQUIPS CLIENTS WITH THE SKILLS TO OVERCOME OBSTACLES AND GAIN ECONOMIC STABILITY. CASE MANAGERS WORK WITH CLIENTS TO CREATE ACTION-ORIENTED, GOAL- CENTERED SERVICE PLANS. SERVICE PLANS FOCUS ON UNMET NEEDS (E.G., FINANCIAL MANAGEMENT, EDUCATION, HEALTH AND WELLNESS, EMPLOYMENT, HOUSING AND MENTAL HEALTH) AND STEPS FOR GOAL COMPLETION. PROGRESS: COUNSELING SERVICES PROGRAM BENCHMARK PERCENTAGES HAVE BEEN MET, ADDING FIVE FAMILIES TO OUR COUNSELING PROGRAM, THUS IMPACTING THE LIVES OF 19 MORE PEOPLE. EMERGENCY RENT AND UTILITY ASSISTANCE PROGRAM WE HAVE MET OUT BENCHMARK PERCENTAGES IN EMERGENCY ASSISTANCE, INCLUDING COVID RELIEF. WE HAVE SERVED A TOTAL OF 254 PEOPLE WITH THESE SERVICES. FAMILY HOPE PROGRAM THE BENCHMARK PERCENTAGES CONTINUE TO BE MET FOR FAMILY HOPE. THERE ARE SIX NEW FAMILIES IN THIS PROGRAM, MAKING A TOTAL OF 10 ACTIVE CASES. DIABETES SOLUTIONS-OK, INC. NAME OF PROJECT: DSOK CAMP ENDRES PROJECT DESCRIPTION: THE DIABETES CAMPS, CAMP ENDRES, PROVIDE A CRUCIAL PART OF CHILDREN'S JOURNEY WITH DIABETES. WITH HELP FROM INTEGRIS HEALTH, WHEN WE FIRST FORMED DSOK IN 2000, WE HOSTED ONE 10-DAY SUMMER CAMP PROGRAM. CURRENTLY WE HOST SIX ANNUAL CAMPING PROGRAMS TO SUIT EVERYONE'S NEEDS. ROUGHLY 300 CHILDREN, TEENS, ADULTS AND FAMILIES ARE HOSTED DIRECTLY WITH CAMP ENDRES PROGRAMS THROUGHOUT THE CALENDAR YEAR. PROGRESS: DUE TO COVID-19, THE SPRING FLING FOR TEENS AND THE SEPTEMBER ADULT GETAWAY WERE CANCELLED. WE HOPE TO RESUME THESE TWO PROGRAMS IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTIAN MEDICAL CLINIC OF GRAND LAKE, INC. NAME OF PROJECT: FILLING THE GAP IN THE COMMUNITY'S HEALTH CARE SYSTEM. PROJECT DESCRIPTION: HELP WITH PURCHASING MEDICATIONS FOR OUR PATIENTS. PROGRESS: OVER 500 PATIENTS ARE SEEN FROM OUR FOUR COUNTIES EVERY THREE MONTHS. DURING JULY THROUGH SEPTEMBER 2021, 1,733 PRESCRIPTIONS WERE FILLED AT NO COST TO THE PATIENTS. YOUTH &amp; FAMILY SERVICES OF NORTH CENTRAL OKLAHOMA NAME OF PROJECT: CHAMPION DAY TREATMENT PROGRAM PROJECT DESCRIPTION: THE TREATMENT PROGRAM, CHAMPION, IS DESIGNED TO HELP STUDENTS WHO HAVE DIFFICULTY WITH SCHOOL DUE TO POSSIBLE MENTAL HEALTH SYMPTOMOLOGY RELATED TO ENVIRONMENTAL FACTORS, TRAUMA EXPOSURE, DEPRESSION AND ANXIETY, OR LACK OF EMOTIONAL REGULATION. OFTEN, THESE ARE CHILDREN WHO WOULD BE STEPPING DOWN FROM THE INTEGRIS HEALTH MEADOWLAKE FACILITY. FOR THESE PARTICULAR CHILDREN, THE SCHOOL SYSTEM SIMPLY CANNOT MEET THEIR NEEDS. THE PROGRAM PROVIDES COUNSELING, EDUCATION AND PROBLEM-SOLVING SKILLS WHILE COLLABORATING WITH THE TEACHER IN AN EFFORT TO REINTEGRATE STUDENTS INTO THE MAINSTREAM CLASSROOM SETTING. THE MODEL FOCUSES ON THE STUDENT'S PERSONAL STRENGTHS AND ABILITIES AS THEY RELATE TO ACADEMICS, SOCIAL SKILLS AND COLLABORATIVE PROBLEM SOLVING. PROGRESS: SINCE JUNE 2021, WE HAVE MAINTAINED SIX CHILDREN FROM THE PROGRAM AND WERE ABLE TO WORK WITH THEM IN PERSON OVER THE SUMMER AT OUR FACILITY. 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. 2021 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS HEALTH PROVIDED $72,073,512.56 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 $5,656,217.41. 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 $107,306. 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 $41,886,204.13. BAD DEBT IN ADDITION TO CHARITY CARE, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $20,912,368.12 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE SYSTEM ANTICIPATED BUT DID NOT RECEIVE PAYMENT. THIS HAPPENS WHEN PATIENTS ARE UNABLE TO PAY THEIR BILLS BUT DO NOT APPLY FOR FINANCIAL ASSISTANCE OR ARE UNWILLING TO PAY THEIR BILLS. 