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INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION (EIN 73-1089149)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-06-15
IRS object ID
202101669349300330
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-06-15T11:37:19-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 MAIN STREET SUITE 2150AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731089149EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTEGRIS SO OKLAHOMA CITY HOSPCORPBusinessNameLine1Txt
Business Name Line2D/B/A INTEGRIS SOUTHWEST MEDICAL CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% KATHRYN INGERLYInCareOfNm
Business Name ControlINTEBusinessNameControlTxt
Phone4059496026PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 N INDEPENDENCE AVE STE 130AddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73112ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUGLAS M SMITHPersonNm
Person TitleEXECUTIVE VP, CFOPersonTitleTxt
Phone4059512736PhoneNum
Signature2021-06-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTANY K ELLISERPreparerPersonNm
PTINP01284594PTIN
Phone2253444000PhoneNum
Preparation2021-06-04PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHRIS HAMMESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 N INDEPENDENCE AVEAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73112ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$251,633,991GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INTEGRISOK.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1331TotalEmployeeCnt
Total Volunteers162TotalVolunteersCnt
Total Gross UBI$670,354TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$231,758NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,828,708PYContributionsGrantsAmt
CY Contributions Grants$11,196,963CYContributionsGrantsAmt
PY Program Service Revenue$237,269,787PYProgramServiceRevenueAmt
CY Program Service Revenue$237,806,475CYProgramServiceRevenueAmt
PY Investment Income$3,548,143PYInvestmentIncomeAmt
CY Investment Income$2,577,184CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$244,646,638PYTotalRevenueAmt
CY Total Revenue$251,580,622CYTotalRevenueAmt
PY Grants And Similar Paid$4,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$91,217,736PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$89,937,154CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$158,456,247PYOtherExpensesAmt
CY Other Expenses$153,311,660CYOtherExpensesAmt
PY Total Expenses$249,677,983PYTotalExpensesAmt
CY Total Expenses$243,254,814CYTotalExpensesAmt
PY Revenues Less Expenses-$5,031,345PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,325,808CYRevenuesLessExpensesAmt
Total Assets BOY$271,369,102TotalAssetsBOYAmt
Total Assets EOY$303,056,292TotalAssetsEOYAmt
Total Liabilities BOY$24,703,680TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,994,390TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$246,665,422NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$250,061,902NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$202,025,829ExpenseAmt
Grant$6,000GrantAmt
Revenue$234,642,076RevenueAmt
DescSEE SCHEDULE O STATEMENTS 2 THROUGH 5Desc
Total Program Service Expenses$202,025,829TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1331EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKATHRYN INGERLYPersonNm
Phone4059493085PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 N INDEPENDENCE AVE STE 130AddressLine1Txt
CityOKLA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73112ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TIMOTHY PEHRSON
FORMER OFFICER & DIRECTOR0.040.0Yes (X)$0$1,159,067$308,500
CHRIS HAMMES
COO OF IH1.039.0$0$1,073,983$221,641Yes (X)Yes (X)
DOUGLAS M SMITH
CFO OF IH1.039.0$0$712,012$114,852Yes (X)
JORDAN CASH
PRESIDENT40.00.0$412,919$0$89,072Yes (X)
MOBOLAJI OLULADE MD
DIRECTOR1.00.0$0$441,593$33,188Yes (X)
DAVID B TIPTON MD
EX-OFFICIO/JTRH ADVISORY40.00.0$256,043$0$19,234Yes (X)
RICHARD WILTON
VICE PRESIDENT40.00.0$228,962$0$34,300Yes (X)
JEFFREY GILL
CFO-VP40.00.0$227,797$0$26,369Yes (X)
JACKIE LOCKETT
VP CHIEF NURSING OFFICER40.00.0$223,851$0$22,426Yes (X)
DAVID R HADLEY
FORMER OFFICER0.00.0Yes (X)$0$244,392$0
ROBERT GUION
MANAGER PHARMACY40.00.0$189,316$0$29,594Yes (X)
BRANDON MARSHALL
RN STAFF CARDIAC FLOAT40.00.0$168,092$0$27,285Yes (X)
YAXI LIU
STAFF MEDICAL PHYSICIST40.00.0$151,291$0$33,023Yes (X)
CHARLES MAINES
RN STAFF CARDIAC FLOAT40.00.0$153,241$0$28,606Yes (X)
ARMANDO BURCHETT-ZUNIGA
PHARMIST STAFF40.00.0$156,084$0$11,379Yes (X)
KRISTOPHER HART DO
DIRECTOR1.00.0$113,850$5,775$0Yes (X)
BRENT BESON
DIRECTOR1.00.0$104,000$5,850$2,600Yes (X)
PHILIP MOSCA MD
DIRECTOR30.01.0$66,120$32,129$0Yes (X)
ANTHONY JACKSON MD
DIRECTOR1.00.0$0$500$0Yes (X)
STEVE BUCHANAN
DIRECTOR1.00.0$0$0$0Yes (X)
SCOTT BULMER
DIRECTOR/VICE CHAIR1.00.0$0$0$0Yes (X)Yes (X)
KATIE FITZGERALD
DIRECTOR1.00.0$0$0$0Yes (X)
DEREK GILL
DIRECTOR1.00.0$0$0$0Yes (X)
KARLA MARSHALL PHD
DIRECTOR/CHAIRMAN1.00.0$0$0$0Yes (X)Yes (X)
JENNIFER TUCKER
DIRECTOR/SECRETARY1.00.0$0$0$0Yes (X)Yes (X)
CRAIG TURNER
DIRECTOR1.00.0$0$0$0Yes (X)
DAN TIPTON
DIRECTOR1.00.0$0$0$0Yes (X)
ARUN DEVAKONDA MD
DIRECTOR1.00.0$0$0$0Yes (X)
RENEE PORTER
DIRECTOR1.00.0$0$0$0Yes (X)
SHAWN SMITH
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,451,566TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,675,301TotReportableCompRltdOrgAmt
Total Other Compensation$1,002,069TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K114IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DIAGNOSTIC LABORATORY OF OKLAHOMA L
225 NE 97TH STREETOKLAHOMA CITYOK73114REFERENCE LAB$7,145,193
MEDICAL STAFFING NETWORK
PO BOX 840292DALLASTX75284CONTRACT STAFFING$6,330,364
ANESTHESIA MEDICAL PROFESSIONALS PL
PO BOX 1540EDMONDOK73083ANESTHESIA SERVICE$3,775,553
NORMAN RADIOLOGY SERVICES INC
PO BOX 269083OKLAHOMA CITYOK73126RADIOLOGY SERVICES$1,147,640
FRESENIUS MEDICAL CARE-NORTH AMERIC
16343 COLLECTIONS CENTERCHICAGOIL60693MEDICAL SERVICE$1,143,170
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Related Organizations$2,847,012RelatedOrganizationsAmt
Government Grants$8,349,951GovernmentGrantsAmt
Noncash Contributions$75,457NoncashContributionsAmt
Total Contributions$11,196,963TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE621990$227,752,811$227,752,811
RENTAL INCOME532000$1,374,712$1,374,712
MANAGEMENT FEES541610$670,354$670,354
340B PHARMACY INCOME446110$5,428,364$5,428,364
CAFETERIA722514$1,857,361$1,857,361

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$722,873TotalRevenueColumnAmt
Related Or Exempt Func Income$86,189RelatedOrExemptFuncIncomeAmt
Exclusion$636,684ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$237,806,475TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,630,553TotalRevenueColumnAmt
Exclusion$2,630,553ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$53,369OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$53,369OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$53,369TotalRevenueColumnAmt
Exclusion-$53,369ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$251,580,622TotalRevenueColumnAmt
Related Or Exempt Func Income$234,642,076RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$670,354UnrelatedBusinessRevenueAmt
Exclusion$5,071,229ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,000TotalAmt
Program Services$6,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,803,376TotalAmt
Program Services$1,803,376ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$67,751,659TotalAmt
Program Services$67,751,659ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,641,554TotalAmt
Program Services$4,641,554ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,774,630TotalAmt
Program Services$10,774,630ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,965,935TotalAmt
Program Services$4,965,935ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$41,665,954TotalAmt
Program Services$436,969ProgramServicesAmt
Management And General$41,228,985ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,640TotalAmt
Program Services$23,640ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,478,235TotalAmt
Program Services$10,478,235ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total-$1,168TotalAmt
Program Services-$1,168ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$45,172,804TotalAmt
Program Services$45,172,804ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,530,079TotalAmt
Program Services$2,530,079ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$102,907TotalAmt
Program Services$102,907ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$93,406TotalAmt
Program Services$93,406ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,733,963TotalAmt
Program Services$1,733,963ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,338,329TotalAmt
Program Services$9,338,329ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,817,113TotalAmt
Program Services$1,817,113ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
PURCHASED SERVICES$17,469,118$17,469,118$0
RIF & RECRUITMENT$10,650,646$10,650,646$0
CONTRACT LABOR$5,994,529$5,994,529$0
UNRELATED BUS.INCOME TAXES$72,000$72,000$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,170,105TotalAmt
Program Services$6,170,105ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$243,254,814TotalAmt
Program Services$202,025,829ProgramServicesAmt
Management And General$41,228,985ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$41,037BOYAmt
EOY$40,103EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$105,989,781BOYAmt
EOY$21,880,770EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,730,330BOYAmt
EOY$159,271,313EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,155,090BOYAmt
EOY$3,402,835EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$195,225BOYAmt
EOY$197,923EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$200,947,474LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$149,723,138LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$55,134,858BOYAmt
EOY$51,224,336EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$82,122,781BOYAmt
EOY$67,039,012EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$271,369,102BOYAmt
EOY$303,056,292EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,422,010BOYAmt
EOY$51,625,914EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$281,670BOYAmt
EOY$1,368,476EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,703,680BOYAmt
EOY$52,994,390EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$246,665,422BOYAmt
EOY$250,061,902EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$246,665,422BOYAmt
EOY$250,061,902EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$271,369,102BOYAmt
EOY$303,056,292EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,325,808ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,929,328NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,247,892OtherCostOrOtherBasisAmt
Book Value$6,247,892BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,504,744OtherCostOrOtherBasisAmt
Depreciation$67,862,125DepreciationAmt
Book Value$26,642,619BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,166,896OtherCostOrOtherBasisAmt
Depreciation$1,074,658DepreciationAmt
Book Value$92,238BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$95,167,778OtherCostOrOtherBasisAmt
Depreciation$78,777,537DepreciationAmt
Book Value$16,390,241BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,860,164OtherCostOrOtherBasisAmt
Depreciation$2,008,818DepreciationAmt
Book Value$1,851,346BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$51,224,336TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INTEGRIS HEALTH FOUNDATION,$4,404,009F
POOLED FUND INVESTMENTS$62,635,003F
FieldValueIRS element (for citing)
Total Book Value Securities$67,039,012TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$281,670
LT SOCIAL SECURITY TAX WITHHELD$1,086,806
FieldValueIRS element (for citing)
Total Liability$1,368,476TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM SCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationINTEGRIS 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). ACCORDINGLY, NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,450,136TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,450,136NetCommunityBenefitExpnsAmt
Total Expense0.04710TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,375,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,154,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$221,342NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,826,115TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,154,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,671,478NetCommunityBenefitExpnsAmt
Total Expense0.04800TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,931TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,931NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,552,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,313,412DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,238,708NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$266,176TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$266,176NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,837,227TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,313,412DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,523,815NetCommunityBenefitExpnsAmt
Total Expense0.01450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,663,342TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,468,049DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,195,293NetCommunityBenefitExpnsAmt
Total Expense0.06250TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,372TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,372NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,543TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,543NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,915TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,915NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,621,022BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$75,908,916ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$68,986,554CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,922,362MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTEGRIS SOUTHWEST MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14401 SOUTH WESTERN AVENUEAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73109ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.INTEGRISOK.COMWebsiteAddressTxt
State License2289StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INTEGRIS SOUTHWEST MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1SCHEDULE H, PART V: INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION D/B/A INTEGRIS SOUTHWEST MEDICAL CENTER, INC. (ISMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH ISMC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW.
SUPPLEMENTAL INFORMATION 2PART V, SECTION B, LINE 5: IN CONDUCTING THE CHNA, THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SURVEYS, LISTENING SESSIONS, FOCUS GROUPS, AND LOCAL DATA COLLECTION. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINIC, CHURCHES, HEALTH DEPARTMENT, HUMAN SERVICES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES.