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 $24,423,785.02.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS A CHANCE TO CHANGE ACS - HOPE LODGE GROUNDBREAKING CEREMONY ACS - OK STATEWIDE BOARD CALL ACS - OK STATEWIDE BOARD MEETING ACS BOARD COMM ENGAGEMENT SUBCOMMITTEE MEETING ACS CATTLE BARON'S BRAINSTORMING MEETING ALA - 2021 FFAC PLANS &amp; COMMITTEE MEETING ALA - FFAC COMMITTEE ALA - FFAC COMMITTEE MEETING ALA - FIGHT FOR AIR CLIMB MEETING ALA FFAC COMMITTEE ALA FIGHT FOR AIR CLIMB COMMITTEE MEETING ALZHEIMER'S ASSOCIATION OF OKLAHOMA AMERICAN CANCER SOCIETY AMERICAN CANCER SOCIETY - CHAD RICHISON LODGE - GROUNDBREAKING CEREMONY AMERICAN CANCER SOCIETY - OKTXNM AREA BOARD MEETING AMERICAN CANCER SOCIETY - OKTXPAN AREA BOARD MEETING AMERICAN CANCER SOCIETY MEETING AMERICAN CANCER SOCIETY STATEWIDE BOARD MEETING AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION AMERICAN LUNG ASSOCIATION - FFAC COMMITTEE AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR CLIMB AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR CLIMB BOOTH AT IBMC-NW AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR LUNG CLIMB AMERICAN LUNG ASSOCIATION - LUNG FORCE GALA AN INTRODUCTION TO COMPASSION CULTIVATION ASK THE DIETITIAN DIETARY CONSULTS BAM INFUSIONS BRIGHT FUTURES MENTORING BUFFALO RUN CASINO HEALTH FAIR CALM WATERS CENTER FOR CHILDREN AND FAMILIES CARDIOLOGY EDUCATION TO GREAT PLAINS RESIDENTS CENTRAL OKLAHOMA HEALTH IMPACT TEAM CHANGING YOUR WEIGHS (SEVEN SESSIONS) WEIGHT MANAGEMENT CHANGING YOUR WEIGHS (EIGHT SESSION) WEIGHT MANAGEMENT CHILD ABUSE MEDICAL EXAMINER FOR DELAWARE COUNTY CHNA FOCUS GROUP CI HEALTH GROUP INTERNSHIP COMMUNITY CLINICS COMMUNITY COVID EDUCATION COMMUNITY EDUCATION STROKE AWARENESS COMMUNITY EDUCATION STROKE EDUCATION COMMUNITY FLU SHOTS AND BP READINGS COMMUNITY GRANT RECIPIENT - CATHOLIC CHARITIES OF OKC REGIONAL COMMUNITY GRANT RECIPIENT - CDSA COMMUNITY GRANT RECIPIENT - LIONS CLUB NORTH ENID COMMUNITY GRANT RECIPIENT - YWCA COMMUNITY HEALTH FAIR AT WILL ROGERS SENIOR CENTER COMMUNITY HOURS FOR TAMARA CLIFT, FY 2020-21 COMMUNITY HOURS FOR TIM PEHRSON, CEO, FY2020-21 COMMUNITY ROTATION FOR DIETETIC INTERNS FROM OUHS COMMUNITY WELLNESS BUDGET FY 2020-21 COPING SKILLS PRESENTATION MIAMI HIGH SCHOOL COVID VACCINATION CLINIC FOR PACIFIC ISLANDERS COVID VACCINATION SHOTS DAYCARE FLU SHOTS AND BP READINGS DCCAN FLU SHOTS AND BP READINGS DCCP COVID ANTIBODY TESTING DE MUJER A MUJER DELAWARE COUNTY ELDERS DRIVE THRU HEALTH FAIR DIABETES EDUCATION AT ICC DIABETES PREVENTION PROGRAM (DPP) EASTERN OKLAHOMA LIBRARY HEALTH SERIES EATING WELL WITH DIABETES MABEL C FRY LIBRARY ADULT PROGRAMS ECONOMIC DEVELOPMENT FOR RONDA LITTLE, FY20-21 ECONOMIC DEVELOPMENT FOR TIM PEHRSON, CEO FOR FY20 EMERGENCY MEDICAL SERVICE COMMUNITY SERVICE FACEBOOK LIVE INFORMATION SESSIONS IN SPANISH FOCUS GROUP MEETING FOR CHNA IN ENID, OK FOCUS GROUP MEETING FOR CHNA IN MUSTANG, OK FOOD DEMONSTRATION AT THE MOORE FOOD AND RESOURCE FOOD DISTRIBUTIONS FOR COMMUNITY MEMBERS FRANCIS TUTTLE CART ! SPRING 2021 RESPIRATORY THERAPY CLINICAL FRANCIS TUTTLE NICU RESPIRATORY THERAPY CLINICALS FRANCIS TUTTLE PFT RESPIRATORY THERAPY CLINICALS FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS (FALL 2020) FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS (FALL 220) CART 1 FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS CART 1 SUMMER 2020 FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS FALL 2020 FRANCIS TUTTLE SUMMER 2020 RESPIRATORY THERAPY STUDENTS FY21 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS FY21 STUDENT, RESIDENT AND FELLOW EDUCATION HOURS FY21 STUDENT, RESIDENT AND FELLOW EDUCATION HOURS WITH PHYSICIANS GO RED FOR YOUR HEART/VESTIDO ROJO GRACELAND UNIVERSITY NURSING STUDENT GRADUATE MEDICAL EDUCATION SUPERVISOR SALARY GROVE PASTORAL CARE GROVE TWEEN FAIR HEALTH ALLIANCE FOR THE UNINSURED HEALTHY LIVING, LIVESTRONG AT THE YMCA HEDGES SILENT FILM SPONSORSHIP HES 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 HES 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 HISPANIC HERITAGE MONTH MEN'S HEALTH PRESENTATION HISPANIC RADIO, TELEVISION AND NEWSPAPER HOSPICE CIRCLE OF LOVE MINT JULEP JUBLIEE SPONSOR INTEGRIS HEALTH COMMUNITY CLINIC INTEGRIS HEALTH GROVE RESPIRATORY THERAPY STUDENTS (AUGUST 2020-MAY 2021) INTEGRIS HEALTH JIM THORPE REHAB STUDENT HOURS INTEGRIS HEALTH MOBILE CARE CLINIC INTEGRIS HEALTH PHARMACEUTICAL ASSISTANCE PROGRAM FY 2020-21 INTEGRIS HEALTH PHYSICIAN MEDICAL MEETINGS INTEGRIS HEALTH REHAB AND SPORTS MEDICINE STUDENTS HOURS J &amp; M FARMS HEALTH FAIR JOHN ADAMS-OBI (OK BLOOD INSTITUTE) BOARD MEETINGS JOHN ADAMS-SOUTH OKC CHAMBER OF COMMERCE ADVISORY JOHN ADAMS-SOUTH OKLAHOMA CITY CHAMBER OF COMMERCE LEADERSHIP OKC BOARD MEETING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>LEADERSHIP OKLAHOMA CITY - EXECUTIVE COMMITTEE LEADERSHIP OKLAHOMA CITY EXECUTIVE COMMITTEE MEETING LEADERSHIP OKLAHOMA CITY HOLIDAY DRIVE THROUGH EVENT LEUKEMIA &amp; LYMPHOMA SOCIETY LEUKEMIA &amp; LYMPHOMA SOCIETY - LIGHT THE NIGHT KICK LYNN INSTITUTE LYNN INSTITUTE ON THE ROAD TO HEALTH WELLNESS PROGRAM MAKE-A-WISH SPONSORSHIP MEALS ON WHEELS FY 2020-21 MEDICAL STUDENT FAMILY MEDICINE ROTATION 20-21 MEDITATION MEETINGS WITH NON PROFIT ORGANIZATIONS MENTORING PROGRAM FY 2020-21 MIAMI FIRE DEPARTMENT REFRESHER COURSE MIAMI LIONS CLUB MIAMI RESPIRATORY THERAPY STUDENTS (AUGUST 2020-MAY 2021) MINI HEALTH FAIRS MONTHLY LECTURES / CONFERENCIAS MENSUALES MPS OSWE MT 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 NEO NURSING STUDENTS NON-REIMBURSED IRB FEES FY 2021 (JULY 2020-JUNE 2021) NORTHEAST TRIBAL HEALTH SYSTEM HEALTH AWARENESS NORTHEASTERN TRIBAL HEALTH SYSTEM (NTHS) DIABETES BOARD MEETINGS NTC AFTON NURSING STUDENTS NTC KANSAS NURSING STUDENTS NURSES, AUA, SURGICAL TECH AND PARAMEDIC STUDENTS NURSING STUDENTS IN A CLINICAL NURSE INTERN ROLE NUTRITION CLASS SERIES / CLASE DE NUTRICIN NUTRITION PROGRAM FOR OKC VILLAGES (ZOOM) OK ACS CAN NATIVE AMERICAN HEALTH DISPARITIES CONFERENCE OK BLACK PHYSICIAN'S ALLIANCE: HEART HEALTHY COOKING OK COLORECTAL CANCER COALITION MEETING OK SCHOOL OF SCIENCE AND MATHEMATICS BOARD MEETING OKC CHAMBER STATE OF HEALTH CONFERENCE OKLAHOMA BLOOD INSTITUTE - BLOODMOBILE OKLAHOMA MEN COUNT SPONSORSHIP OKLAHOMA SCHOOL OF SCIENCE AND MATHEMATICS FOUNDATION OSSM BOARD MEETING OSSM FOUNDATION OUTREACH COMMITTEE MEETING OSU COMMUNITY RURAL HEALTH ROTATION OT AND OTA 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 OT AND OTA 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 OT AND OTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 OT AND OTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31, 2020 OTTAWA COUNTY FARMERS MARKET BOARD MEETINGS OTTAWA COUNTY UNITED WAY CORPORATE CHALLENGE COMMITTEE POSITIVE DIRECTIONS MENTORING PROGRAM FY 2020-21 PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING PROJECT 31 PT 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 PT 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 PT AND PTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 PT AND PTA 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 RADIOLOGY STUDENTS RESOURCE ROOM ROOSEVELT ELEMENTARY COPING SKILLS PRESENTATION ROOSEVELT ELEMENTARY FIELD DAY ROSE STATE FALL 2020 RESPIRATORY THERAPY FLOOR ROSE STATE FALL 2020 RESPIRATORY THERAPY STUDENTS FLOOR ROSE STATE RESPIRATORY THERAPY CLINICALS SUMMER 2021 ROSE STATE RESPIRATORY THERAPY STUDENTS FALL 2020 ROSE STATE RESPIRATORY THERAPY STUDENTS NICU SUMMER 2020 ROSE STATE RESPIRATORY THERAPY STUDENTS SUMMER 2021 ROSE STATE SUMMER 2020 RESPIRATORY THERAPY STUDENT SCHOOL COOKS TRAINING INFORMATIONAL BAGS SHA COMMUNITY CLINIC SINK FOR PINK SPONSORSHIP SLP 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 SLP 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 SLP 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 SLP 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 SPANISH CANCER SUPPORT GROUP/GRUPO DE APOYO DE CANCER SPORTS PHYSICAL BY HEALTH DEPARTMENT SPORTS PHYSICALS FOR ENID HIGH SCHOOL STUDENTS STANLEY HUPFELD ACADEMY BUDGET FY 2020-21 STITCHING FOR SANITY STRESS COPING SKILLS PRESENTATION TERESA GRAY: YUKON CC 2021 THE FOUNDATION FOR OKCPS THE OKLAHOMA CARING FOUNDATION, INC. TOBACCO AND VAPE PRESENTATION MIAMI HIGH SCHOOL TURMERIC, THE SPICE OF LIFE UCO COMMUNITY &amp; PUBLIC HEALTH INTERNSHIPS UNITED WAY GOLF TOURNAMENT SPONSOR UNITED WAY OF CENTRAL OKLAHOMA UNITED WAY OF CENTRAL OKLAHOMA SNOWFLAKE GALA VOLUNTEER CLINICAL INSTRUCTOR FOR APRN STUDENT WASHINGTON ELEMENTARY COPING SKILLS PRESENTATION YMCA YMCA GOLF TOURNAMENT SPONSORSHIP YODA NIDRA EXPERIENCE YOGA HEALING THROUGH MOVEMENT/SAFER AT HOME YOGA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V: LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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: LINE 2A THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC., EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE FILING ORGANIZATION DURING THE 2021 TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ADVISORY BOARD FULFILLS THE NECESSARY GOVERNANCE AUTHORITY FOR MEDICAL STAFF MEMBERSHIP AND QUALITY OF CARE OVERSIGHT AS REQUIRED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES CONDITIONS OF PARTICIPATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ALLISON PETERSEN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS BAPTIST MEDICAL CENTER, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS BAPTIST MEDICAL CENTER, INC. AS SUCH IT HAS THE POWER (1) TO CONFIRM OR DENY THE ELECTION OF EACH MEMBER OF THE BOARD OF DIRECTORS, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, (3) TO VOTE ON ALL MATTERS WHERE THE AUTHORIZATION OR APPROVAL OF THE SOLE MEMBER IS REQUIRED BY THE CERTIFICATE OF INCORPORATION, THE BYLAWS OR STATE LAW, AND (4) TO SET THE FEES AND COMPENSATION, IF ANY, FOR DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE ORGANIZATION AND TO AUTHORIZE REIMBURSEMENT