SUPPLEMENTAL INFORMATION 3PART V, SECTION B, LINE 6A: THE FACILITIES LISTED IN THE METRO AREA USED THE SAME SURVEY, BUT SOME CONTENTS OF THE PLANS WERE CHANGED DUE TO SOME DEMOGRAPHIC ASPECTS OF THE COMMUNITIES (IE LARGE HISPANIC POPULATION, HIGHER SOCIO ECONOMIC FACTORS, ETC). THOSE FACILITIES INCLUDED: INTEGRIS HEALTH EDMOND, INTEGRIS BAPTIST MEDICAL CENTER, LAKESIDE WOMEN'S HOSPITAL, OKLAHOMA CENTER OF ORTHOPEDIC MULTI-SPECIALTY SURGERY, INTEGRIS SOUTHWEST MEDICAL CENTER, AND INTEGRIS CANADIAN VALLEY HOSPITAL. DUE TO THEIR CLOSE PROXIMITY AND GEOGRAPHIC LOCATION, INTEGRIS GROVE HOSPITAL AND INTEGRIS BAPTIST REGIONAL HEALTH CENTER USED THE SAME. INTEGRIS BASS BAPTIST HEALTH CENTER AND INTEGRIS NORTHWEST SPECIALTY HOSPITAL USED THE SAME SURVEY SINCE THEY SHARE THE SAME ZIP CODE. EACH FACILITY PLACED THE ASSESSMENT SURVEY ON THEIR WEB SITE'S HOME PAGE.
SUPPLEMENTAL INFORMATION 4PART V, SECTION B, LINE 6B: OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT
SUPPLEMENTAL INFORMATION 5PART 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.
SUPPLEMENTAL INFORMATION 6PART 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 SERVICE AREAS. MANY OF THE NEEDS IDENTIFIED WERE COMMON WITHIN THE VARIOUS SERVICE AREAS, INCLUDING ACCESS TO CARE, TOBACCO USE, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE. OTHERS, HOWEVER, SUCH AS CHILD ABUSE AND TEEN PREGNANCY, WERE NOT AS PREDOMINANT. THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THESE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS TO DETERMINE WHICH NEEDS COULD MOST EFFECTIVELY BE IMPACTED BY INTEGRIS THROUGH ADMINISTRATION OF THE DEVELOPED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND WHICH, IF ANY OF THE REMAINING, WERE CURRENTLY BEING ADDRESSED THROUGH OTHER COMMUNITY RESOURCES AND/OR SERVICES. INTEGRIS OPTED TO CONCENTRATE ON FOUR FOCUS AREAS FOR THE CHIPS IN EACH OF THE SERVICE AREAS-OBESITY, MENTAL HEALTH, ACCESS TO CARE/FOOD INSECURITY, AND TOBACCO-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 THE POTENTIAL TO MORE EFFECTIVELY COMBAT THE ISSUES SYSTEM-WIDE. OTHER COMMONLY IDENTIFIED NEEDS SUCH AS DIABETES, HEART DISEASE, AND SUBSTANCE ABUSE THAT ARE ASSOCIATED RISK FACTORS FOR THE PRIMARY FOCUS AREAS ARE ADDRESSED IN ONE OR MORE OF THOSE RESPECTIVE SECTIONS OF THE CHIP. IT WAS DETERMINED THAT THE REMAINING NEEDS THAT WERE HIGHLY PRIORITIZED WITHIN CERTAIN SERVICE AREAS WERE PREVIOUSLY IDENTIFIED AND ALREADY BEING ADDRESSED THROUGH LOCAL AGENCY AND/OR COALITION AND PARTNERSHIP EFFORTS WITHIN THE COMMUNITIES. AS SUCH, INTEGRIS COMMITTED TO PROVIDE SUPPORT AND RESOURCES TO THE COMMUNITY PARTNERS TAKING THE LEAD ON THOSE PARTICULAR ISSUES.
SUPPLEMENTAL INFORMATION 7PART V, SECTION B, LINE 7A AND LINE 10A: HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTS
SUPPLEMENTAL INFORMATION 8PART V, SECTION B, LINES 16A, 16B, AND 16C: INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1SCHEDULE H, PART VI: INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION D/B/A INTEGRIS SOUTHWEST MEDICAL CENTER, INC. (ISMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH ISMC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW.
SUPPLEMENTAL INFORMATION 2PART I, LINE 6A: INTEGRIS HEALTH, INC., (EIN: 73-1192764), THE PARENT ORGANIZATION OF ISMC, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC.
SUPPLEMENTAL INFORMATION 3PART I, LINE 7: 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.
SUPPLEMENTAL INFORMATION 4PART II: COMMUNITY BUILDING ACTIVITIES COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS.
SUPPLEMENTAL INFORMATION 5PART III, LINES 2, 3 AND 4: THE AMOUNT OF BAD DEBT EXPENSE ON LINE 2 WAS ESTIMATED AS A RESULT OF THE FOLLOWING PROCESSES: NET PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH INTEGRIS HEALTH EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. HEALTHCARE SERVICES PROMISED IN THE CONTRACT WITH A PATIENT REPRESENT A BUNDLE OF GOODS AND (OR) SERVICES THAT IS DISTINCT AND ACCOUNTED FOR AS A SINGLE PERFORMANCE OBLIGATION. THE TRANSACTION PRICE FOR THE BUNDLED GOODS AND (OR) SERVICES PROVIDED IS ESTIMATED BY REDUCING THE TOTAL STANDARD CHARGES BY VARIABLE PRICE CONCESSIONS, INCLUDING CONTRACTUAL ADJUSTMENTS BASED ON THE TERMS PROVIDED BY (IN THE CASE OF MEDICARE AND MEDICAID) OR NEGOTIATED WITH (IN THE CASE OF MANAGED CARE AND COMMERCIAL INSURANCE COMPANIES) THIRD-PARTY PAYORS, INTEGRIS HEALTH DISCOUNT POLICIES, AND OTHER IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTIONS EXPERIENCE FOR UNINSURED AND UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. 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. PATIENT ACCOUNTS ARE MONITORED AND, IF NECESSARY, PAST DUE ACCOUNTS ARE PLACED WITH COLLECTION AGENCIES IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY MANAGEMENT. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED IN ACCORDANCE WITH ITS PURPOSE AND VALUES, INTEGRIS HEALTH IS COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO THE COMMUNITY, INCLUDING SUCH UNDERSERVED GROUPS AS THE INDIGENT AND THE ELDERLY. SELF-PAY REVENUES ARE DERIVED PRIMARILY FROM PATIENTS WHO DO NOT HAVE ANY FORM OF HEALTH COVERAGE. THE REVENUES ASSOCIATED WITH SELF-PAY PATIENTS ARE GENERALLY REPORTED AT INTEGRIS HEALTH'S GROSS CHARGES. INTEGRIS HEALTH EVALUATES THESE PATIENTS, AFTER THE PATIENT'S MEDICAL CONDITION IS DETERMINED TO BE STABLE, FOR THEIR ABILITY TO PAY BASED UPON FEDERAL AND STATE POVERTY GUIDELINES, OR QUALIFICATIONS FOR MEDICAID OR OTHER GOVERNMENTAL ASSISTANCE PROGRAMS, AS WELL AS INTEGRIS HEALTH'S POLICY FOR CHARITY CARE. DURING FISCAL YEAR 2020, NEW SOFTWARE WAS ENGAGED TO ACCOMPLISH A MORE THOROUGH EVALUATION OF PRESUMPTIVE ELIGIBILITY FOR CHARITY. THIS NEW CAPABILITY OF ASSESSING PRESUMPTIVE CHARITY WAS APPLIED TO ALL OUTSTANDING BALANCES. ACCOUNTS THAT WERE PREVIOUSLY RESERVED AS CONTRACTUAL ALLOWANCES WERE DETERMINED TO BE ELIGIBLE FOR CHARITY CARE TREATMENT AND THAT AMOUNT IS REFLECTED IN THE FISCAL YEAR 2020 COSTS. AS SUCH, INTEGRIS DOES NOT BELIEVE ANY PORTION OF THE AMOUNT ON LINE 2 IS REASONABLY ATTRIBUTABLE TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THE BAD DEBT FOOTNOTE IS ON PAGES 10-11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SUPPLEMENTAL INFORMATION 6PART III, LINE 8: COMMUNITY BENEFIT: ------------------ THE HOSPITAL HAD A $6,922,362 SURPLUS. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.
SUPPLEMENTAL INFORMATION 7PART III, LINE 9B: PATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES. ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED. ISMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
SUPPLEMENTAL INFORMATION 8PART VI, LINE 2: NEEDS ASSESSMENT 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.
SUPPLEMENTAL INFORMATION 9PART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCE 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 PROVIES 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.
SUPPLEMENTAL INFORMATION 10PART VI, LINE 4: COMMUNITY INFORMATION 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 SOUTHWEST MEDICAL CENTER (ISMC) IS LOCATED ON THE SOUTH SIDE OF OKLAHOMA CITY, IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA. THE FACILITY OFFERS A FULL RANGE OF SERVICES WITH OVER 400 LICENSED BEDS, INCLUDING, A REHABILITATION CENTER, A CANCER CENTER AND OTHER CENTERS OF EXCELLENCE, PROVIDING CARE TO THE CITIZENS OF SOUTH OKLAHOMA CITY AND SURROUNDING COMMUNITIES. THIS FACILITY IS ONE OF SEVERAL HOSPITALS OPERATED BY INTEGRIS HEALTH THROUGHOUT THE STATE OF OKLAHOMA.
SUPPLEMENTAL INFORMATION 11PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH 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 A FALLS PREVENTION PROGRAM FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES SUPPORT GROUP, AFRICAN AMERICAN MEN AND WOMEN'S HEART HEALTH, 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 PARTNERS WITH THE OKLAHOMA TURNING POINT PROGRAM, LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, ROTARY, AND KIWANIS CLUBS, 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. THE HOSPITAL'S ROLE IN WORKING WITH OTHERS TO IDENTIFY COMMUNITY NEEDS AND ADDRESS COMMUNITY PROBLEMS. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE 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, TASK FORCES, AND COMMITTEES 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 HAS BEEN ABLE TO HELP SLOWLY IMPROVE HEALTH IN SOME INDICATORS, SUCH AS CHILDHOOD IMMUNIZATIONS, ADULT IMMUNIZATIONS, AND SMALL STEP TOWARD IMPROVING CHILDHOOD OBESITY WITH SEVERAL PROGRAMS IMPLEMENTED 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.
SUPPLEMENTAL INFORMATION 12PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES ISMC 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. OTHER FACILITIES OF THE TAXPAYER 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, GENERAL STATEMENTS 3 THROUGH 5 FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM.
SUPPLEMENTAL INFORMATION 13PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT ALL STATES WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: OK

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient6RecipientCnt
Cash Grant$6,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATION 1FormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRIS HAMMES
COO OF IH$0$644,265$0$401,961$0$27,757$0$202,467$0$19,174$0$1,295,624$0$0
MOBOLAJI OLULADE MD
DIRECTOR$0$289,408$0$148,713$0$3,472$0$17,929$0$15,259$0$474,781$0$0
DAVID B TIPTON MD
EX-OFFICIO/JTRH ADVISORY$246,887$0$4,800$0$4,356$0$18,641$0$593$0$275,277$0$0$0
RICHARD WILTON
VICE PRESIDENT$189,268$0$29,934$0$9,760$0$14,437$0$19,863$0$263,262$0$0$0
JEFFREY GILL
CFO-VP$189,323$0$29,399$0$9,075$0$9,897$0$16,472$0$254,166$0$0$0
JORDAN CASH
PRESIDENT$292,154$0$111,419$0$9,346$0$70,771$0$18,301$0$501,991$0$0$0
JACKIE LOCKETT
VP CHIEF NURSING OFFICER$185,739$0$29,748$0$8,364$0$8,638$0$13,788$0$246,277$0$0$0
DOUGLAS M SMITH
CFO OF IH$0$487,336$0$212,977$0$11,699$0$95,788$0$19,064$0$826,864$0$0
ARMANDO BURCHETT-ZUNIGA
PHARMIST STAFF$154,446$0$200$0$1,438$0$11,270$0$109$0$167,463$0$0$0
ROBERT GUION
MANAGER PHARMACY$171,286$0$15,899$0$2,131$0$15,387$0$14,207$0$218,910$0$0$0
YAXI LIU
STAFF MEDICAL PHYSICIST$150,282$0$0$0$1,009$0$13,875$0$19,148$0$184,314$0$0$0
CHARLES MAINES
RN STAFF CARDIAC FLOAT$151,354$0$1,200$0$687$0$10,190$0$18,416$0$181,847$0$0$0
BRANDON MARSHALL
RN STAFF CARDIAC FLOAT$165,760$0$1,600$0$732$0$7,488$0$19,797$0$195,377$0$0$0
DAVID R HADLEY
FORMER OFFICER$0$0$0$0$0$244,392$0$0$0$0$0$244,392$0$0
TIMOTHY PEHRSON
FORMER OFFICER & DIRECTOR$0$913,234$0$230,379$0$15,454$0$288,443$0$20,057$0$1,467,567$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1SCHEDULE J, PART I, LINE 3 INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION (ISMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, ISMC 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.