FOR EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE REFER TO PART VI, SECTION A, LINE 7A RESPONSE ABOVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI: QUESTION 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION AND ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS AND TO REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST POLICES DURING LEADERSHIP TRAINING. LEGAL SERVICES REVIEWS ALL CONTRACTS FOR CONFLICTS OF INTEREST. INTERNAL AUDIT CONDUCTS AUDITS FOR POSSIBLE CONFLICTS OF INTEREST BASED ON THEIR ANNUAL RISK ASSESSMENT. CORPORATE COMPLIANCE INCLUDES ASSESSMENTS FOR CONFLICTS OF INTEREST IN ITS ANNUAL WORK PLAN AND CONDUCTS SPECIALIZED TRAINING FOR HIGH RISK AREAS. THE GOVERNANCE COMMITTEE, A COMMITTEE OF THE INTEGRIS HEALTH BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF INTEGRIS AND A DISQUALIFIED PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI: LINE 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 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. PART VI: LINE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO INTEGRIS CARDIOVASCULAR PHYSICIANS, LLC -739,361.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>OKLAHOMA CITY</CityNm>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>INTEGRIS SOUTHWEST MEDICAL CENTER INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>WESTERN VILLAGE ACADEMY INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
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          <StateAbbreviationCd>OK</StateAbbreviationCd>
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        <EIN>731588764</EIN>
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          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
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          <StateAbbreviationCd>OK</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>QUALITY ALLIANCE ASSURANCE CO</BusinessNameLine1Txt>
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          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KYI-1001</ForeignPostalCd>
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        <EIN>981060671</EIN>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
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        <EIN>731477468</EIN>
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        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ONE CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
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        <PrimaryActivitiesTxt>DORMANT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VADOVATIONS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IBMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>2330734</ShareOfEOYAssetsAmt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH PARTNERS LCC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>453482852</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS CARDIOVASCULAR PHYSICIANS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>452867352</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DIAGNOSTIC LABORATORY OF OKLAHOMA LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>27443647</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DIAGNOSTIC LABORATORY OF OKLAHOMA LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>35896005</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