SUPPLEMENTAL INFORMATION 2SCHEDULE J, PART I, LINE 4B THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT DURING THE YEAR. JORDAN CASH CHRIS HAMMES TIMOTHY PEHRSON DOUGLAS M. SMITH
SUPPLEMENTAL INFORMATION 3SCHEDULE J, PART I, LINE 7 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)EQUIPMENT1$14,778FMV
Yes (X)MEDICAL EQUIPMENT2$48,728FMV
Yes (X)RENOVATIONS1$11,951FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GENERAL STATEMENT 1FORM 990, BOX C: DOING BUSINESS AS PRIORITY CARE CENTRAL OKLAHOMA CANCER CENTER SOUTH COMMUNITY HOSPITAL CENTRAL OKLAHOMA HEART CENTER CENTRAL OKLAHOMA REHABILITATION CENTER CENTRAL OKLAHOMA HAND CENTER CENTRAL OKLAHOMA EYE SURGERY CENTER CENTRAL OKLAHOMA MEDICAL CENTER VARIETY CLUB PEDIATRIC CENTER THE MEDICAL CENTER OF OKLAHOMA MEMORIAL MEDICAL CENTER SLEEP DISORDER LABORATORY OF OKLAHOMA OKLAHOMA SLEEP DISORDER LABORATORY PULMONARY REHABILITATION CENTER OF OKLAHOMA SOUTHWEST MEDICAL CENTER OF OKLAHOMA JIM THORPE REHABILITATION CENTER SOUTHWEST PHYSICIANS PLAZA SMC MEDICAL PLAZA SPINE AND JOINT INSTITUTE OF THE SOUTHWEST SOUTHWEST BREAST HEALTH CENTER THE CHEST PAIN CENTER HEALTH LINE INTEGRIS SOUTHWEST MEDICAL CENTER SENIOR PROM FOR SENIOR CITIZENS ADOPT-A-NURSING HOME INTEGRIS ONCOLOGY SERVICES, SOUTH OKLAHOMA STROKE CENTER STROKE CENTER OF OKLAHOMA SOUTHWEST BREAST HEALTH AND IMAGING CENTER AT INTEGRIS SOUTHWEST MEDICAL CENTER INTEGRIS JIM THORPE REHABILITATION CENTER INTEGRIS JIM THORPE REHABILITATION HOSPITAL INTEGRIS JIM THORPE REHABILITATION NETWORK INTEGRIS JIM THORPE REHABILITATION SERVICES INTEGRIS NEUROSCIENCE INSTITUTE INTEGRIS NEUROSCIENCE INSTITUTE AT SOUTHWEST MEDICAL CENTER INTEGRIS SCOLIOSIS CENTER OF OKLAHOMA MDA NEUROMUSCULAR CENTER AT INTEGRIS NEUROSCIENCE INSTITUTE INTEGRIS SLEEP DISORDERS CENTER - YUKON INTEGRIS JIM THORPE REHABILITATION AT INTEGRIS SOUTHWEST MEDICAL CENTER INTEGRIS CANCER INSTITUTE OF OKLAHOMA SOUTHWEST MEDICAL CENTER INTEGRIS GENERATIONS AT SOUTHWEST MEDICAL CENTER JIM THORPE REHABILITATION
GENERAL STATEMENT 2PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INTEGRIS SOUTHWEST MEDICAL CENTER, INC. (ISMC) IS A MEMBER OF THE INTEGRIS HEALTH SYSTEM (INTEGRIS HEALTH). INTEGRIS HEALTH IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE CORPORATION AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS (ABOUT 9,000 EMPLOYEES STATEWIDE), WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN CLINICS, MENTAL HEALTH FACILITIES, FITNESS CENTERS, INDEPENDENT LIVING CENTERS AND HOME HEALTH AGENCIES THROUGHOUT MUCH OF THE STATE. AS A MEMBER OF INTEGRIS HEALTH AND A NOT FOR PROFIT ORGANIZATION, EACH YEAR ISMC PROVIDES MILLIONS OF DOLLARS OF CHARITY CARE TO PATIENTS THROUGHOUT THE STATE OF OKLAHOMA. WHILE THIS CARE REPRESENTS A LARGE PERCENTAGE OF ISMC'S GIFT BACK TO THE COMMUNITY, IT IS STILL ONLY PART OF WHAT ISMC CHOOSES TO CALL RETURNSHIP. RETURNSHIP EPITOMIZES ISMC'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, ISMC PROVIDES SIGNIFICANT AMOUNTS OF UNCOMPENSATED SERVICES. UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED COST CARE, WHICH INCLUDES CHARITY CARE AND UNPAID COSTS OF MEDICAID PROGRAMS. AS A NOT-FOR-PROFIT HOSPITAL, ISMC 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 ISMC COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. ISMC PROVIDED CHARITY CARE OF $11,450,136. ISMC ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS FOR WHICH THE ORGANIZATION RECEIVES INADEQUATE PAYMENTS IN PRIOR YEARS. UNPAID COSTS OF MEDICAID PROGRAMS REFLECT THE DIFFERENCE BETWEEN COSTS TO PROVIDE PATIENT CARE SERVICES AND THE RATE AT WHICH THE HOSPITAL IS REIMBURSED. MEDICAID COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. ISMCS UNPAID COST OF MEDICAID PROGRAMS EQUALED $221,342. IN ADDITION ISMC BAD DEBT COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. ISMC's BAD DEBT COSTS WERE $6,621,022. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT SEE THE ATTACHED COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O STATEMENTS 3 THROUGH 5.
GENERAL STATEMENT 3PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2020 A MESSAGE FROM OUR PRESIDENT AND CEO INTEGRIS Health is an Oklahoman-based, not-for-profit health system that has served Oklahoma communities for more than 100 years. Our mission is partnering with people to live healthier lives. That means we strive to meet your health needs in whatever setting works best for you. INTEGRIS Health actively partners with other community organizations to improve access to health care and outcomes, including free clinics, health screenings, wellness promotions, health education, health support groups, mentoring programs for at-risk youth, clean up after natural disasters and assistance for the elderly. The global COVID-19 pandemic has made our efforts to improve health for our communities even more important as we strive to be the most trusted partner for health. This report highlights a few ways INTEGRIS Health positively impacted our communities last year. We are humbled at the opportunity to care for the lives of our fellow Oklahomans and thank you for trusting us with your care. Warmly, Tim 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. An Overview of the INTEGRIS Health COVID-19 Response The year 2020 will most likely be remembered as the year of COVID-19. As Oklahomans and INTEGRIS Health caregivers, our reputation for taking care of our patients and one another is well-deserved. 2020 was no different. While this pandemic presented challenges the likes of which we had never experienced, our caregivers and volunteers worked tirelessly, around the clock to provide patients the best care possible during a most unsettling, uncertain, unpredictable time. First COVID patient admitted to INTEGRIS Health March 16, 2020 Patients discharged/recovered 4,107 as of Jan. 31, 2021 Food drive items donated 2,355 pounds No. of Oklahoma COVID-19 patients cared for 4,938 as of Jan. 31, 2021 No. of masks made by volunteers 18,839 No. of homemade PPE items produced (face shields and surgical bonnets) 21,274 No. of INTEGRIS Health caregiver vaccines administered 21,105 as of Feb. 12, 2021 No. of community vaccines administered 5,000 as of Feb. 12, 2021 No. of INTEGRIS Health caregiver volunteers for disaster resource pools 434 COVID-19 Patient and Caregiver Diary How the Year 2020 Changed Us INTEGRIS Health caregivers and patients shared their stories during the most trying year in recent memory. Take a look at their stories, and how they triumphed over trauma. Enid Priest Shares His Personal Experience with COVID-19 On June 27, his 45th anniversary of ordination to priesthood, Father Mark Mason began experiencing chills despite the fact it was nearly 100 degrees outside. He tried putting on heavier clothing and lying down, but the chills persisted even under thick blankets. Local Man Survives COVID-19: Credits Convalescent Plasma and Remdesivir Don Wentroth celebrated Fathers Day and his 66th birthday this June, but like everything else in the year 2020, they werent the celebrations he had hoped for due to COVID-19. An ER Nurse Asks for Patience in the Rush to Return to Normal INTEGRIS Southwest Medical Center ER Nurse Rachel McCloy says the COVID-19 experience feels like a "hurry up and wait" scenario. An INTEGRIS Health Respiratory Therapist Describes the Pandemic Jennifer Blevin is a Respiratory Therapist working in the COVID Unit at INTEGRIS Southwest Medical Center. She says the current situation caused by the coronavirus pandemic can be described in one word tense. Pregnant and Testing Positive for COVID-19 "It started with a mild cough," describes Carly McKenzie. it just progressively got worse. It hurt to breathe. But honestly, I was more worried about my unborn baby than myself." 2020 Community Benefits by the Numbers INTEGRIS Health provided $65,363,664 in community benefits including the cost of bad debt. This includes our returnship, community building efforts, uncompensated services and Medicaid services. Returnship Returnship epitomizes our mission of giving back to our communities. 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 * Other charitable acts as reflected in the previous pages Our returnship efforts equaled $3,751,268. Community Building Community building is another vital way we give back. These efforts address the root causes of health problems. Some community building activities include the following. * Housing physical improvements * Economic development * Community support * Environmental enhancements * Advocacy for community health advancements Our community building efforts equaled $422,503. Uncompensated Services and Medicaid Services Uncompensated services comprise the costs of providing free and reduced-cost care. As a system of not-for-profit hospitals, INTEGRIS Health provides services to everyone, regardless of the ability to pay. Thus, we provide a much-needed safety net for members of our community who would otherwise have no access to medical care. Charity care costs are based on the overall hospital cost-to-charge ratios. INTEGRIS Health also provides care to patients who qualify for Medicaid programs. INTEGRIS Health provided charity care and Medicaid services at an estimated cost of $32,905,024. Bad Debt In addition, INTEGRIS Health incurred bad debt with an estimated cost of $28,284,869 based on the overall hospital cost-to-charge ratio. INTEGRIS Health Outreach Events and Programs ACS - Making Strides Kick-off Breakfast ACS Board Call - OK/TX Panhandle ACS Board Candidate Selection ACS Board Meeting ACS Making Strides Booth ACS Meeting ACS MWOY Planning Meeting ACS OKC Leadership Council Retreat ACS RMWP Luncheon ACS State Board Recruitment Lunch ACS Volunteer Driver Appreciation ALA Meeting Alzheimers Association American Academy of Family Physicians - Dr. Toms Owens American Cancer Society American Cancer Society Board Meeting American Cancer Society Making Strides Campaign American Cancer Society Real Men Wear Pink American Heart Association American Lung Association American Lung Association Sponsorship American Lung Association Support Group Christmas Annas House Foundation Anti-Vaping Seminar at Chisholm High School Art Exhibit Celebration of Life Ask a Dietitian Baby Cafe/Milk Bar- INTEGRIS Health Edmond Bedlam Battle Blood Drive Better Breathers Better Breathers Support Group Blood Pressure Screenings - Buffalo Run Boy Scouts 2020 Brain Health Series Brain Injury Support Group Breast Cancer Lunch and Learn Bright Futures Career Fair Burn Center Community Lectures FY 2019-20 Burn Center Lectures Nursing Students FY 2019-20 Calm Waters Center for Children and Families Cameron University Adult ICU Fall Clinical Rotation Cameron University Fall ED Respiratory Clinical Cameron University ICU Summer Rotations Cameron University NICU Respiratory Therapy Fall Rotations Cameron University PICU Respiratory Therapy Cameron University Respiratory Therapy ED Clinical Cameron University Respiratory Therapy Spring Rotations Cameron University Summer Respiratory Therapy Cancer Support Group in Spanish/Grupo de Apoyo de Cancer CancerCheck African American Health Fair CancerCheck Hispanic Health Fair Cardiology Education to Great Plains Residents CART House Gala CASA Donation CDSA Wine Tour Celebration of Life, National Cancer Survivors Day Chair Exercise Changing Your Weighs Chaplain Community Support Chisholm High School Athletic Sponsorship Christian Medical Clinic CLEET Lunch and Learn Commerce Head Start Physicals Community Blood Drive Community Flu Shots and BP Readings Community Health Improvement Organization Board Community Hours for Tim Pehrson, CEO, FY 2019-20 Community Nutrition Program Yukon Library Community Paramedic Program Community Wellness Budget FY 2019-20 Cooking Class for City of Miami employees Cooks Training for Area School Cooks Culinary Classroom Nutrition Instruction CV Tech Foundation
GENERAL STATEMENT 4PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED DCCP (Delaware County Coalition Partnership) Meeting DCCSAN Weekly Child Abuse Meetings De Mujer a Mujer: Mesa Redonda Sobre Violencia Domstica Woman to Woman: Domestic Violence Roundtable Deaconess Pregnancy & Adoption DEEP (Diabetes Empowerment Education Program) Delaware County Community Health Education Classes Delaware County Community Outreach Flu Shots Down Syndrome Support Group DPP (Diabetes Prevention Program) Elders Health Fair Day Emergency Management Emergency Medical Service Community Support Emerging Trends for the Church Enid Charity Ball Donation 2019 Enid Community Screenings Enid High School Baseball Support Enid Public Schools Foundation Education Equipping the Faith Community to Minister to Those with Dementia Fairview Youth and Adult Triathlon Fall Prevention Farm-to-School at SHA Western Village FFAC Committee Meeting Financial Health for Clergy - Special Clergy Lunch Fit, Not Frail - 4-part series - Nutrition/Fitness Fit, Not Frail - 4-part series - Senior Weight Management Fit, Not Frail - First of 4-part series - Mabel Fry Flu Shot Clinic Follow Your Instinct - Save Lives Blood Drive Food Demonstration at the Moore Food and Resource Center Francis Tuttle CART II Fall 2019 Respiratory Adult ICU Francis Tuttle CART II NICU Respiratory Clinicals Francis Tuttle CART II Respiratory Spring Clinicals Adult ICU Francis Tuttle CART II Respiratory Spring Clinicals NICU Francis Tuttle CART II Spring PFT Clinical Rotations Francis Tuttle CART Respiratory PFT Clinicals Fall Francis Tuttle Respiratory Therapeutics 1 Spring (12-hour shifts) Francis Tuttle Respiratory Therapeutics 1 Fall (12-hour shifts) Francis Tuttle Respiratory Therapy Summer Clinicals (June 2020) Ft. Reno DAR 2020 Get Pink Luncheon Getting a Good Nights Sleep Gideons Meeting Prayer Breakfast Go Red For Your Heart/Vestido Rojo Grand Lake Area Stroke Support Group Grandparents: A Grand Perspective Great Land Run Education Fund Grief Support Groups Meeting Grove Tween Fair Health Alliance for the Uninsured Health Planning Coalition Healthy Living, Livestrong at the YMCA Healthy Schools Oklahoma Hearing Helpers 2020 Heart Healthy Eating for "New View" VITAL Heather Harkness Memorial Events Heroes Help - Paramedic Hispanic radio, television and newspaper Holy Angels Health Fair/Feria de Salud en Santos Hope Support Group Hopkins DDP Class Horticulture Therapy at Arcadia Trails INTEGRIS Hospice Circle of Love Benefit Clay Shoot Hospice Grief Recovery Program Hough Ear Institute Infant Crisis Center In-Kind Donation of Space/Staff for MDA Clinic INTEGRIS Health Baptist Milk Bar Lactation Support Group (July - March) INTEGRIS Health Cardiology Conference INTEGRIS Health Community Clinic INTEGRIS Health FitClub FY 2019-20 INTEGRIS Health Pharmaceutical Assistance Program FY 20 INTEGRIS Health Volunteer Auxiliary Monthly Meeting Integrity in Medicine ITN Central Oklahoma Jay Head Start Physicals Jay Public Schools Inservice JFK Camp "You Can Be A Hero" Presentation Jordan Cash OHA Meetings JWL of Enid La Leche League 2020 Lay Health Promoters/Promotoras de Salud Leukemia & Lymphoma Society Light the Night LifeShare Foundation Light the Night Executive Leadership Limb Loss Support Group LiveStrong Cancer Survivor Support Group LLS 2020 MWOY Meeting LLS Man of Year LLS Man of Year - Winter Cocktail LVAD Support Group Making Strides Against Breast Cancer OKC - Applause Making Strides Fundraiser Booth Making Strides Kickoff Booth - INTEGRIS Baptist Making Strides Kickoff Campaign - INTEGRIS Southwest Making Strides T-shirt Distribution Booth Man and Woman of the Year 2020 Kick Off Meeting Man and Woman of the Year 2020 Candidate Workshop Man of the Year Fundraiser Brainstorming Session Man of Year Fundraising Meeting Man Up Marriage and Family Therapy Internships Mary Pinzon Stroke Awareness/Education Meals on Wheels FY 2019-20 Medical Marijuana Lunch and Learn Medical Student Family Medicine Rotation Meditation Sessions at INTEGRIS Cancer Institute Meeting Room for Community Organizations Mens Health Barbershop Outreach Mens Health Screening, Nutrition Education Mens Health University: NE OKC Health Taskforce Mental Health Meeting Meridian Tech Students Miami Head Start Physicals Miami High School Students CPR training Miami Physical Therapy Students Miami Public School Inservice Presentation Mind, Body, Spirit Volunteer Mini Health Fairs Ministering to Children in Time of Crisis Mobile Health Screening Unit Monthly Lectures/Conferencias Mensuales Monthly Nutrition Program - Brookline Moral Injury: Healing the Wounds of Ministry NAMI Support Group NEO Nursing Advisory Council NEO Nursing Students NESA Meetings Newsletters/VIVA INTEGRIS Non-Reimbursed IRB Fees FY 2019-20 Northeastern Tribal Health System (NTHS) Diabetes NTC Afton Nursing Students NTC Kansas Nursing Students Nursing, AUA, surgical tech and paramedic students Nutrition Class for Cardiac Rehab Patients Nutrition Class Series/Clase de Nutricin Nutrition Education at Arcadia Trails INTEGRIS Nutrition Education at Staff Development Training Nutrition Education for Parents - Monroe Elementary Nutrition Education for Students - John Rex Middle School Nutrition Education Project 31 - Breast Cancer Online Support Group Nutrition Presentation - City of Edmond Nutrition Presentation - First Church Bethany Nutrition Presentation - Pete White Health and Wellness Center Nutrition Presentation for HLC - MAPS3 (Rockwell) Nutrition Presentation for HLC - Rockwell Nutrition Presentation for Metro YMCA Staff Nutrition Presentation for Parkinsons Support Nutrition Presentation for Seniors - INTEGRIS Southwest Nutrition Presentation for Statewide Librarian Conference Nutrition Program - Brookline Nutrition Program "Heart Smart Eating" Nutrition Program for Edmond Senior Center Nutrition Program for Pete White (Northcare) Nutrition Program for Seniors - Brookline OBI Blood Drives 2020 OCDDA Presentation OCU 2020 OK/TX/PAN Area Board Virtual Meeting: ACS Oklahoma Blood Institute Oklahoma County Medical Society - Dr. Toms Owens Oklahoma Family Center for Autism Oklahoma Project Woman Oklahoma School of Science & Mathematics Board Oklahoma School of Science and Mathematics Oklahoma Senior Games Oklahoma State Medical Association- Dr. Toms Owen Oklahoma State Respiratory Care Board of Directors Oklahoma State Stroke Systems Advisory Committee OKTXPAN ACS Area Board Meeting Oran Lee Speaking at Mental Health and Addiction Recovery Workgroup Orthopedic Provider Standby for Football/Basketball OSSM Foundation Board of Trustees Meeting OSSM Foundation Full Board Meeting OSSM Parents Association Reception OT and OTA 100 Student Internships Jan. 1 to June 3 OT and OTA 100 Student Internships July 1 to Dec. 3 OT and OTA 200 Student Internships Jan. 1 to June 3 OT and OTA 200 Student Internships July 1 to Dec. 3 Ottawa Community Health Series Ottawa County Community Health Series Ottawa County Farmers Market Board Meeting OU MHA Advisory Board Breakfast Meeting OUHSC Medical Student Course 19-20 Physical Therapy Community Hours Physical Therapy Students Positive Directions Mentoring Program FY 2019-20 Pre- and Post-conference rooms for Clinical Nursing Pregnancy Talks at Jay Public Schools Prenatal Classes Professional Staff Education, Sports Nutrition Project 31 Project 31 Breast Cancer Support Group Project 31 Cancer Support Group Christmas Party Project Search 2020 Conference Rooms PT 100 Student Internships Jan. 1 to June 30, 2020 PT 100 Student Internships July 1 to Dec. 31, 2019 PT 200 Student Internships - Jan. 1 to June 30, 2020 PT 200 Student Internships - July 1 to Dec. 31, 2019 Public Health Institute of Oklahoma Quapaw Head Start Physicals Radiation Therapy Student Hours Radiology Students Real Men Wear Pink ACS Making Strides Fundraiser Real Men Wear Pink Fundraiser Real Men Wear Pink Taco Lunch - Dr. Hassan REC Days Redlands 2020 Relay for Life Walk and Dinner Auction Resource Room Rose State Adult Floor Respiratory Clinicals Rose State Fall Pulmonary Diagnostics Clinicals Rose State Pulmonary Diagnostics Clinicals RT 200 Student Internships - July 1 to Dec. 31, 2019
GENERAL STATEMENT 5PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED Savannah Station Board of Directors 2020 School Garden Education - Adams Elementary Senior Life Nutrition Program - INTEGRIS Southwest Senior Life Wellness Budget FY 2019-20 SHA Community Clinic SLP 100 Student Internships July 1 to Dec. 31, 2019 SLP 200 Student Internships - Jan. 1 to June 30, 2020 SLP 200 Student Internships - July 1 to Dec. 31, 2019 Souper Bowl Saturday Speaker at First Presbyterian Speech Pathology Students Spinal Cord Injury Support Group Sponsor OSSMs 2020 Quantum Experience Spotlight on Stretching Stanley Hupfeld Academy 4th Grade Baking Classes Stanley Hupfeld Academy Annual Health and Science Fair Stanley Hupfeld Academy Support FY 2019-20 Stephen Grigar 2020 Stitching For Sanity Successful Breastfeeding July 1, 2019 to Feb. 15, 2020 Summer (June) Respiratory Clinicals - Rose State Survivors of Suicide Support Group SWOSU 2020 Tenaciously Teal Sponsorship Teresa Gray: CART House TFCU Health Fair The Care Giver Soul The Foundation for OKCPS UCO Community and Public Health Internships INTEGRIS Cancer Institute UMICORE Health Fair (Safety Day) Under the Surface Understanding the Changes in Medicine United Way Chili Cook-Off United Way Donation United Way of Canadian County Variety Care Vascular Screenings free of charge to qualifying population Walk For Life Wellness Where You Are - Edmond Wellness Where You Are - Yukon Wellness Wise Guys Clinic Workers Comp Lunch and Learn YMCA YMCA Annual Campaign YMCA Board of Directors YMCA Meeting Yoga Healing through Movement / Safer At Home Yoga Yoga in Your Chair Yoga Nidra Experience Youth and Family Services Youth Experiencing Success Luncheon 2020 Yukon Community Screenings Yukon Public School Health Fair Yukon Rotary 2020 YWCA YWCA Purses with Purpose Annual Sponsorship
GENERAL STATEMENT 6PART V: QUESTION 1A AND 2A PART V: QUESTION 1A - INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, PAYS ALL VENDORS FOR SERVICES PROVIDED TO ALL ENTITIES WITHIN THE SYSTEM. ACCORDINGLY, COMPENSATION PAID TO INDEPENDENT CONTRACTORS IS REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS OF INTEGRIS HEALTH, INC., EIN 73-1192764. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX, AS APPROPRIATE. PART V: QUESTION 2A - THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC.,EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF 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 2019 TAX YEAR.
GENERAL STATEMENT 7PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTION 2 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE FOLLOWING OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS OFFICERS, DIRECTORS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM: PHILIP MOSCA, M.D. CHRIS HAMMES DOUGLAS M. SMITH
GENERAL STATEMENT 8PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTIONS 6, 7A AND 7B - INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION. 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.
GENERAL STATEMENT 9PART VI: SECTION B. POLICIES 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.
GENERAL STATEMENT 10PART VI: SECTION B. POLICIES PART VI: QUESTION 12C - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION AND ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS, 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.
GENERAL STATEMENT 11PART VI: SECTION B. POLICIES PART VI: QUESTION 15A AND 15B - 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.
GENERAL STATEMENT 12PART VI: SECTION C. DISCLOSURE PART VI: QUESTION 19 - THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

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HILLCRESTINTEGRIS HEALTH LLC
OKLAHOMA CITY OK 73112OKLAHOMA CITYOK73112DORMANTOKNAN/A
LAKESIDE 73-1493662
OKLAHOMA CITY OK 73112OKLAHOMA CITYOK73112MEDICALOKNAN/A
5300 GRAND 73-1306794
FRANKLIN TN 37067FRANKLINTN37067REAL ESTATETNNAN/A
INTEGRISUSP HLTH 35-2632292
ADDISON TX 75001ADDISONTX75001MEDICAL SERVICESTXNAN/A
INTEGRIS EMER HOSP 90-1215089
THE WOODLANDS TX 77381THE WOODLANDSTX77381HEALTH CARETXNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
INTEGRIS PROHEALTH INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731046179RETAIL PHARMACYOKNAC Corpfalse
THE STANLEY F HUPFELD REMAIN TRUST
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112266238051FINANCIALOKNATrustfalse
QUALITY ALLIANCE ASSURANCE CO
981060671INSURANCENAC CorpfalsePO BOX 10027 KYI-1001GRAND CAYMANCJCJ
BAPTIST HEALTH SYSTEM INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731477468DORMANTOKNAC Corpfalse
ONE CARE INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112DORMANTOKNAC Corpfalse
VADOVATIONS
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112270821922HEALTH CAREOKNAC Corpfalse
INTEGRIS HEALTH PARTNERS LLC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112453482852HEALTH CAREOKNAC Corpfalse
INTEGRIS CARDIOVASCULAR PHYSICIANS LLC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112452867352HEALTH CAREOKNAC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd