2023-05-15T22:25:47-05:00 2022-06-30 135565207 KPMG LLP 60 E RIO SALADO PARKWAY STE 800 TEMPE AZ 85281 990 2021-07-01 731192765 INTEGRIS AMBULATORY CARE CORP INTE 4059496026 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 MICHAEL L WEED CFO 4059496026 2023-05-15 1 MICHAEL WEED XXX-XX-XXXX CASSANDRA WYATT P01943677 4804593500 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SEE SCHEDULE O MICHAEL L WEED 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 250230178 0 5418 X WWW.INTEGRISOK.COM X 1983 OK TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 16 15 1744 224 -3476145 0 4353073 5688360 237699844 244012500 272552 421303 248325 0 242573794 250122163 0 0 0 0 184367134 189282804 0 0 0 74518852 72882070 258885986 262164874 -16312192 -12042711 363711453 503937353 419040576 571281236 -55329123 -67343883 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 242757597 247267838 INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS INCLUDED IN THE INTEGRIS HEALTH SYSTEM. IACC PROVIDED CHARITY CARE AT COST OF $1,886,140 USING A COST TO CHARGE RATIO METHOD OF CALCULATION. IACC ALSO PROVIDED CARE FOR PATIENTS WHO DID NOT PAY AND MUST BE WRITTEN OFF AS BAD DEBT COST OF $6,044,282, BASED ON A COST TO CHARGE RATIO METHOD OF CALCULATION. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT, SEE THE COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O. 242757597 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 1744 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 OK X DONNA WALLACE 4059512744 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 PETER B DELANEY DIRECTOR 1.00 1.00 X 0 27650 0 NICO GOMEZ DIRECTOR 1.00 1.00 X 0 28310 0 NEAL HOGAN PHD DIRECTOR 1.00 1.00 X 0 34495 0 KARLA MARSHALL DIRECTOR 1.00 1.00 X 0 29000 0 FRANK MERRICK DIRECTOR 1.00 1.00 X 0 29490 0 JOEY SAGER DIRECTOR 1.00 1.00 X 0 28140 0 GEORGIANNE SNOWDEN MD DIRECTOR 1.00 1.00 X 0 29472 0 DAVID THOMPSON DIRECTOR 1.00 1.00 X 0 27900 0 CHRISTOPHER TURNER DIRECTOR & BOARD CHAIR 1.00 1.00 X X 0 35580 0 LINDA VYTLACIL PHD DIRECTOR 1.00 1.00 X 0 30822 0 MARK WERNER MD DIRECTOR & VICE CHAIRMAN 1.00 1.00 X X 0 29080 0 JIM COUCH DIRECTOR 1.00 1.00 X 0 8510 0 SAM COMBS DIRECTOR 1.00 1.00 X 0 8510 0 SHERRI LANCE DIRECTOR 1.00 1.00 X 0 7950 0 TIMOTHY PEHRSON DIRECTOR & PRESIDENT/CEO 1.00 39.00 X X 0 1942216 298275 MARSHALL SNIPES DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS M SMITH TREASURER & CFO 1.00 39.00 X 0 796882 141279 SUNNIE GLOVER VP PHYSICIAN ENTERPRISE 40.00 0.00 X 538987 0 59400 JEFFREY CRUZAN PRESIDENT PHYSICIAN ENTERPRISE 40.00 0.00 X 699763 0 95722 KATHERINE ANN MANSALIS VP & CHIEF MEDICAL OFFICER 40.00 0.00 X 360763 0 11201 HANI BARADI PHYSICIAN 40.00 0.00 X 1441362 0 19225 CHRISTOPHER LENTZ PHYSICIAN 40.00 0.00 X 1118220 0 18500 JEREMY T PHELPS PHYSICIAN 40.00 0.00 X 1717858 0 19225 SCOTT SHADFAR PHYSICIAN 40.00 0.00 X 1494973 0 19225 MUZAFFAR HUSSAIN PHYSICIAN 40.00 0.00 X 1146245 0 24125 8518171 3094007 706177 449 0 1 0 CORE CLINICAL PARTNERS LLC 3330 CUMBERLAND BLVD 500 ATLANTA GA 30339 MEDICAL SERVICE 15203316 DICKERSON DESIGN BUILD INC 8333 DOUGLAS AVE STE 1300 LB 72 DALLAS TX 75225 CONSTRUCTION SERVICES 761154 DIAGNOSTIC LAB OF OKLAHOMA 225 NE 97TH STREET OKLAHOMA CITY OK 73114 REFERENCE LAB 634339 LIFECARE HEALTH SERVICES 4013 NORTHWEST EXPRESSWAY OKLAHOMA CITY OK 73116 MANAGED CARE CONSULTING 496962 HKS INC 350 NORTH ST PAUL STREET STE 100 DALLAS TX 75201 ARCHITECTURE SERVICES 364870 78 3892320 1796040 5688360 NET PATIENT REVENUE 621990 214238514 214238514 INCOME FROM JOINT VENTURES 621990 20195339 23672328 -3476989 QUALITY INCENTIVES 900099 6406618 6406618 ELECTRONIC HEALTH RECORDS 900099 1565200 1565200 EMP WELLNESS SCREENINGS 900099 732388 732388 874441 652790 844 220807 244012500 529318 529318 108015 -108015 -108015 -108015 250122163 247267838 -3476145 642110 9298468 9298468 154046184 154046184 3447013 3447013 12755830 12755830 9735309 9735309 19407277 19407277 32880 32880 12500 12500 2053185 2053185 31326 31326 11146281 11146281 11916329 11916329 416199 416199 439655 439655 961673 961673 1929460 1929460 3277878 3277878 PURCHASED SERVICES 20168590 20168590 DUES & MEMBERSHIPS 279958 279958 BANK FEES 217050 217050 LICENSES/PERMITS 199918 199918 391911 391911 262164874 242757597 19407277 0 13728 13986 4813 3330 5623948 296591576 8414379 11474379 110267 110382 43750 38745 47380370 27057102 12478815 20323268 5689950 140416457 149790554 10861864 2864626 2864626 178676623 21238740 363711453 503937353 398623722 242974515 606738 955779 19810116 327350942 419040576 571281236 X -55329123 -67343883 -55329123 -67343883 363711453 503937353 X -12042711 27951 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 70327 70327 13792150 4592051 9200099 2816317 2161002 655315 23971411 20148412 3822999 6730165 155637 6574528 20323268 INVESTMENT IN BMCO FOUNDATION 140389622 F INVESTMENT IN WESTERN VILLAGE ACADEMY 26835 F 140416457 OTHER SHORT TERM LIABILITY 305914600 ST LEASE LIABILITY ASC 842 3844324 LT LEASE LIABILITY ASC 842 17592018 327350942 X PART X, LINE 2: INTEGRIS HEALTH, INC. AND ITS TAX-EXEMPT CONTROLLED AFFILIATES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT UNDER THE PROVISION OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 1336844 60648 1276196 0.00490 13130092 10850969 2279123 0.00870 14466936 10911617 3555319 0.01360 1157756 1157756 0.00440 11228 11228 0.00000 3628 3628 0.00000 14216 14216 0.00010 1186828 1186828 0.00450 15653764 10911617 4742147 0.01810 217 217 0.00000 99152 99152 0.00040 99369 99369 0.00040 0 6044282 3286713 3230783 55930 X 1 1 1 LAKESIDE WOMEN'S WOMEN'S HEALTH 0.75000 0.25000 2 MED PLAZA IMAGING RADIOLOGY IMAGING CENTER 0.50000 0.50000 3 SW AMB SURG CTR AMBULATORY SURGERY CTR. 0.25100 0.49900 4 COMM HOSP NORTH LLC HEALTH CARE 0.25500 0.49000 5 OK CTR ORTHPDIC & MLTI-SPCLTY SURG HEALTH CARE 0.50100 0.47170 6 INTEGRIS DDSI HEALTH CARE 0.50100 0.49900 4 1 LAKESIDE WOMEN'S HOSPITAL LLC - FACILITY GROUP A 11200 N PORTLAND OKLAHOMA CITY OK 73120 WWW.INTEGRISOK.COM 2339 X X X A 2 OK CTR ORTHPDIC & MLTI-SPCLTY SURG 8100 S WALKER OKLAHOMA CITY OK 73139 WWW.OCOMHOSPITAL.COM 2347 X X X B 3 COMMUNITY HOSPITAL LLC 3100 SW 89TH OKLAHOMA CITY OK 73189 COMMUNITYHOSPITALOKC.COM 2341 X C 4 TPG HOSPITAL LLC 9204 N MAY AVE OKLAHOMA CITY OK 73120 NWSURGICALOKC.COM 2329 X C FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X 1 21 1 SEE PART V, SECTION C 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - B 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X SEE PART V, SECTION C 1 22 1 SEE PART V, SECTION C 0 1 X 150.000000000000 300.000000000000 X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 FACILITY REPORTING GROUP - C 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 150.000000000000 300.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION A: INTEGRIS AMBULATORY CARE CORP, (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IACC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW. PART V, SECTION B, LINE 3E FACILITY REPORTING GROUP A:THE SIGNIFICANT HEALTH NEEDS OF IACC ARE PRESENTED AS A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.FACILITY REPORTING GROUP B:THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT FOR OKLAHOMA CENTER FOR ORTHOPAEDIC AND MULTI-SPECIALTY SURGERY, LLC (OCOM) ARE PRESENTED AS A PRIORITIZED DESCRIPTION OF THOSE NEEDS.FACILITY REPORTING GROUP C:THE SIGNIFICANT HEALTH NEEDS OF COMMUNITY HOSPITAL, LLC AND TPG HOSPITAL, LLC (HPI) ARE PRESENTED AS A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: LAKESIDE WOMEN'S HOSPITAL LLC - FACILITY GROUP FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: EACH COMMUNITY HEALTH NEEDS ASSESSMENT AIMS TO ALIGN LOCAL PLANNING EFFORTS WITH ASSESSMENTS AND INTERVENTIONS CONDUCTED BY COUNTY HEALTH DEPARTMENTS. THIS PLANNING PROCESS REPRESENTS A COMMITMENT TO A MORE DELIBERATE APPROACH TO WORKING TOGETHER. CENTRAL OKLAHOMA HEALTH IMPACT TEAM MEMBER: PHIL MAYTUBBY, DEPUTY CHIEF EXECUTIVE OFFICER, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT IN CONDUCTING THE CHNA, THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY STAKEHOLDER MEETINGS, SECONDARY DATA RESEARCH, COMMUNITY SURVEYS, COMMUNITY CHATS AND INFORMATIONAL INTERVIEWS WITH COMMUNITY LEADERS. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINICS, CHURCHES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: FOUR NON-PROFIT HOSPITALS ENGAGED IN A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT: INTEGRIS HEALTH, MERCY HOSPITAL OKLAHOMA CITY, OU HEALTH, AND SSM HEALTH ST. ANTHONY. THIS ASSESSMENT EVALUATED THE HEALTH NEEDS OF OKLAHOMA COUNTY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: THE FOUR NON-PROFIT HOSPITALS ENGAGING IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT FOR OKLAHOMA COUNTY ALSO PARTNERED WITH THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENT TO ASSESS THE NEEDS OF THE COMMUNITY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES, AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS HEALTH SERVICE AREAS. THIS PROCESS LED TO THE IDENTIFICATION OF FOUR PRIORITY AREAS. ALTHOUGH THERE IS NO SINGLE FACTOR THAT PREDICTS A HEALTH OUTCOME, THE AREAS IDENTIFIED AS PRIORITY FOR OKLAHOMA COUNTY, BY THE HOSPITAL SYSTEMS AND COMMUNITY STAKEHOLDERS, INCLUDE: ACCESS TO EDUCATION, ACCESS TO MEANINGFUL EMPLOYMENT, ACCESS TO HEALTHY FOOD, AND ACCESS TO HEALTHCARE.THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS HEALTH THROUGH ADMINISTRATION OF THE DEVELOPED COMMUNITY HEALTH IMPROVEMENT PLAN AND WHICH, IF ANY OF THE REMAINING, WERE CURRENTLY BEING ADDRESSED THROUGH OTHER COMMUNITY RESOURCES AND/OR SERVICES. INTEGRIS HEALTH OPTED TO CONCENTRATE ON TWO OF THE FOUR PRIORITY AREAS IDENTIFIED IN EACH OF THE SERVICE AREAS- ACCESS TO HEALTHY FOOD AND ACCESS TO HEALTHCARE BELIEVING THAT A UNITED EFFORT WOULD ALLOW FOR A SHARING OF RESOURCES, PERSONNEL, PROGRAMS, ETC., AND ENSURE CONSISTENCY IN IMPLEMENTATION AND EVALUATION METHODS, THEREBY INCREASING POTENTIAL TO MORE EFFECTIVELY COMBAT THE ISSUES SYSTEM-WIDE. IN ADDITION TO THE TWO PRIORITY AREAS, TOBACCO USE WAS ALSO ADDED TO THE SYSTEM FOCUS AREAS TO CONTINUE TO ADDRESS THIS ISSUE IN ALL SERVICE AREAS. ACCESS TO HEALTHY FOOD IS BEING ADDRESSED BY THE FOLLOWING PROGRAM IMPLEMENTATION: INTEGRIS HEALTH I-CREW, FOOD BANK PROGRAMS, AND PARTNERSHIPS WITH LOCAL COALITIONS. THE INTEGRIS HEALTH I-CREW WILL ESTABLISH TWO PARTNERSHIP OPPORTUNITIES DIRECTLY TARGETING IMPROVING ACCESS TO HEALTHY FOOD. LAKESIDE WOMEN'S HOSPITAL WILL ALSO COORDINATE AT LEAST ONE FOOD DRIVE. IN ADDITION TO THE PROGRAMS MENTIONED, INTEGRIS HEALTH WILL SUPPORT LOCAL EFFORTS WITH COALITIONS WHO SUPPORT AND INCREASE ACCESS TO HEALTHY FOOD.ACCESS TO HEALTHCARE IS BEING ADDRESSED BY THE FOLLOWING PROGRAM IMPLEMENTATION: INTEGRIS HEALTH MOBILE CARE CLINIC AND PARTNERSHIPS WITH LOCAL COALITIONS. INTEGRIS HEALTH MOBILE CARE CLINIC SERVES 50 COMMUNITY MEMBERS. IN ADDITION, INTEGRIS HEALTH WILL SUPPORT LOCAL EFFORTS WITH COALITIONS WHO SUPPORT, PREVENT, AND EDUCATE ON INCREASING ACCESS TO CARE.TOBACCO USE PREVENTION IS BEING ADDRESSED BY THE FOLLOWING PROGRAM IMPLEMENTATION: OKLAHOMA TOBACCO HELPLINE REFERRALS, SOCIAL MEDIA CAMPAIGNS, AND PARTNERSHIPS WITH LOCAL COALITIONS. OKLAHOMA TOBACCO HELPLINE REFERRALS GOAL IS TO REFER 25 PERSONS FOR TOBACCO CESSATION SERVICES. INTEGRIS HEALTH WILL ESTABLISH TWO PARTNERSHIP OPPORTUNITIES FOR SOCIAL MEDIA CAMPAIGNS THAT SUPPORT AND PROMOTE TOBACCO USE PREVENTION. IN ADDITION TO THE PROGRAMS MENTIONED, INTEGRIS HEALTH WILL SUPPORT LOCAL EFFORTS WITH COALITIONS WHO SUPPORT, PREVENT, AND EDUCATE ON TOBACCO USE PREVENTION.IT WAS DETERMINED THAT THE REMAINING PRIORITY AREAS IDENTIFIED IN THE CHNA WERE ALREADY BEING ADDRESSED THROUGH LOCAL AGENCIES AND/OR COALITIONS AND PARTNERSHIP EFFORTS WITHIN THE COMMUNITY. AS SUCH, INTEGRIS HEALTH COMMITTED TO PROVIDE SUPPORT AND RESOURCES TO THE COMMUNITY PARTNERS TAKING THE LEAD ON THOSE PARTICULAR ISSUES. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 2: OK CTR ORTHPDIC & MLTI-SPCLTY SURG FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 5: SEE SCHEDULE H, PART VI, LINE 2 FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 6A: DESCRIPTION:THE HOSPITAL FACILITIES INCLUDED IN THE JOINT CHNA ARE AS FOLLOWS:- COMMUNITY HOSPITAL NORTH- COMMUNITY HOSPITAL SOUTH- COMMUNITY HOSPITAL NORTHWEST SURGICAL- INTEGRIS COMMUNITY HOSPITAL - MOORE- INTEGRIS COMMUNITY HOSPITAL - DEL CITY- INTEGRIS COMMUNITY HOSPITAL - OKC WEST- INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING- OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM) FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 11: SEE SCHEDULE H, PART VI, LINE 2 PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 3: COMMUNITY HOSPITAL, LLC, - FACILITY 4: TPG HOSPITAL, LLC FACILITY REPORTING GROUP - C PART V, SECTION B, LINE 6A: DESCRIPTION:THE HOSPITAL FACILITIES INCLUDED IN THE JOINT CHNA ARE AS FOLLOWS:- COMMUNITY HOSPITAL NORTH- COMMUNITY HOSPITAL SOUTH- COMMUNITY HOSPITAL NORTHWEST SURGICAL- INTEGRIS COMMUNITY HOSPITAL - MOORE- INTEGRIS COMMUNITY HOSPITAL - DEL CITY- INTEGRIS COMMUNITY HOSPITAL - OKC WEST- INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING- OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM) PART V, SECTION B, LINE 7A, 7B, AND LINE 10A: REPORTING GROUP A:HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTSHTTPS://WWW.MERCY.NET/ABOUT/OUR-COMMUNITIES/COMMUNITY-BENEFITS/REPORTING GROUP B:HTTPS://OCOMHOSPITAL.COM/HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTSHTTPS://OCOMHOSPITAL.COM/REPORTING GROUP C:HTTPS://COMMUNITYHOSPITALOKC.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://NWSURGICALOKC.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://WWW.INTEGRISCOMMUNITYHOSPITAL.COM/ PART V, SECTION B, LINES 16A, 16B, AND 16C REPORTING GROUP AHTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCEREPORTING GROUP BHTTPS://OCOMHOSPITAL.COM/FINANCIAL-ASSISTANCE-POLICY-2/REPORTING GROUP C:HTTPS://NWSURGICALOKC.COM/PATIENTS/ACCOUNT-ASSISTANCE REPORTING GROUP B: PART V, SECTION B, LINE 5 OCOM HAS BEEN IN EXISTENCE SINCE 2002 AND IS COMPRISED OF TWO SURGICAL HOSPITALS, ONE OUTPATIENT PHYSICAL THERAPY LOCATION AND THREE OFF-SITE IMAGING CENTERS. ALL OF THE FACILITIES SERVICE OKLAHOMA CITY, IN OKLAHOMA COUNTY, OKLAHOMA.OCOM PRIDES ITSELF IN PROVIDING FIRST-CLASS SURGICAL SERVICES FOR THE LOCAL COMMUNITY IN A SAFE, COMFORTABLE, AND WELCOMING ENVIRONMENT; ONE IN WHICH HOSPITAL STAFF WOULD BE HAPPY TO TREAT THEIR OWN FAMILIES. OCOM STRIVES TO CREATE THE SURGICAL STANDARD ALL PHYSICIANS WANT FOR THEIR PATIENTS. OCOM EMPLOYS 224 TEAM MEMBERS INCLUDING FULLTIME, PART-TIME AND PRN WITH APPROXIMATELY 60 PHYSICIAN PROVIDERS.OCOM'S SOUTH HOSPITAL LOCATION INCLUDES NINE INPATIENT ROOMS, SIX OPERATING ROOMS, AND ONE ENDOSCOPIC/PAIN MANAGEMENT PROCEDURE ROOM. OCOM'S NORTH LOCATION INCLUDES THREE OPERATING ROOMS AND DOES NOT HAVE INPATIENT ROOMS. HOSPITAL OCOM'S STATE-OF-THE-ART EQUIPMENT ALLOWS SURGEONS TO PERFORM A VARIETY OF SURGICAL PROCEDURES IN THE SPECIALTY AREAS OF DENTISTRY, GENERAL SURGERY, GASTROENTEROLOGY (GI), GYNECOLOGY, IMAGING, OPTHALMALOGY, ORTHOPAEDIC, PAIN MANAGEMENT, PHYSICAL THERAPY, PLASTIC SURGERY, PODIATRY AND UROLOGY.OCOM HOLDS A TJC CERTIFICATE OF DISTINCTION FOR TOTAL HIP AND TOTAL KNEE PROGRAMS, IS A CMS FIVE-STAR RATED FACILITY, AND IS THE RECIPIENT OF THE PRESS GANEY GUARDIAN OF EXCELLENCE AND HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARDS.OKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA AND IS THE LARGEST COUNTY IN OKLAHOMA IN TERMS OF POPULATION. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434.OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONS THROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLIC TRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY.ACCORDING TO THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT 2021 DATA, THE MEDIAN AGE IN OKLAHOMA COUNTY WAS 34.5 YEARS, WHICH IS SLIGHTLY YOUNGER THAN THE STATE OF OKLAHOMA AT 36.4 YEARS. THE PERCENT LIVING IN POVERTY IN OKLAHOMA COUNTY IS 16.7% WHICH IS SLIGHTLY LOWER THAN THE STATE AT 16.0%. IN 2018, THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY OF $52,855 WAS SLIGHTLY HIGHER THAN THE STATE OF $51,424. BOTH LAGGED BEHIND THE NATIONAL MEDIUM INCOME OF $60,293. OKLAHOMA COUNTY RESIDENTS RECEIVED SLIGHTLY MORE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE RATE IN 2018 (13.3% VS. 13.1%.) THE RACIAL/ETHNIC BREAKOUT OF OKLAHOMA COUNTY WAS 56.0% WHITE, 14.8% BLACK OR AFRICAN AMERICAN, 17.4% HISPANIC OR LATINO, 6.7% AMERICAN INDIAN OR ALASKA NATIVE, AND 4.7% ASIAN AND PACIFIC ISLANDER.AMONG OKLAHOMA RESIDENTS 18 AND OLDER, 30% OF PERSONS HELD A BACHELOR'S DEGREE OR HIGHER AS OF 2019. ON SEPTEMBER 30, 2021, NEW UNEMPLOYMENT NUMBERS WERE RELEASED FROM THE U.S. BUREAU OF LABOR STATISTICS SHOWING OKLAHOMA CITY RANKS FIRST FOR METROPOLITAN COMMUNITIES WITH A 2010 CENSUS POPULATION OF ONE MILLION OR MORE. OKLAHOMA CITY HAD AN UNEMPLOYMENT RATE OF ONLY 2.6% AND IS THE LOWEST RATE SINCE 2019. THE PERCENT OF UNINSURED ADULTS (AGE 18-64), IN OKLAHOMA COUNTY, ACCORDING TO DATA FROM THE 2021 U.S. CENSUS BUREAU, WAS CONSISTENT WITH THE STATE RATE OF 16.8%. ACCORDING TO THE OKLAHOMA HEALTH CARE AUTHORITY FAST FACTS, JANUARY 2021, THERE WERE A TOTAL OF 200,287 PERSONS ENROLLED IN MEDICAID IN OKLAHOMA COUNTY AND 946,412 PERSONS ENROLLED IN MEDICAID IN THE STATE OF OKLAHOMA DURING THE SAME PERIOD. AS OF FEBRUARY 2021, THERE WERE 92,632 PERSONS IN OKLAHOMA COUNTY AND 572,942 PERSONS IN THE STATE OF OKLAHOMA ENROLLED IN MEDICARE ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, MEDICARE ENROLLMENT DASHBOARD. BETWEEN 2015 AND 2019, THE AVERAGE NUMBER OF PERSON PER HOUSEHOLD IN OKLAHOMA COUNTY WAS 2.56 WHICH WAS SLIGHTLY LOWER THAN THE STATE AT 2.58.DURING THE SAME PERIOD, THE PERCENT OF PERSONS, 5 YEARS OR OLDER, IN OKLAHOMA COUNTY WHO SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME WAS 17.4% COMPARED TO THE STATE RATE OF 10.5%. IN 2020, ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS FOR OKLAHOMA COUNTY, ACCESS TO A PRIMARY CARE PHYSICIAN, PEOPLE PER ONE PROVIDER, WAS 1,170 COMPARED TO THE STATE OF OKLAHOMA WHICH WAS 1,620 PEOPLE PER ONE PROVIDER. ACCESS TO DENTISTS AND MENTAL HEALTH IN OKLAHOMA COUNTY, PEOPLE PER ONE PROVIDER, ACCORDING TO THE SAME SOURCE, WAS 980 AND 150, RESPECTIVELY AND 1640 AND 250, PEOPLE PER ONE PROVIDER FOR THE STATE OF OKLAHOMA. BETWEEN 2015-2017, THE AVERAGE LIFE EXPECTANCY IN OKLAHOMA COUNTY IS 74.9 YEARS WHEREAS THE AVERAGE IN THE U.S. IS 78.8 YEARS.BETWEEN 2016-2018, CARDIOVASCULAR DISEASE WAS THE LEADING CAUSE OF DEATH IN OKLAHOMA COUNTY. AT 337.7 DEATHS PER 100,000, MALES HAD 100 MORE DEATHS PER 100,000 COMPARED TO FEMALES WITH A RATE OF 235.9 DEATHS PER 100,000. CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN OKLAHOMA CITY-COUNTY BETWEEN 2016-2018, THE AGE-ADJUSTED MORTALITY RATE IN OKLAHOMA COUNTY WAS 188.0 PER 100,000 DEATHS, ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS BUT 27.6 DEATHS PER 100,000 GREATER THAN THE NATIONAL CANCER DEATH RATE. OKLAHOMA COUNTY HAD HIGHER DIABETES MORTALITY BETWEEN 2016-2018 COMPARED TO THE STATE AND NATIONAL RATES. THE OVERALL AGE-ADJUSTED DIABETES MORTALITY RATE IN THE COUNTY WAS 34.6 DEATHS PER 100,000. OKLAHOMA IS THE NINTH MOST OBESE STATE IN THE NATION, OKLAHOMA'S OBESITY RATE AS OF 2021 WAS AT 36.4%. THE SUICIDE RATES IN OKLAHOMA COUNTY AND THE STATE OF OKLAHOMA WERE HIGHER THAN THE NATIONAL AVERAGE BETWEEN 2016-2018. THE AGE-ADJUSTED SUICIDE RATE IN OKLAHOMA COUNTY WAS 18 DEATHS PER 100,000 PEOPLE.A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. THIS CHNA INCLUDED INTEGRIS HEALTH SYSTEM AND THEIR JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI SPECIALTY SURGERY. THE CHNA UTILIZES RELEVANT HEALTH DATA TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA. ALL OF THE JOINT VENTURE HOSPITALS LIE WITHIN OKLHOMA COUNTY, EXCEPT FOR ONE SMALL CAMPUS OF THE INTEGRIS COMMUNITY HOSPITALS (MOORE), WHICH LIES ON THE NORTHERN EDGE OF CLEVELAND COUNTY. THE GOAL OF THIS REPORT IS TO PROVIDE RESIDENTS WITH A DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THEIR COMMUNITY AND TO HELP GUIDE THE HOSPITALS IN THEIR COMMUNITY BENEFIT PLANNING EFFORTS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED NEEDS. COMMUNITY INPUT WAS RECEIVED DURING STAKEHOLDER MEETINGS, COMMUNITY SURVEYS COLLECTED DURING APRIL 2021-JULY 2021 AND ONLINE CHATS WHICH WERE CONDUCTED FROM MAY 23, 2021 - JUNE 30, 2021.THE AFFORDABLE CARE ACT (ACA) REQUIRES 501(C)(3), TAX-EXEMPT HOSPITALS TO CONDUCT A CHNA AT LEAST ONCE EVERY THREE TAX YEARS AND TO ADOPT A STRATEGIC IMPLEMENTATION PLAN FOR ADDRESSING IDENTIFIED NEEDS. INTEGRIS HEALTH LAST CONDUCTED A CHNA DURING FISCAL YEAR 2022.THE OCOM BOARD OF DIRECTORS REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE IMPLEMENTATION PLAN ON JULY 25, 2022. REPORTING GROUP B: PART V, SECTION B, LINE 5 CONTINUED INTERVIEW METHODOLOGY:METHODS OF COLLECTING AND ANALYZING DATA AND INFORMATION INCLUDED ONLINE SURVEYS, FOCUS GROUPS, PUBLISHED DATA, AND HOSPITAL SPECIFIC DATA. FOCUS GROUPS AND SURVEYS WERE CONDUCTED TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS. COMMUNITY INPUT WAS GATHERED FROM OKLAHOMA COUNTY RESIDENTS OF ALL BACKGROUNDS, SOCIOECONOMIC STATUS, AND DEMOGRAPHICS THROUGH SURVEYS. INPUT INCLUDED MEMBERS OF UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THERE WAS ALSO A TARGETED EFFORT TO CONDUCT FOCUS GROUPS WITH AT-RISK POPULATIONS IN LOW SOCIOECONOMIC ZIP CODES.COMMUNITY PARTNERS THAT ASSISTED IN DATA COLLECTION FOR COMMUNITY CHATS INCLUDED STANLEY HUPFELD ACADEMY, CROSSINGS COMMUNITY CENTER, CROSSINGS COMMUNITY CLINIC AND THE MOORE FOOD RESOURCE CENTER. COMMUNITY SURVEYS WERE AVAILABLE ONLINE. EACH PARTNER UTILIZED SOCIAL MEDIA TO PUBLICIZE THE SURVEY TO RESIDENTS IN THEIR SERVICE AREA. PARTNERS ASSISTING IN THE DISSEMINATION OF THE ONLINE SURVEY INCLUDED CROSSINGS COMMUNITY CLINIC, HPI COMMUNITY HOSPITAL AND NORTHWEST SURGICAL HOSPITAL, INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY.IN ADDITION TO THE INPUT FROM COMMUNITY CHATS, ONLINE SURVEYS AND DOT VOTING, THE COMPILATION OF PUBLIC HEALTH DATA, STATE AND NATIONAL DATA, GAVE A BROADER VIEW OF THE OVERALL HEALTH STATUS OF THE COUNTY. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE OKLAHOMA HEALTH CARE AUTHORITY, FAST FACTS, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. MEDICARE ENROLLMENT DASHBOARD, THE 2020 COUNTY HEALTH RANKINGS, OKLAHOMA COUNTY, THE 2020 COUNTY HEALTH RANKINGS. CLEVELAND COUNTY AND THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION. ADULT OBESITY PREVALENCE, MENTAL HEALTH AMERICA, THE STATE OF MENTAL HEALTH IN AMERICA AND CITY OF NORMAN. REQUESTS FOR PROPOSALS FOR A HOMELESSNESS STRATEGIC PLAN. POPULATION DEMOGRAPHIC INFORMATION WAS ALSO COLLECTED BY INTEGRIS HEALTH USING A NUMBER OF THE ABOVE SOURCES AND INCLUDED INFORMATION REGARDING POPULATION BY RACE, AGE, MEDIAN HOUSEHOLD INCOME AND EDUCATION AND ECONOMIC STATISTICS IN OKLAHOMA COUNTY.DUE TO THE COVID-19 PANDEMIC, LOCAL HEALTH DEPARTMENTS WERE UNABLE TO PUBLISH UPDATED PUBLIC HEALTH DATA. INTEGRIS HEALTH REVIEWED AND USED THE MOST CURRENT AVAILABLE DATA FOR THE PURPOSE OF PROVIDING A COMPREHENSIVE OVERVIEW OF THE COMMUNITY. WITH RESPECT TO THOSE PROVIDING INPUT, DUE TO THE COVID-19 PANDEMIC AND THE IMMENSE NEEDS AND REQUIRED FOCUS ASSOCIATED WITH IT, NO INPUT FROM OTHERS IN THE COMMUNTIY THAT HAD EXPERTISE IN PUBLIC HEALTH WAS OBTAINED. HOWEVER, SOME INPUT WAS PULLED FROM THE OKLAHOMA COUNTY CHNA COMPLETED TWO YEARS PRIOR WHICH DID INCLUDE INPUT FROM THE OKC COUNTY HEALTH DEPARTMENT, UNITED WAY OF CENTRAL OKLAHOMA AND THE OKLAHOMA STATE DEPARTMENT OF HEALTH. ADDITIONALLY, THE HOSPITALS PROVIDED INTERNAL DATA FOR ANALYSIS AND CONSIDERATION IN THE CHNA PROCESS.IN TOTAL, THE ONLINE SURVEY WAS ADMINISTERED TO 402 INDIVIDUALS, AND FOCUS GROUP SURVEYS WERE CONDUCTED AMONG 90 PARTICIPANTS TO GATHER QUALITATIVE DATA. THE FOCUS GROUPS WERE ADAPTED DUE TO COVID-19 RESTRICTIONS. INTEGRIS HEALTH REPRESENTATIVES PROVIDED OPEN-ENDED SURVEYS TO PARTICIPANTS VIA AN ONLINE PLATFORM, ASKING PARTICIPANTS TO ANSWER THE OPEN-ENDED QUESTIONS WHILE DISCUSSING TOPICS AS A GROUP. AFTER INTEGRIS HEALTH COLLECTED THIS QUALITATIVE AND QUANTITATIVE DATA, THEY RETURNED IT TO THE UNIVERSITY OF CENTRAL OKLAHOMA'S COMMUNITY INTERVENTION CLASS FOR ANALYSIS. WHEN REVIEWING THE QUANTITATIVE SURVEYS FROM THE 402 PARTICIPANTS AT FIVE SITES (I.E. HPI COMMUNITY HOSPITAL, INTEGRIS COMMUNITY HOSPITAL (CLEVELAND COUNTY), INTEGRIS COMMUNITY HOSPITALS (OKLAHOMA COUNTY), OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY OKLAHOMA COUNTY, AND CROSSINGS COMMUNITY CENTER), ALL LOCATIONS WERE ANALYZED TO FIND COMMONALITIES AND IMPORTANT FINDINGS.OVERALL, FEEDBACK FROM COMMUNITY MEMBERS IN THE QUANTITATIVE SURVEYS HIGHLIGHTED A NEED FOR HEALTHCARE ACCESS ESPECIALLY AS IT RELATES TO MENTAL HEALTH AND SICK VISITS, HEALTH EDUCATION AND PROMOTION (PARTICULARLY RELATED TO PHYSICAL HEALTH ISSUES THAT CAN BE ADDRESSED THROUGH EDUCATION AS WELL AS DETERMINANTS OF HEALTH IN THE COMMUNITY); AND AFFORDABLE MEDICATIONS AND FOOD.WHEN ANALYZING QUALITATIVE FEEDBACK FROM 90 PARTICIPANTS COMPLETING THEIR FOCUS GROUP SURVEYS (FROM MOORE FOOD & RESOURCE CENTER, STANLEY HUPFELD ACADEMY, AND CROSSINGS COMMUNITY CENTER), SEVERAL THEMES AROSE ACROSS THE THREE SITES AND SIX-OPEN-ENDED QUESTIONS. THESE INCLUDED: A NEED AND DESIRE FOR GREATER ACCESS TO HEALTHCARE SERVICES (INCLUDING BOTH PREVENTIVE CARE ON A MYRIAD OF ISSUES AS WELL AS PHYSICIAN APPOINTMENTS); MENTAL HEALTH SERVICES (INCLUDING COUNSELING AS WELL AS REHABILITATION PROGRAMS); EDUCATIONAL SERVICES (INCLUDING NUTRITION EDUCATION; HEALTH EDUCATION FOR A VARIETY OF HEALTH ISSUES AS WELL AS DISEASE PREVENTION AND TREATMENT; AND ACCESS TO CREDIBLE COVID-19 INFORMATION); ENVIRONMENTAL DETERMINANTS OF HEALTH (INCLUDING BUT NOT LIMITED TO FOOD SECURITY ISSUES, TRANSPORTATION AND HOUSING NEEDS, EDUCATION, AFFORDABLE CARE, AND ACCESS TO EMPLOYMENT OPPORTUNITIES); AND FINALLY, ENSURING THAT OLDER ADULTS IN COMMUNITIES ARE INCLUDED IN THE PLANNING AND IMPLEMENTATION OF PROGRAMS AND SERVICES PROVIDED. REPORTING GROUP B: PART V, SECTION B, LINE 11 INTEGRIS HEALTH COLLABORATED WITH LOCAL COMMUNITY PARTNERS ON THE CHNA AND EVALUATED AND SYNTHESIZED PRIMARY AND SECONDARY DATA TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS IN OKLAHOMA AND CLEVELAND COUNTY. THROUGHOUT THE NEEDS PROCESS, FOCUS WAS GIVEN TO THE INTERCONNECTEDNESS OF SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY.UPON REVIEW AND ANALYSIS OF ALL QUANTITATIVE AND QUALITATIVE FEEDBACK AND DATA, THE MOST RECENTLY CONDUCTED CHNA FOCUSED ON THE SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY. SOCIAL DETERMINATES OF HEALTH (SDOH) ARE THE CONDITIONS IN WHICH PEOPLE ARE BORN, GROW, LIVE, WORK AND AGE THAT SHAPE HEALTH. SDOH ARE PRIMARY DRIVERS OF HEALTH DISPARITIES AND INCLUDE SIGNIFICANT FACTORS LIKE ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, HEALTH CARE ACCESS AND QUALITY, NEIGHBORHOOD AND THE BUILT ENVIRONMENT AND SOCIAL AND COMMUNITY CONTEXT. THIS CHNA PROCESS WAS DESIGNED TO USE DATA TO IDENTIFY THOSE WHO MAY NOT BE THRIVING.INTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PROCESS LED TO THE IDENTIFICATION OF FOUR PRIORITY AREAS BASED ON CURRENT SYSTEM WIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO.THE FOLLOWING FOUR PRIORITIZED NEEDS WERE DETERMINED:- ACCESS TO EDUCATION- ACCESS TO MEANINGFUL EMPLOYMENT- ACCESS TO HEALTHY FOOD- ACCESS TO HEALTHCAREINTEGRIS HEALTH CHOSE TO FOCUS ON ALL OF THE IDENTIFIED PRIORITY ISSUES.* WHILE TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA COUNTY IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE. AMONG YOUTH, AS OF 2019, 30.8% OF OKLAHOMA HIGH SCHOOLERS REPORTED CURRENT USE OF ANY TOBACCO PRODUCT. THE STATE OF OKLAHOMA, WITH THE EXPANSION OF ELECTRONIC CIGARETTES AND VAPES, NICOTINE DEPENDENCY CONTINUES TO BE A WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS. INTEGRIS HEALTH TRACKS REFERRALS MADE TO THE OKLAHOMA TOBACCO HELPLINE AND REPORTS ARE MADE AVAILABLE QUARTERLY. INTEGRIS HEALTH PROVIDED 2,617 REFERRALS IN FY 2020 AND 2,002 REFERRALS IN FY 2021.EACH HOSPITAL THEN DEVELOPED AN INDIVIDUAL IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN IN A SEPARATE DOCUMENT TO ADDRESS THE NEEDS IDENTIFIED BASED ON THEIR INTERNAL PRIORITIES AND RESOURCES.ACCESS TO EDUCATIONEDUCATION AND HEALTH HAVE ALWAYS BEEN CONNECTED, BUT NEVER AS GREATLY AS THEY CURRENTLY ARE. AMERICANS WITH LESS EDUCATION ARE DYING EARLIER THAN THEIR PEERS. WHILE THE RELATIONSHIP BETWEEN HEALTH AND EDUCATION IS A COMPLEX ONE, IT IS CLOSELY TIED TO A PERSON'S INCOME, SKILLS, AND OPPORTUNITIES THEY HAVE TO LEAD HEALTHY LIVES WITHIN THEIR COMMUNITIES. WHILE EDUCATION, BOTH FORMAL AND INFORMAL, CAN CREATE OPPORTUNITIES FOR BETTER HEALTH, POOR HEALTH, ON THE OTHER HAND, CAN PUT EDUCATION AT RISK.THE CHNA COMMUNITY SURVEY REVEALED MONEY WAS A MAJOR STRESS FACTOR FOR NEARLY ONE IN FIVE RESPONDENTS. WHILE 35% OF THE RESPONDENTS FELT FINANCIALLY SECURE IN MEETING THEIR FAMILY'S NEEDS, ALMOST 30% OF RESPONDENTS REPORTED THEY LIVED PAYCHECK TO PAYCHECK. WHEN ASKED ABOUT BARRIERS TO ACCESS EDUCATION, RESPONDENTS NOTED FINANCIAL CHALLENGES, AND THAT THERE WERE FEW OR NO RESOURCES AT HIGH SCHOOLS TO HELP STUDENTS GO TO AND PAY FOR COLLEGE. COMMUNITY CHAT PARTICIPANTS NOTED THAT HIGHER EDUCATION IN MORE RURAL PARTS OF OKLAHOMA WAS SIMPLY NOT SOUGHT AFTER AND WAS LINKED TO BEING A GENERATIONAL DECISION BASED ON WHETHER THEIR PARENTS WENT TO COLLEGE. HOWEVER, RESPONDENTS FELT THAT EVERYONE SHOULD HAVE THE OPPORTUNITY TO GO TO COLLEGE AND HAVE ACCESS TO NECESSARY RESOURCES. THE RESOURCES IDENTIFIED INCLUDED THINGS SUCH AS CHILDCARE, FINANCES, HEALTHCARE RESOURCES, AND MORE EDUCATIONAL SUPPORT. REPORTING GROUP B: PART V, SECTION B, LINE 11 CONTINUED ACCESS TO MEANINGFUL EMPLOYMENTONE COMPONENT OF A THRIVING COMMUNITY IS THE AVAILABILITY OF QUALITY EMPLOYMENT OPPORTUNITIES. WHILE THE MAJORITY OF OKLAHOMA COUNTY RESPONDENTS SURVEYED WERE EMPLOYED FULL-TIME (53%), THE PERCENTAGES VARIED DRAMATICALLY BASED ON EDUCATION LEVEL. SIXTY-FIVE PERCENT OF OKLAHOMA COUNTY RESIDENTS WITH A COLLEGE DEGREE WERE EMPLOYED FULL-TIME COMPARED TO ONLY 28% WITH LESS THAN A HIGH SCHOOL DEGREE. RESPONDENTS ALSO NOTED THAT THE THINGS THAT MADE IT DIFFICULT TO WORK WERE THEIR HEALTH OR THE HEALTH OF A FAMILY MEMBER. THIS IMPORTANT FINDING SHOWED THE DIRECT IMPACT OF POOR HEALTH ON ACCESS TO EMPLOYMENT. COMMUNITY CHAT PARTICIPANTS NOTED THE NEED TO HAVE QUALITY JOBS AND JOBS THAT WERE MEANINGFUL AND FULFILLING. THE QUALITATIVE ANALYSIS TEAM FOUND FREQUENT ALIGNMENT BETWEEN A PERSON'S EMPLOYMENT STATUS AND JOB-SPECIFIC, WORK-RELATED RESOURCES AS WELL AS THE ABILITY TO ACHIEVE A HEALTHY WORK-LIFE BALANCE. MENTORSHIP WAS ALSO FREQUENTLY MENTIONED IN THE CONTEXT OF EMPLOYMENT. HAVING A JOB WHICH INCLUDED THE SUPPORT OF A MENTOR AS WELL AS A CLEAR CAREER LADDER COULD INCREASE EMPLOYEE RETENTION. COMMUNITY CHAT PARTICIPANTS ALSO FEQUENTLY BROUGHT UP INCOME WITH RESPECT TO WORKRELATED RESOURCES, EMPLOYMENT STATUS, AND FINANCIAL BARRIERS AS IT IS NATURALLY A MAJOR DETERMINATE AS TO WHETHER A PERSON SEEKS EMPLOYMENT. WHILE THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY IS SLIGHTLY HIGHER THAN THE STATE ($52,855 VS $51,424) IT VARIES WIDELY BY RACE/ETHNICITY. MANY DISCUSSED HAVING FINANCIAL BARRIERS DUE TO THEIR INCOME, WAS MAKING IT DIFFICULT TO HAVE A GOOD QUALITY WORK-LIFE BALANCE.ACCESS TO HEALTHY FOODA HEALTHY DIET CAN PROTECT AGAINST MANY CHRONIC NONCOMMUNICABLE DISEASES, SUCH AS HEART DISEASE, DIABETES, AND CANCER. THESE CONDITIONS ARE AMONG THE DEADLIEST IN OKLAHOMA COUNTY AND DISPROPORTIONATELY AFFECT RESIDENTS IN CERTAIN ZIP CODES AND BY RACE/ETHNICITY. THE MAJORITY OF COMMUNITY SURVEY RESPONDENTS (54%), SAID THEY COULD ALWAYS GET HEALTHY FOOD FOR THEIR FAMILY, BUT THIS VARIED BY RACE, ETHNICITY, AND EDUCATION LEVEL. THE MOST FREQUENT RESPONSE (64%) COMMUNITY MEMBERS NOTED AS A BARRIER TO ACCESSING HEALTHY FOODS WAS THE COST OF HEALTHY FOOD IN THE COMMUNITY. NEARLY ONE IN FOUR FELT THEY DID NOT HAVE THE TIME TO BUY OR PREPARE HEALTHY MEALS. FOOD ACCESS INFRASTRUCTURE IN THE COMMUNITY, WHICH INCLUDED TRANSPORTATION AND SCHEDULING, WAS ALSO A BARRIER TO CLAIMING ACCESS TO HEALTHY FOOD. WHILE THE DEFINITION OF HEALTHY FOOD INCLUDED GROCERY STORES, COMMUNITY GARDENS, AND PRESENCE OF HEALTHY FOOD, AS THE ANALYSIS OF COMMUNITY CHATS CONTINUED, IT BECAME APPARENT THAT CHOICE OF FOOD WAS JUST AS CRITICAL FOR FOOD ACCESS AS WAS THE PRESENCE OF QUALITY FOODS. ADDITIONALLY, WHILE SOME PEOPLE WERE ABLE TO ACCESS HEALTHY FOODS, THEY LACKED THE NUTRITIONAL EDUCATION TO KNOW WHAT TO EAT OR HOW TO COOK HEALTHY FOODS. IT WAS ALSO NOTED THAT MANY PEOPLE LACKED THE INCOME TO PURCHASE HEALTHY FOODS BECAUSE OFTENTIMES HEALTHY, FRESH FOODS ARE MORE EXPENSIVE. ACCESS TO HEALTHCAREAS HEALTHCARE ORGANIZATIONS, IT IS IMPORTANT THAT EACH HOSPITAL CONTINUE TO BE ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF INSURANCE STATUS, RACE, SOCIOECONOMIC STATUS, AND OTHER FACTORS. ACCESS TO AFFORDABLE AND QUALITY HEALTHCARE WERE COMMON MESSAGES HEARD FROM COMMUNITY MEMBERS. RESPONDENTS REPORTED THE MOST DIFFICULT TYPE OF HEALTH SERVICES TO GET FOR THEIR HOUSEHOLD WERE DENTAL HEALTH SERVICES, PARTICULARLY AMONG HISPANICS. HEALTHCARE ACCESS IS A MAJOR CHALLENGE IN RACIAL MINORITY COMMUNITIES IN OKLAHOMA COUNTY DUE TO BARRIERS WHICH INCLUDE PERCEIVED FINANCIAL BARRIERS, TRANSPORTATION BARRIERS, SCHEDULING CHALLENGES, AND CULTURAL BARRIERS. AS NOTED ABOVE, ALTHOUGH TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA COUNTY IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE. THE STATE OF OKLAHOMA CONTINUES TO HAVE A GRADE OF "F" IN HEART DISEASE DEATHS AND A GRADE OF "D" IN LUNG CANCER INCIDENCE. WITH THE EXPANSION OF ELECTRONIC CIGARETTES AND VAPES, NICOTINE DEPENDENCY CONTINUES TO BE A WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS.SIGNIFICANT COMMUNITY HEALTH NEEDS ADDRESSED BY OCOMINTEGRIS HEALTH WORKED WITH OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY, LLC (OCOM) TO DEVELOP AN IMPLEMENTATION STRATEGY TO PRIORITIZE AND ADDRESS NEEDS OF OCOM'S COMMUNITY, ENTITLED "COMMUNITY HEALTH IMPROVEMENT PLAN FOR FISCAL YEARS 2023, 2024, AND 2025." THE OCOM CHIP ADDRESSES THE FOLLOWING PRIORITY ISSUES OF OCOM:- ACCESS TO HEALTHY FOOD- OBESITY- TOBACCOPRIORITY NEED #1: ACCESS TO HEALTHY FOODOCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY ORGANIZING MULTIPLE FOOD DRIVES IN ITS COMMUNITY, IN PARTNERSHIP WITH A REGIONAL FOOD BANK AND COMMUNITY DIETICIANS. IN ADDITION, OCOM SUPPORTED FOOD BANKS AND PANTRIES IN ITS COMMUNITY THROUGH DONATIONS, AND BY ENCOURAGING ITS HOSPITAL STAFF TO VOLUNTEER THEIR TIME AT LOCAL FOOD BANKS AND PANTRIES.PRIORITY NEED #2: OBESITYOCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY PROVIDING PEDIATRIC HEALTHY LIVING EDUCATION, ADULT HEALTH LIVING EDUCATION, AND HEALTHY LIVING RESOURCES. FOR INSTANCE, OCOM PROVIDED EACH PEDIATRIC PATIENT WITH RESOURCES ON HEALTHY EATING EDUCATION, INCLUDED TSET EDUCATIONAL MATERIALS TO ALL PATIENTS IN DISCHARGE PACKETS, AND COMMUNICATED WITH STAFF ON HOW TO ADDRESS HEALTHY LIVING CHALLENGES WITH PATIENTS. OCOM ALSO PARTNERED WITH COMMUNITY CENTERS, SCHOOLS, POLICE DEPARTMENTS, FITNESS CENTERS, CAREER TECH CENTERS, QUALITY IMPROVEMENT ORGANIZATIONS, CHURCHES, LIBRARIES, CHRONIC DISEASE PREVENTION ORGANIZATIONS, AND SUPPORT GROUPS TO PROVIDE HEALTHY LIVING RESOURCES AND EDUCATION TO ITS COMMUNITY.PRIORITY NEED #3: TOBACCOOCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY MAINTAINING A TOBACCO-FREE POLICY ON ITS CAMPUS, PROVIDING TSET EDUCATIONAL MATERIALS IN ALL PATIENT WAITING AREAS, AND OFFERING TSET EDUCATION AND OTHER SMOKING CESSATION RESOURCES TO PATIENTS WHO USE TOBACCO. IT DEVELOPED THESE RESOURCES IN PARTNERSHIP WITH YOUTH AND FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE, THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENT, AND LYNN INSTITUTES' NORTHEAST OKLAHOMA CITY COLLABORATIVE.SIGNIFICANT COMMUNITY HEALTH NEEDS NOT ADDRESSED BY OCOMOCOM CHOSE NOT TO FOCUS ON SOME OF THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, IN PARTICULAR ACCESS TO CARE, MENTAL HEALTH, EMPLOYMENT, HOUSING, HEALTH EDUCATION AND PROMOTION, TRANSPORTATION, AND POVERTY, AND SAFETY, BECAUSE INTEGRIS HEALTH, WHICH SERVES OKLAHOMA COUNTY, WAS ALREADY TAKING ACTIONS TO ADDRESS ALL OF THESE COMMUNITY NEEDS. ADDITIONALLY, OCOM LACKED THE RESOURCES AND SOME OF THE EXPERTISE TO FOCUS ON THESE NEEDS. REPORTING GROUP C: PART V, SECTION B, LINE 5 HEALTH VENTURES IS A PARTNERSHIP FORMED IN FY2019 BETWEEN IACC, AN OKLAHOMA NOT FOR PROFIT CORPORATION THAT IS TAX-EXEMPT UNDER SECTION 501(C)(3) AND USP OKLAHOMA, INC. (USP), AN UNRELATED OKLAHOMA FOR PROFIT CORPORATION FOR THE PURPOSE OF ACQUIRING OWNERSHIP IN OR DEVELOPLING FREESTANDING AMBULATORY SURGERY HOSPITALS. ON NOVEMBER 1, 2018, HEALTH VENTURES ACQUIRED 51% OF HPI HOLDINGS, LLC (HPI). HPI OWNS A 100% INTEREST IN COMMUNITY HOSPITAL, LLC AND TPG HOSPITAL, LLC. THIS JOINT VENTURE OPERATED THE COMMUNITY HOSPITAL AND TPG HOSPITAL FACILITIES DURING THE TAX YEAR. THE JOINT VENTURE IS A PARTNERSHIP FOR WHICH A FORM 1065 IS FILED. HOWEVER, WHEN HPI WAS ACQUIRED BY HEALTH VENTURES, COMMUNITY HOSPITAL AND TPG HOSPITAL BECAME SUBJECT TO THE 501(R) PROVISIONS.OKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434.OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONSTHROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLICTRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY.ACCORDING TO THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT 2021 DATA, THE MEDIAN AGE IN OKLAHOMA COUNTY WAS 34.5 YEARS, WHICH IS SLIGHTLY YOUNGER THAN THE STATE OF OKLAHOMA AT 36.4 YEARS. THE PERCENT LIVING IN POVERTY IN OKLAHOMA COUNTY IS 16.7% WHICH IS SLIGHTLY LOWER THAN THE STATE AT 16.0%. IN 2018, THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY OF $52,855 WAS SLIGHTLY HIGHER THAN THE STATE OF $51,424. BOTH LAGGED BEHIND THE NATIONAL MEDIUM INCOME OF $60,293. OKLAHOMA COUNTY RESIDENTS RECEIVED SLIGHTLY MORE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE RATE IN 2018 (13.3% VS. 13.1%.) THE RACIAL/ETHNIC BREAKOUT OF OKLAHOMA COUNTY WAS 56.0% WHITE, 14.8% BLACK OR AFRICAN AMERICAN, 17.4% HISPANIC OR LATINO, 6.7% AMERICAN INDIAN OR ALASKA NATIVE, AND 4.7% ASIAN AND PACIFIC ISLANDER.AMONG OKLAHOMA RESIDENTS 18 AND OLDER, 30% OF PERSONS HELD A BACHELOR'S DEGREE OR HIGHER AS OF 2019. ON SEPTEMBER 30, 2021, NEW UNEMPLOYMENT NUMBERS WERE RELEASED FROM THE U.S. BUREAU OF LABOR STATISTICS SHOWING OKLAHOMA CITY RANKS FIRST FOR METROPOLITAN COMMUNITIES WITH A 2010 CENSUS POPULATION OF ONE MILLION OR MORE. OKLAHOMA CITY HAD AN UNEMPLOYMENT RATE OF ONLY 2.6% AND IS THE LOWEST RATE SINCE 2019.THE PERCENT OF UNINSURED ADULTS (AGE 18-64), IN OKLAHOMA COUNTY, ACCORDING TO DATA FROM THE 2021 U.S. CENSUS BUREAU, WAS CONSISTENT WITH THE STATE RATE OF 16.8%. ACCORDING TO THE OKLAHOMA HEALTH CARE AUTHORITY FAST FACTS, JANUARY 2021, THERE WERE A TOTAL OF 200,287 PERSONS ENROLLED IN MEDICAID IN OKLAHOMA COUNTY AND 946,412 PERSONS ENROLLED IN MEDICAID IN THE STATE OF OKLAHOMA DURING THE SAME PERIOD. AS OF FEBRUARY 2021, THERE WERE 92,632 PERSONS IN OKLAHOMA COUNTY AND 572,942 PERSONS IN THE STATE OF OKLAHOMA ENROLLED IN MEDICARE ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, MEDICARE ENROLLMENT DASHBOARD. BETWEEN 2015 AND 2019, THE AVERAGE NUMBER OF PERSON PER HOUSEHOLD IN OKLAHOMA COUNTY WAS 2.56 WHICH WAS SLIGHTLY LOWER THAN THE STATE AT 2.58. DURING THE SAME PERIOD, THE PERCENT OF PERSONS, 5 YEARS OR OLDER, IN OKLAHOMA COUNTY WHO SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME WAS 17.4% COMPARED TO THE STATE RATE OF 10.5%. IN 2020, ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS FOR OKLAHOMA COUNTY, ACCESS TO A PRIMARY CARE PHYSICIAN, PEOPLE PER ONE PROVIDER, WAS 1,170 COMPARED TO THE STATE OF OKLAHOMA WHICH WAS 1,620 PEOPLE PER ONE PROVIDER. ACCESS TO DENTISTS AND MENTAL HEALTH IN OKLAHOMA COUNTY, PEOPLE PER ONE PROVIDER, ACCORDING TO THE SAME SOURCE, WAS 980 AND 150, RESPECTIVELY AND 1640 AND 250, PEOPLE PER ONE PROVIDER FOR THE STATE OF OKLAHOMA. BETWEEN 2015-2017, THE AVERAGE LIFE EXPECTANCY IN OKLAHOMA COUNTY IS 74.9 YEARS WHEREAS THE AVERAGE IN THE U.S. IS 78.8 YEARS.BETWEEN 2016-2018, CARDIOVASCULAR DISEASE WAS THE LEADING CAUSE OF DEATH IN OKLAHOMA COUNTY. AT 337.7 DEATHS PER 100,000, MALES HAD 100 MORE DEATHS PER 100,000 COMPARED TO FEMALES WITH A RATE OF 235.9 DEATHS PER 100,000. CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN OKLAHOMA CITY-COUNTY BETWEEN 2016-2018, THE AGE-ADJUSTED MORTALITY RATE IN OKLAHOMA COUNTY WAS 188.0 PER 100,000 DEATHS, ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS, REPORTING GROUP C: PART V, SECTION B, LINE 5 CONTINUED ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS BUT 27.6 DEATHS PER 100,000 GREATER THAN THE NATIONAL CANCER DEATH RATE. OKLAHOMA COUNTY HAD HIGHER DIABETES MORTALITY BETWEEN 2016-2018 COMPARED TO THE STATE AND NATIONAL RATES. THE OVERALL AGE-ADJUSTED DIABETES MORTALITY RATE IN THE COUNTY WAS 34.6 DEATHS PER 100,000. OKLAHOMA IS THE NINTH MOST OBESE STATE IN THE NATION, OKLAHOMA'S OBESITY RATE AS OF 2021 WAS AT 36.4%. THE SUICIDE RATES IN OKLAHOMA COUNTY AND THE STATE OF OKLAHOMA WERE HIGHER THAN THE NATIONAL AVERAGE BETWEEN 2016-2018. THE AGE-ADJUSTED SUICIDE RATE IN OKLAHOMA COUNTY WAS 18 DEATHS PER 100,000 PEOPLE.A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. THIS CHNA INCLUDED INTEGRIS HEALTH SYSTEM AND INCLUDES THE JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI SPECIALTY SURGERY THE CHNA UTILIZES RELEVANT HEALTH DATA TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA. ALL OF THE JOINT VENTURE HOSPITALS LIE WITHIN OKLHOMA COUNTY, EXCEPT FOR ONE SMALL CAMPUS OF THE INTEGRIS COMMUNITY HOSPITALS (MOORE), WHICH LIES ON THE NORTHERN EDGE OF CLEVELAND COUNTY. THE GOAL OF THIS REPORT IS TO PROVIDE RESIDENTS WITH A DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THEIR COMMUNITY AND TO HELP GUIDE THE HOSPITALS IN THEIR COMMUNITY BENEFIT PLANNING EFFORTS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED NEEDS. COMMUNITY INPUT WAS RECEIVED DURING STAKEHOLDER MEETINGS, COMMUNITY SURVEYS COLLECTED DURING APRIL 2021-JULY 2021 AND ONLINE CHATS WHICH WERE CONDUCTED FROM MAY 23, 2021 - JUNE 30, 2021.THE AFFORDABLE CARE ACT (ACA) REQUIRES 501(C)(3), TAX-EXEMPT HOSPITALS TO CONDUCT A CHNA AT LEAST ONCE EVERY THREE TAX YEARS AND TO ADOPT A STRATEGIC IMPLEMENTATION PLAN FOR ADDRESSING IDENTIFIED NEEDS. HPI AND ITS COLLABORATORS LAST CONDUCTED A CHNA IN ITS 2021 TAX YEAR. REPORTING GROUP C: PART V, SECTION B, LINE 11 THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED A NUMBER OF SIGNIFICANT NEEDS IN THE OKLAHOMA COUNTY COMMUNITY SERVED BY HPIAND THE OTHER COLLABORATORS FACILITIES, WHICH WERE DETERMINED BY EVALUATING AND SYNTHESIZING PRIMARY AND SECONDARY DATA TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS IN OKLAHOMA AND CLEVELAND COUNTY.UPON REVIEW AND ANALYSIS OF ALL QUANTITATIVE AND QUALITATIVE FEEDBACK AND SURVEYS THE FOLLOWING SIGNIFICANT NEEDS FOR OKLAHOMA COUNTY WERE IDENTIFIED:- EMPLOYMENT- FOOD INSECURITY- HOUSING- HEALTH EDUCATION AND PROMOTION- ACCESS TO HEALTHCARE- OBESITY- MENTAL HEALTH - TRANSPORTATIONTHE ABOVE NEEDS SPAN THE AREAS DENOTED BELOW AND WERE OFTEN INTERRELATED. ALL ARE SOCIAL DETERMINATES OF HEALTH.SIGNFICANT COMMUNITY HEALTH NEEDS WERE THEN IDENTIFIED AND PRIORITIZED IN ALL OF THE FOLLOWING AREAS:- ECONOMIC STABILITY- NEIGHBORHOOD AND BUILT ENVIRONMENT- HEALTH AND HEALTHCARE- SOCIAL AND COMMUNITY CONTEXT - EDUCATIONINTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ISSUES WERE PRIORITIZED BASED ON CURRENT SYSTEM WIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO.THE IMPLEMENTATION PLAN FOR HPI, ENTITLED "FY 2022 COMMUNITY HEALTH IMPROVEMENT PLAN," SPECIFICALLY ADDRESSES THE FOLLOWING PRIORITY ISSUES:- ACCESS TO CARE- FOOD INSECURITY - TOBACCOHPI ADDRESSED THIS NEED DURING THE TAX YEAR BY PROVIDE RESOURCES AND HELP ENROLLING IN NEW MEDICAID EXPANSION. ALL CAMPUSES HAVE INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS. PROVIDE FREE HEALTH CLINIC SERVICE INFORMATION TO PATIENTS IN NEED.PRIORITY NEED #2: FOOD INSECURITYHPI ADDRESSED THIS NEED DURING THE TAX YEAR BY ORGANIZING FOOD DRIVE AND SUPPORTING FOOD BANK/PANTRIES FINANCIALLY THROUGH DONATIONS. ESTABLISH ONE FOOD DRIVE IN 2ND QUARTER (APRIL, MAY, AND JUNE 2022).PRIORITY NEED #3: TOBACCOHPI ADDRESSED THIS NEED DURING THE TAX YEAR BY HOSPITAL RESOURCES: EDUCATIONAL MATERIAL, REFERRAL SYSTEM, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT PARTNERSHIP AND WELLNESS INITIATIVES, EMPLOYEE ASSISTANCE PROGRAM, FINANCIAL SUPPORT, MOBILE ASSESSMENT TEAM AND SCREENING TOOL IN PARTNERSHIP WITH YOUTH AND FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE, AMERICAN FOUNDATION FOR SUICIDE PREVENTION, 211 REFERRAL SYSTEM, YWCA, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT AND LIGHTHOUSE MEDICAL CLINIC. ALSO PROVIDING TSET EDUCATION TO ALL PATIENTS AND ENSURING SIGNAGE IS POSTED. SCHEDULE H, PART V, SECTION B, LINE 20D REPORTING GROUP B & C:NEITHER OCOM OR HPI MADE ANY PRESUMPTIVE ELIGIBILITY DETERMINATIONS. DURING THE TAX YEAR, ALL PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION AND A PLAIN LANGUAGE SUMMARY AT ADMISSION OR UPON REQUEST. ALL PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE DURING THE APPLICATION PERIOD, WHICH ENDS ON THE 240TH DAY AFTER OCOM MAILS OR ELECTRONICALLY PROVIDES THE INDIVIDUAL WITH THE FIRST BILLING STATEMENT. ONCE AN APPLICATION IS RECEIVED IT IS GIVEN TO A BUSINESS OFFICE REPRESENTATIVE TO REVIEW FOR PRE-APPROVAL PER FPL GUIDELINES IN THE FINANCIAL ASSISTANCE POLICY. IF PRE-APPROVED, AN ADJUSTMENT REQUEST IS THEN GIVEN TO THE CONTROLLER TO REVIEW FOR FIRST LEVEL APPROVAL. IF APPROVED FIRST LEVEL, THE FINANCIAL ASSISTANCE APPLICATION AND ADJUSTMENT REQUEST ARE SENT TO THE CEO FOR FINAL APPROVAL. THE PATIENT IS THEN NOTIFIED VIA CALL AND/OR LETTER THAT HIS OR HER APPLICATION HAS BEEN APPROVED. 2 1 - SOUTHWEST AMBULATORY SURGERY CENTER LLC 8125 SOUTH WALKER OKLAHOMA CITY OK 73139 AMBULATORY SURGERY CENTER 2 - MEDICAL PLAZA IMAGING CENTER 3330 NW 56TH OKLAHOMA CITY OK 73112 RADIOLOGY IMAGING CENTER PART I, LINE 6A: INTEGRIS HEALTH, INC., (EIN: 73-1192764), THE PARENT ORGANIZATION OF INTEGRIS AMBULATORY CARE CORPORATION, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS. PART III, LINE 2: COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 16.14%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: IACC DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: IACC DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF INTEGRIS HEALTH, INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:A PORTFOLIO APPROACH BY MAJOR PAYOR CATEGORIES AND TYPES OF SERVICE WAS USED TO ESTIMATE THE HISTORICAL COLLECTIONS EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED AT LEAST QUARTERLY BASED ON ACTUAL COLLECTIONS EXPERIENCE.INTEGRIS HEALTH BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WAS USED. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE ASSESSED FIRST FOR ELIGIBILITY FOR CHARITY CARE OR RECORDED AS BAD DEBT EXPENSE. PART III, LINE 8: THE COST TO CHARGE METHODOLOGY WAS USED IN ORDER TO CALCULATE THE MEDICARE ALLOWABLE COSTS RELATED TO PAYMENTS RECEIVED FROM MEDICARE. ANY RESULTING SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 REPORTING GROUP B:FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE:OCOM DOES NOT HAVE A STAND-ALONE AUDIT AND IS INCLUDED IN THE CONSOLIDATED FINANCIALS OF INTEGRIS AMBULATORY CARE CORP, WHICH DOES NOT SPECIFICALLY ADDRESS BAD DEBT. OCOM ACCOUNTS FOR BAD DEBT EXPENSE AS FOLLOWS:-75% OF ACCOUNTS RECEIVABLE NET OF THE CONTRACTUAL ALLOWANCE AGED 120 DAYS OR GREATER (EXCLUDING LEGAL LIABILITY), PLUS 25% OF ACCOUNTS RECEIVABLE NET OF THE CONTRACTUAL ALLOWANCE IN THE 90 DAY BUCKET. WE RESERVE 50% OF LEGAL LIABILITY OVER 120 DAYS. PART VI, LINE 2: REPORTING GROUP APART 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.REPORTING GROUP BPART VI, LINE 2: NEEDS ASSESSMENT A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. INTEGRIS HEALTH SYSTEM WAS ONE OF THE FOUR NON-PROFIT HEALTH SYSTEMS THAT CONDUCTED THIS CHNA. INTEGRIS HEALTH SYSTEM INCLUDES THEIR JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS, AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY BY INTEGRIS HEALTH DURING THE FISCAL YEAR ENDED JUNE 30, 2022.THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDED OCOM, WAS APPROVED AND ADOPTED BY OCOM'S BOARD OF DIRECTORS ON JULY 25, 2022. ADDITIONALLY, THE RELATED IMPLEMENTATION STRATEGY, OCOM PREPARED, REFERRED TO AS THEIR COMMUNITY HEALTH IMPROVEMENT PLAN OR CHIP, WAS ALSO APPROVED AND ADOPTED BY THEIR BOARD ON JULY 25, 2022.AS DISCUSSED IN SCHEDULE H, SECTION B, PART V ABOVE, A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR HEALTHCARE PARTNERS INVESTMENTS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY BY INTEGRIS HEALTH DURING THE FISCAL YEAR ENDED JUNE 30, 2022. THE CHNA UTILIZES RELEVANT HEALTH DATA RECEIVED FROM THE HOSPITAL CHNA COLLABORATORS AND FROM OKLAHOMA COUNTY RESIDENTS OF ALL BACKGROUNDS, SOCIOECONOMIC STATUS, AND DEMOGRAPHICS TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA.INTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ISSUES WERE PRIORITIZED BASED ON CURRENT SYSTEMWIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO. FOCUS WAS ALSO GIVEN TO THE INTERCONNECTEDNESS OF SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY.THE FOLLOWING FOUR PRIORITIZED NEEDS WERE DETERMINED:- ACCESS TO EDUCATION- ACCESS TO MEANINGFUL EMPLOYMENT- ACCESS TO HEALTHY FOOD- ACCESS TO HEALTHCARETOBACCO *INTEGRIS HEALTH CHOSE TO FOCUS ON ALL OF THE IDENTIFIED PRIORITY ISSUES.* AS ALSO NOTED IN SCHEDULE H, SECTION B, PART V, WHILE TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA COUNTY IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE AND NICOTINE DEPENDENCY CONTINUES TO BEA WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS.EACH HOSPITAL THEN DEVELOPED AN INDIVIDUAL CHIP IN A SEPARATE DOCUMENT TO ADDRESS THE NEEDS IDENTIFIED, BASED ON THEIR INTERNAL PRIORITIES AND RESOURCES.THE IMPLEMENTATION PLAN FOR OCOM SPECIFICALLY ADDRESSES THE FOLLOWING PRIORITY ISSUES:- ACCESS TO HEALTHY FOOD- OBESITY- TOBACCOIN ORDER TO ADDRESS EACH PRIORITIZED NEED, HOSPITAL RESOURCES WERE ALLOCATED AND COMMUNITY PARTNERSHIPS WERE IDENTIFIED TO ASSIST. SPECIFIC PROGRAMS WERE IMPLEMENTED WITH SUPPORTING ACTIVITIES AND YEARLY TARGET GOALS.REPORTING GROUP CPART VI, LINE 2: NEEDS ASSESSMENTHPI COLLABORATED WITH INTEGRIS HEALTH IN A JOINT CHNA.HTTPS://COMMUNITYHOSPITALOKC.COM/APPLICATION/FILES/2916/2826/6047/CHNA2021.PDFHTTPS://NWSURGICALOKC.COM/APPLICATION/FILES/6016/2826/5929/CHNA2021.PDFHTTPS://WWW.INTEGRISCOMMUNITYHOSPITAL.COM/INT-ASSETS/UPLOADS/FORMS/INTEGRIS-HEALTH-JOINT-CHNA_2020-2021.PDF PART VI, LINE 3: REPORTING GROUP APART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCEINTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES:*POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS.*A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS.*A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ON-LINE CHARITY APPLICATION.*A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL.FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.REPORTING GROUP BPART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCEOCOM PATIENTS WERE INFORMED AND EDUCATED OVER THE PHONE OR IN PERSON PRIOR TO MEDICAL SERVICES BEING PROVIDED ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. IF A PATIENT DECIDED TO APPLY FOR FINANCIAL ASSISTANCE AFTER THE MEDICAL SERVICES WERE PROVIDED, PATIENTS WERE FURTHER EDUCATED OVER THE PHONE OR IN PERSON ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY APPLICATION INSRUCTIONS WERE ALSO MADE AVAILABLE ONLINE WITH THE ABILITY TO BE PRINTED DIRECTLY FROM THE OCOM WEBSITE, WITHOUT CHARGE. PATIENTS COULD ALSO REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY APPLICATION INSTRUCTIONS FROM OCOM'S WEBSITE OR BY MAIL BY CALLING THE OCOM BUSINESS OFFICE.REPORTING GROUP CPART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCE HPI FACILITY PATIENTS WERE INFORMED AND EDUCATED ONLINE, BY TELEPHONE, BY MAIL, ON POSTED SIGNS AND PAPER COPIES OR BROCHURES LOCATED IN ALL REGISTRATION AREAS THROUGHOUT THE FACILITIES, IN PERSON, AND IN BILLING STATEMENTS ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. REGISTRATION STAFF REFERS PATIENTS TO WEBSITE AND TO THE BILLING DEPARTMENT AS NEEDED OR REQUESTED. THEY PRINT OFF CHARITY APPLICATIONS AND ASSISTS PATIENTS IN COMPLETING. IF TRANSLATION IS NEEDED TO HELP COMPLETE FORMS A CALL IS MADE INTO THE LANGUAGE LINE FOR ASSISTANCE. IF FINANCIAL NEED IS DETERMINED WHEN PATIENT IS IN PERSON AT FACILITY, EXAMPLE LACK OF INSURANCE OR UNABLE TO PAY, PATIENT IS ASSISTED WITH APPLICATION AND/OR REFERRED TO BILLING TO ASSIST. SCHEDULING, FINANCIAL COUNSELOR, REGISTRATION, AND AUTHORIZATION DEPARTMENT, REFER PATIENTS IN NEED OF ASSISTANCE TO WEBSITE AND TO BILLING AS NEEDED. PART VI, LINE 4: REPORTING GROUP APART 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 AMBULATORY CARE CORPORATION (IACC) IS LOCATED IN OKLAHOMA CITY, WHICH IS IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA.REPORTING GROUP BPART VI, LINE 4: COMMUNITY INFORMATIONOCOM IS LOCATED IN OKLAHOMA CITY WITH AN HOPD LOCATION (OCOM NORTH) IN NORTHWEST OKLAHOMA CITY AND THREE FREESTANDING IMAGING FACILITIES TO SERVICE OKLAHOMA CITY, IN OKLAHOMA COUNTY, OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. THE ECONOMY SPECIALIZES IN OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. OKLAHOMA COUNTY'S POPULATION IS GROWING ACROSS ALL RACIAL AND ETHNIC GROUPS. THERE WAS A 5.9% INCREASE IN TOTAL POPULATION FROM 2014-2019. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434. AS OF 2019, THE MEDIAN AGE FOR OKLAHOMA COUNTY WAS 34.6 YEARS WHILE THE MEDIAN AGE FOR THE STATE OF OKLAHOMA WAS 34.1 YEARS. AS OF 2018, APPROXIMATELY 16.7% OF THE PEOPLE IN OKLAHOMA COUNTY LIVED BELOW THE POVERTY LEVEL AND WERE NOT ALWAYS ABLE TO MEET THEIR BASIC NEEDS LIKE AFFORDABLE HOUSING, HEALTH CARE, HEALTHY FOOD, TRANSPORTATION, AND SOCIAL SERVICES (2018). THE MEDIAN HOUSEHOLD INCOME FOR OKLAHOMA COUNTY WAS $52,855 COMPARED TO $51,424 FOR THE STATE OF OKLAHOMA AND $60,293 FOR THE NATIONAL AVERAGE (2021 WELLNESS SCORE FROM 2018). THE MAJORITY OF RESIDENTS IN OKLAHOMA COUNTY IDENTIFY AS WHITE (56%). THE NEXT LARGEST RACES/ETHNICITIES IN OKLAHOMA COUNTY ARE HISPANIC/LATINO (17.4%), BLACK OR AFRICAN AMERICAN (14.8%), AMERICAN INDIAN/ALASKAN NATIVE (6.7%), AND ASIAN/PACIFIC ISLANDER (4.7%) OR SOME OTHER RACE (4.1%).THE OVERALL MORTALITY RATES IN OKLAHOMA CITY COUNTY FROM 2016-2018 WAS 932.6 DEATHS PER 100,000 PEOPLE. THAT WAS GREATER THAN THE NATIONAL RATE OF 728.9 AND THE STATE RATE OF 894.7 DEATHS PER 100,000. MORTALITY RATES WERE HIGHEST AMONG AMERICAN INDIANS. NON-HISPANICS HAD A HIGHER MORTALITY RATE THAN HISPANICS. THE ZIP CODES WITH THE HIGHEST MORTALITY RATES WERE 73007, 73141, AND 73102. AMONG OKLAHOMA COUNTY RESIDENTS, 30% HELD A BACHELOR'S DEGREE OR HIGHER IN 2019. SINCE THE COVID-19 PANDEMIC, THE EMPLOYMENT SITUATION IN OKLAHOMA HAS IMPROVED. ON SEPTEMBER 30, 2019, THE UNEMPLOYMENT RATE FOR OKLAHOMA CITY WAS 2.6%. ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, OKLAHOMA RANKED FIRST FOR METROPOLITAN CITIES WITH A CENSUS POPULATION OF GREATER THAN ONE MILLION OR MORE.REPORTING GROUP CPART VI, LINE 4: COMMUNITY INFORMATIONOKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. (1) OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434. (1) THE COUNTY OCCUPIES 708 SQUARE MILES. AS OF 2010 CENSUS, THERE WERE 1,013 PERSONS PER SQUARE MILE. (1) OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONS THROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLIC TRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY. PART VI, LINE 5: REPORTING GROUP APART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHEVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS.IACC'S BOARD OF DIRECTORS IS APPOINTED BY INTEGRIS HEALTH, INC. INTEGRIS HEALTH, INC. IS GOVERNED BY A BOARD OF DIRECTORS SPECIFICALLY MADE UP OF MEN AND WOMEN WHO LIVE AND WORK IN THE COMMUNITY INCLUDING: LOCAL BUSINESS OWNERS, CIVIC LEADERS, COMMUNITY VOLUNTEERS, REPRESENTATIVES WORKING IN HIGHER EDUCATION, UTILITY COMPANIES, AND A VARIETY OF NON-PROFIT ORGANIZATIONS. PATIENT AND COMMUNITY ADVISORY GROUPS HAVE ALSO BEEN ESTABLISHED AT SEVERAL INTEGRIS FACILITIES ACROSS THE STATE. THESE GROUPS GIVE HOSPITAL LEADERS INPUT, SUGGESTIONS, AND FEEDBACK ON WAYS TO IMPROVE PROGRAMS, SERVICES, COMMUNITY NEEDS, AND PROCESS IMPROVEMENT IN CLINICAL AREAS.PROGRAMS ESTABLISHED TO MEET COMMUNITY NEEDS INCLUDE A FALLS PREVENTION PROGRAM FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES EDUCATIONS, AND STROKE LECTURES.ADVOCACY INITIATIVES FOR PROMOTING COMMUNITY-WIDE, STATE OR NATIONAL EFFORTS TO IMPROVE HEALTH OF THE POPULATION AND INCREASE ACCESS.INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA LIONS CLUB MOBILE HEALTH UNIT, THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE OKLAHOMA TURNING POINT PROGRAM TO INCREASE HEALTH SCREENING OPPORTUNITIES AND HEALTH ACCESS FOR PEOPLE LIVING IN RURAL, UNDERSERVED AREAS OF OKLAHOMA. THE PARTNERSHIP INCLUDES DONATION OF RESOURCES AND MONEY TO SPONSOR THE OPERATION OF THE LIONS MOBILE HEALTH UNIT WHICH TRAVELS AROUND THE STATE OFFERING FREE HEALTH SCREENINGS AND MEDICAL INFORMATION. THE OKLAHOMA STATE HEALTH DEPARTMENT AND THE OKLAHOMA TURNING POINT PROGRAM ASSIST WITH HEALTH SCREENINGS AND HELP WITH REFERRALS TO MEDICAL HOMES AND CLINICS FOR PEOPLE WITHOUT A PHYSICIAN AND FOR THOSE UNINSURED OR UNDERINSURED.INTEGRIS HEALTH HAS ESTABLISHED THE INTEGRIS HEALTH COMMUNITY GIVING FUND GRANT TARGETING THE THREE PRIORITIZED HEALTH AREAS. INTEGRIS HEALTH'S 2023-2025 COMMUNITY HEALTH PRIORITIES ARE ACCESS TO CARE (INCLUDING MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT), ACCESS TO HEALTHY FOOD, AND TOBACCO USE PREVENTION, THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING, AND TREATMENT STRATEGIES. EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS OR CREATE ACCESS TO COMPREHENSIVE MEDICAL CARE CONTINUE TO BE A PRIORITY OF THE COMMUNITY GIVING FUND. IN ORDER TO QUALIFY FOR GRANT FUNDING, THE PROGRAM OR SERVICE MUST ALIGN WITH ONE OR MORE OF FOLLOWING HEALTH PRIORITIES AND PROVIDE EVIDENCE-BASED DATA TO SUPPORT THE PROGRAM STRATEGIES (REPORTED QUARTERLY TO INTEGRIS HEALTH DURING THE GRANT YEAR):ACCESS TO CARE (INCLUDES MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT)- IMPROVE ACCESS TO MEDICAL CARE SERVICES, BEHAVIORAL HEALTH, OR SUBSTANCE USE TREATMENT. IMPROVE THE PREVENTION, DETECTION, TREATMENT AND/OR MANAGEMENT OF DEPRESSION, AND REDUCE THE SUICIDE RATES. ACCESS TO HEALTHY FOOD- IMPROVE ACCESS TO HEALTHY AND AFFORDABLE FOOD AND KNOWLEDGE OF HEALTHY FOOD AND LIFESTYLE CHOICES.TOBACCO USE- REDUCE VAPING, ELECTRONIC CIGS, TOBACCO USE AND SECONDHAND SMOKE EXPOSURE.INTEGRIS HEALTH PARTNERS WITH LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS HEALTH ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA.INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE HEALTH ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION.THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES AND REDUCING HEALTH CARE COSTS.INTEGRIS HEALTH COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS AND HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS HEALTH FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HEALTH HAS BEEN ABLE TO HELP SLOWLY IMPROVE THE ACCESS TO HEALTHCARE IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS.ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS.REPORTING GROUP BPART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHOCOM IS A MEMBER OF THE OHA, WHICH ADVOCATES FOR AFFORDABLE, HIGH-QUALITY CARE FOR THE STATE OF OKLAHOMA AND SUPPORTING RURAL HEALTH. OCOM CONTRACTS WITH RESEARCH INTERNATIONAL TO PERFORM IMAGING STUDIES FOR PATIENTS INVOLVED IN RESEARCH. OCOM PARTICIPATED IN THE HEALTHY OVER HUNGRY CEREAL DRIVE WHICH SUPPORTS THE REGIONAL FOOD BANK OF OKLAHOMA TO HELP SUPPORT OKLAHOMA'S MOST VULNERABLE AND HUNGRY. OCOM ALSO PARTICIPATED IN THE OKLAHOMA BLOOD INSTITUTE BLOOD DRIVE QUARTERLY DURING 2022. PART VI, LINE 6: REPORTING GROUP APART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES IACC IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990.REPORTING GROUP BPART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLESAS DESCRIBED ABOVE, OCOM WAS RESTRUCTURED EFFECTIVE NOVEMBER 1, 2018 WHEN A NEW JOINT VENTURE WAS FORMED BETWEEN INTEGRIS AND USP OK. WHEN THE NEW JOINT VENTURE WAS FORMED WITH INTEGRIS, OCOM BECAME SUBJECT TO THE 501(R) PROVISIONS.REPORTING GROUP CPART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMHPI IS A JOINT VENTURE FORMED BETWEEN INTEGRIS AND USP OK. WHEN THE NEW JOINT VENTURE WAS FORMED WITH INTEGRIS, HPI BECAME SUBJECT TO THE 501(R) PROVISIONS. PART VI, LINE 7, REPORTS FILED WITH STATES OK SCHEDULE H, PART VI INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IACC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED ABOVE.IACC DOES NOT HAVE A DIRECTLY OWNED HOSPITAL FACILITY, BUT OWNS A MINORITY INTEREST IN FOUR HOSPITAL FACILITIES, OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM), THROUGH ITS INVESTMENT IN SOUTHWEST AMBULATORY SURGERY CENTER, LLC, COMMUNITY HOSPITAL AND TPG HOSPITAL (D/B/A NW SURGICAL HOSPITAL (HPI FACILITIES), THROUGH ITS INVESTMENT IN HPI AND LAKESIDE WOMEN'S HOSPITAL, LLC (LWH). THE ACTIVITY REPORTED ON SCHEDULE H, PARTS I-III INCLUDES THE ACTIVITY OF OCOM, HPI FACILITIES & LWH AS WELL AS THE DIRECT ACTIVITY OF IACC AND IACC'S PROPORTIONATE SHARE OF THE ACTIVITY OF THE NON-HOSPITAL JOINT VENTURES LISTED ON SCHEDULE H, PART V, SECTION D. SCHEDULE H, PART VI REPORTING GROUP APART 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.REPORTING GROUP BPART I, LINE 7:OCOM'S TOTAL EXPENSE INCLUDED IN PART IX, LINE 25, COLUMN (A) OF FORM 990 WAS $261,891,489, WHICH WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART III, LINE 8 REPORTING GROUP ATHE AMOUNTS REPORTED ON PART III, LINES 5 AND 6 REPRESENT INTEGRIS AMBULATORY CARE CORPORATION'S (IACC) PROPORTIONATE SHARE OF THE ALLOWABLE COSTS AND MEDICARE REIMBURSMENTS THAT ARE REPORTED ON OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY'S (OCOM) MEDICARE COST REPORT & LAKESIDE WOMEN'S HOSPITAL LLC (LWH) MEDICARE COST REPORT.COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.REPORTING GROUP BTHE COST TO CHARGE METHODOLOGY WAS USED IN ORDER TO CALCULATE THE MEDICARE ALLOWABLE COSTS RELATED TO PAYMENTS RECEIVED FROM MEDICARE. ANY RESULTING SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B REPORTING GROUP APATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES.ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED.IACC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT REPORTING GROUP BOCOM WAS NOT REQUIRED TO FILE, AND DID NOT FILE, A COMMUNITY BENEFIT REPORT WITH THE STATE OF OKLAHOMA FOR THE FISCAL YEAR ENDED JUNE 30, 2022.501(R) ERRORS AND CORRECTIONSIN MARCH 2022, OCOM'S CONTROLLER AND BUSINESS MANAGER REVIEWED ITS FINANCIAL ASSISTANCE POLICY (FAP) IN CONSULTATION WITH ITS PROFESSIONAL TAX ADVISORS AND FOUND SEVERAL PARTS OF ITS FAP THAT WERE NOT FULLY COMPLIANT WITH SECTION 501(R)(4) OF THE INTERNAL REVENUE CODE. THESE ERRORS REFLECTED A MISUNDERSTANDING OF FINAL 501(R) REGULATIONS BY THOSE OCOM STAFF MEMBERS WHO DEVELOPED THE FAP. OCOM PROMPTLY WORKED WITH ITS PROFESSIONAL TAX ADVISORS TO REVISE THESE PARTS OF THE FAP TO BRING THEM INTO FULL COMPLIANCE WITH SECTION 501(R). OCOM MADE THESE REVISIONS TO THE FAP IN CONSULTATION WITH ITS PROFESSIONAL TAX ADVISORS IN APRIL 2022, ITS GOVERNING BODY APPROVED THE AMENDED FAP ON AND IT POSTED THE AMENDED FAP ON ITS WEB SITE ON APRIL 6, 2022. THESE FAP REVISIONS WERE COMPRISED OF:1. REVISING THE PARAGRAPH REGARDING AMOUNTS GENERALLY BILLED (AGB) TO PROVIDE GREATER SPECIFICITY REGARDING HOW THAT PERCENTAGE IS DETERMINED AND APPLIED AND INCLUDING A LINK TO THE PUBLICLY ACCESSIBLE WEB SITE URL THAT CONTAINS THE SPECIFIC AGB PERCENTAGE. THE REVISED PARAGRAPH NOW READS AS FOLLOWS:THE AMOUNTS BILLED FOR MEDICALLY NECESSARY AND GENERALLY AVAILABLE MEDICAL SERVICES TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE COVERING SUCH CARE. IN ADDITION, AMOUNTS CHARGED FOR MEDICALLY NECESSARY AND GENERALLY AVAILABLE MEDICAL SERVICES TO UNINSURED PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE MORE THAN THE AGB. OCOM DETERMINES AGB BASED ON ALL CLAIMS PAID IN FULL TO OCOM BY MEDICARE AND PRIVATE HEALTH INSURERS (INCLUDING PAYMENTS BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS THEMSELVES), OVER A 12-MONTH PERIOD, DIVIDED BY THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS (LOOK-BACK METHOD). THE CURRENT AGB PERCENTAGE CAN BE FOUND AT HTTPS://OCOMHOSPITAL.COM/FINANCE-OPTIONS/. IN THE EVENT A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE HAS PAID MORE THAN THE AGB FOR A MEDICALLY NECESSARY AND GENERALLY AVAILABLE MEDICAL SERVICE, OCOM WILL REFUND THE PATIENT THE AMOUNT OVER THE AGB CALCULATED AMOUNT.OCOM HAS CHANGED ITS PROCEDURES TO PROVIDE THAT IT WILL POST THE UPDATED AGB PERCENTAGE EVERY 12 MONTHS, AFTER IT IS RE-CALCULATED BASED ON CLAIMS ALLOWED DURING THOSE 12 MONTHS. AS SUCH, THE NEXT UPDATE WILL BE DONE IN MAY OF 2023.2. REVISING APPENDIX A OF THE FAP-"PROVIDER LIST" TO SPECIFY WHICH OF THE NON-EMPLOYED PROVIDERS OF MEDICALLY NECESSARY AND GENERALLY AVAILABLE CARE ARE COVERED BY THE FAP, AND WHICH ARE NOT COVERED BY THE FAP. OCOM HAS CHANGED ITS PROCEDURES TO PROVIDE THAT IT WILL UPDATE THIS PROVIDER LIST AT LEAST ONCE EVERY THREE MONTHS TO REFLECT ANY CHANGES IN THE NON-EMPLOYED PROVIDERS COVERED AND NOT COVERED BY THE FAP. OCOM RECENTLY DISCOVERED THAT ITS LIST OF NON-EMPLOYED PROVIDERS OF MEDICALLY NECESSARY CARE IN ITS HOSPITAL FACILITY ("PROVIDER LIST"), WHICH IT MAINTAINS ON ITS WEB SITE, HAD NOT BEEN UPDATED SINCE APRIL 2022 DUE TO CHANGES THAT OCCURRED WITHIN THE ORGANIZATION'S LEADERSHIP. THIS ERROR WAS DISCOVERED BY OCOM'S CONTROLLER ON 04/13/2023 AND OCOM THEN UPDATED AND POSTED THIS LIST ON ITS WEB SITE ON 04/21/2023. OCOM HAS ESTABLISHED A PROCESS FOR THE CONTROLLER TO REVIEW AND UPDATE ITS PROVIDER LIST, AS APPLICABLE, AT LEAST QUARTERLY GOING FORWARD.3. REVISING THE PARAGRAPH REGARDING MEDICAL CARE DISCOUNTS AVAILABLE TO PATIENTS BASED ON THEIR INCOME LEVEL TO MORE SPECIFICALLY AND CLEARLY INDICATE THE ELIGIBILITY CRITERIA A PATIENT MUST MEET TO QUALIFY FOR EACH DISCOUNT; IN PARTICULAR, THE ANNUAL INCOME LEVEL (USING FEDERAL POVERTY GUIDELINES ("FPG") A PATIENT MUST FALL BELOW TO QUALIFY FOR EACH TYPE OF DISCOUNT. OCOM ADDED A CHART TO SHOW HOW EACH SPECIFIC PERCENTAGE DISCOUNT CORRESPONDS TO A FAP ELIGIBLE PATIENT'S ANNUAL FPG INCOME LEVEL. OCOM HAS CHANGED ITS PROCEDURES TO PROVIDE THAT IT WILL UPDATE THIS SECTION OF THE FAP TO REFLECT ANY CHANGES IN EITHER THE DISCOUNTS OR ELIGIBLE CRITERIA FOR THOSE DISCOUNTS THAT OCOM MAY MAKE.OCOM IS NOT AWARE OF ANY INDIVIDUALS WHO HAVE BEEN ADVERSELY AFFECTED BY THESE 501(R)- RELATED ERRORS IN ITS FAP, AND ACCORDINGLY HAS NOT TAKEN ANY ACTIONS TO RESTORE INDIVIDUALS TO THE POSITION THEY WOULD HAVE BEEN IN HAD THESE ERRORS NOT OCCURRED.4. INTEGRIS HEALTH SYSTEM, WHICH INCLUDES OCOM COMPLETED ITS PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), DURING ITS FISCAL YEAR 2021. OCOM'S BOARD APPROVED THE CHNA ON APRIL 29, 2021, AND POSTED ITS CHNA REPORT ONLINE ON THAT DATE. SUBSEQUENTLY, INTEGRIS HEALTH AND OCOM CONDUCTED ANOTHER CHNA WHICH IT COMPLETED, UPON APPROVAL BY THE INTEGRIS BOARD, ON JULY 25, 2022. OCOM COMPLETED ITS IMPLEMENTATION STRATEGY FOR THIS CHNA-TITLED "COMMUNITY HEALTH IMPROVEMENT PLAN" (CHIP) AND POSTED THAT CHIP ONLINE ON JULY 25, 2022. OCOM SUBSEQUENTLY REALIZED THAT IT HAD NOT POSTED ITS 2022 CHNA REPORT ONLINE, THEN PROMPTLY POSTED THIS REPORT ONLINE ON MAY 3, 2023.REPORTING GROUP C:HPI WAS NOT REQUIRED TO FILE, AND DID NOT FILE, A COMMUNITY BENEFIT REPORT WITH THE STATE OF OKLAHOMA FOR THE FISCAL YEAR ENDED JUNE 30, 2022. 0 1 0 0 0 0 0 1 0 TIMOTHY PEHRSON DIRECTOR & PRESIDENT/CEO 0 1150996 0 659360 0 131860 0 280336 0 17939 0 2240491 0 114191 JEREMY T PHELPS PHYSICIAN 851538 0 862005 0 4315 0 19225 0 0 0 1737083 0 0 0 SCOTT SHADFAR PHYSICIAN 996976 0 496564 0 1433 0 19225 0 0 0 1514198 0 0 0 HANI BARADI PHYSICIAN 1146055 0 292245 0 3062 0 19225 0 0 0 1460587 0 0 0 MUZAFFAR HUSSAIN PHYSICIAN 690999 0 448560 0 6686 0 24125 0 0 0 1170370 0 0 0 CHRISTOPHER LENTZ PHYSICIAN 677869 0 435727 0 4624 0 18500 0 0 0 1136720 0 0 0 DOUGLAS M SMITH TREASURER & CFO 0 553425 0 230406 0 13051 0 123939 0 17340 0 938161 0 0 JEFFREY CRUZAN PRESIDENT PHYSICIAN ENTERPRISE 555023 0 128224 0 16516 0 95722 0 0 0 795485 0 0 0 SUNNIE GLOVER VP PHYSICIAN ENTERPRISE 349723 0 177700 0 11564 0 59400 0 0 0 598387 0 0 0 KATHERINE ANN MANSALIS VP & CHIEF MEDICAL OFFICER 267630 0 91887 0 1246 0 11201 0 0 0 371964 0 0 0 PART I, LINE 3 INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, IACC RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS OFFICERS. INTEGRIS UTILIZES A COMPENSATION COMMITEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION. PART I, LINE 4B THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT IN THE CURRENT REPORTING YEAR. DOUGLAS M. SMITH SUNNIE GLOVER JEFFERY CRUZAN KATHERINE ANNE MANSALIS THE FOLLOWING INDIVIDUAL LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED A PAYMENT IN THE CURRENT REPORTING YEAR: TIMOTHY PEHRSON - $114,191 PART I, LINE 7 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS) INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. IN THE SECOND PLAN, CERTAIN EMPLOYED PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION PURSUANT TO THEIR WRITTEN EMPLOYMENT AGREEMENTS. ALL INCENTIVE COMPENSATION IS SUBJECT TO A CAP AND DOES NOT EXCEED 50% OF THE PHYSICIAN'S TOTAL COMPENSATION. THERE ARE A VARIETY OF METHODS USED TO CALCULATE INCENTIVE COMPENSATION BASED ON THE PHYSICIAN'S PERSONAL PRODUCTION, RANGING FROM (I) A SPECIFIED PERCENTAGE OF NET INCOME LESS EXPENSES; (II) A SPECIFIED PERCENTAGE OF TOTAL COLLECTIONS LESS EXPENSES; (III) A SPECIFIED PERCENTAGE OF BASE SALARY BASED COMPLIANCE WITH CERTAIN QUALITY, PATIENT SATISFACTION, PRODUCTION AND FINANCIAL INDICATORS; (IV) A SPECIFIED PERCENTAGE OF BASE SALARY BASED ON COMPLIANCE WITH QUALITY, GUIDING VALUES, PATIENT SATISFACTION AND PRODUCTION CRITERIA; (V) A SPECIFIED PERCENTAGE OF FEE-BASED COLLECTIONS AND CAPITATION COLLECTIONS, IF APPLICABLE, IN EXCESS OF QUARTERLY SALARY; (VI) QUARTERLY BONUSES MEASURED BY RVUS THAT EXCEED A SPECIFIED TARGET PER QUARTER; AND (VII) PRO RATA SHARE OF ANNUAL INCENTIVE POOLS BASED ON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA. FORM 990, BOX C: DOING BUSINESS AS CHEST PAIN EMERGENCY CENTER PROHEALTH LABORATORY MEDICAL PLAZA IMAGING CENTER MERIDIAN OCCUPATIONAL HEALTH CENTER MERIDIAN PRIORITY OCCUPATIONAL HEALTH CENTER FAMILY PHYSICIANS OF OKLAHOMA CITY INTEGRIS HOMECARE PLUS SAMARITAN HOME INFUSION SAMARITAN HEALTH SERVICES INTEGRIS FAMILY CARE CENTER SOUTH PENN FAMILY MEDICINE CENTER SOUTH PENN FAMILY MEDICINE CLINIC INTEGRIS AMBULATORY CARE REHABILITATION SERVICES INTEGRIS FAMILY CARE CENTRAL BAPTIST COMMUNITY CLINIC INNER EAR RESEARCH TEAM INTEGRIS EXPRESS CARE INTEGRIS MEDICAL GROUP INTEGRIS JIM THORPE REHABILITATION INTEGRIS ADVANCED CARDIAC CARE INTEGRIS JIM THORPE OUTPATIENT REHABILITATION HEFNER POINTE INTEGRIS JIM THORPE REHABILITATION ENID INTEGRIS OCCUPATIONAL MEDICINE ENID INTEGRIS JIM THORPE REHABILITATION HOBBY LOBBY INTEGRIS MEDICAL GROUP OCCUPATIONAL MEDICINE INTEGRIS JIM THORPE REHABILITATION EARLYWINE PARK YMCA INTEGRIS JIM THORPE REHABILITATION MITCH PARK YMCA INTEGRIS MOBILE WELLNESS CLINIC INTEGRIS HEALTH URGENT CARE INTEGRIS JIM THORPE REHABILITATION BETHANY YMCA PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2021 A MESSAGE FROM OUR PRESIDENT AND CEO: INTEGRIS HEALTH IS OKLAHOMA'S LARGEST NOT-FOR-PROFIT HEALTH SYSTEM AND HAS SERVED OKLAHOMA COMMUNITIES FOR MORE THAN 100 YEARS. OUR MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS, INTEGRIS HEALTH PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS TO IMPROVE ACCESS TO HEALTH CARE. SOME EXAMPLES OF THIS INCLUDE FUNDING FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, HEALTH SUPPORT GROUPS, MENTORING PROGRAMS FOR AT-RISK YOUTH, CLEAN UP AFTER NATURAL DISASTERS, ASSISTANCE FOR THE ELDERLY AND SERVING AS A LEADER DURING A PANDEMIC. THIS REPORT HIGHLIGHTS IN GREATER DETAIL A FEW WAYS INTEGRIS HEALTH POSITIVELY IMPACTED OUR COMMUNITIES LAST YEAR. WE ARE GRATEFUL AND HUMBLED TO BE OKLAHOMANS' MOST TRUSTED PARTNER FOR HEALTH. WARMLY, TIMOTHY PEHRSON PRESIDENT AND CEO MISSION: PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES VISION: THE MOST TRUSTED PARTNER FOR HEALTH VALUES: ICARE-INTEGRITY. COMPASSION. ACCOUNTABILITY. RESPECT. EXCELLENCE. INTEGRIS HEALTH COMMUNITY GIVING FUND INTEGRIS HEALTH HAS LONG BEEN A LEADER IN COMMUNITY HEALTH OUTREACH. MANY ARE NOT AWARE OF THE COMMUNITY BENEFIT ASPECT OF OUR ORGANIZATION'S WORK. THIS GRANT INITIATIVE IS A GREAT OPPORTUNITY TO TELL THE STORY TO OUR INTERNAL AND EXTERNAL COMMUNITIES. INTEGRIS HEALTH HAS ESTABLISHED PRIORITIES FOR IMPROVING COMMUNITY HEALTH FOR 2020 THROUGH 2022. INTEGRIS HEALTH'S 2020-2022 COMMUNITY HEALTH PRIORITY IS TO ADDRESS OBESITY, MENTAL HEALTH, ACCESS TO CARE, FOOD INSECURITY AND TOBACCO THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING AND TREATMENT STRATEGIES. THE GRANTS ALLOW US TO PARTNER WITH OTHER ORGANIZATIONS, HELPING PEOPLE LIVE HEALTHIER LIVES AND MAXIMIZING THE IMPACT OF OUR COMMUNITY BENEFIT DOLLARS TO IMPROVE HEALTH OUTCOMES. FOR MORE INFORMATION CONTACT TOBI.CAMPBELL@INTEGRISOK.COM. VARIETY CARE NAME OF PROJECT: VARIETY CARE MAMMOGRAPHY PLAN IN PARTNERSHIP WITH THE URBAN LEAGUE PROJECT DESCRIPTION: VARIETY CARE AND THE URBAN LEAGUE WORK TOGETHER TO PROVIDE A PROGRAM OF OUTREACH, CLIENT NAVIGATION, CASE MANAGEMENT AND COUNSELING TARGETING AFRICAN AMERICAN WOMEN TO INCREASE ACCESS TO MAMMOGRAMS. PROGRESS: AS OF SEPTEMBER 2021, THE URBAN LEAGUE REFERRED 29 AFRICAN AMERICAN WOMEN TO VARIETY CARE FOR THEIR INITIAL HEALTH VISIT, WITH 16 OF THE 29 COMPLETING THEIR VISIT. FOURTEEN REFERRED BY THE URBAN LEAGUE ARE IN THE PROCESS OF OBTAINING AN APPOINTMENT. THE URBAN LEAGUE CONTINUES TO PROVIDE ENROLLMENT, CASE MANAGEMENT, PROMOTIONS AND FOLLOW-UP ACTIVITIES WITH CLIENTS. IN OCTOBER, THE URBAN LEAGUE HOSTED A "DAY OF PINK" BRUNCH EVENT FOR LOW-INCOME, UNINSURED AND UNDERINSURED AFRICAN AMERICAN WOMEN TO PROMOTE BREAST CANCER AWARENESS AND ASSIST CLIENTS TO REGISTER FOR THEIR VARIETY CARE OFFICE VISIT AND INTEGRIS HEALTH MAMMOGRAM. THE DAY OF PINK EVENT PROVIDED RESOURCES, SUPPORT AND INFORMATION FOR AFRICAN AMERICAN WOMEN WHO HAVE LOST LOVED ONES, ARE WORRIED ABOUT DEVELOPING BREAST CANCER OR NEED ANSWERS TO QUESTIONS ABOUT PREVENTING AND RECOGNIZING SYMPTOMS OF BREAST CANCER. IN ADDITION TO WOMEN IDENTIFIED BY THE URBAN LEAGUE, VARIETY CARE CARE MANAGEMENT STAFF LINK PATIENTS WITH RESOURCES FOR MAMMOGRAMS AND PERFORM IN-REACH WITH STAFF AND PATIENTS. BETWEEN JANUARY 1 AND SEPTEMBER 15, 2021, 3,165 WOMEN WERE REFERRED FOR MAMMOGRAMS, 279 (8.8%) OF WHICH WERE AFRICAN AMERICAN/BLACK, AN INCREASE FROM 7.9% AT THE SIX-MONTH MARK. UNINSURED WOMEN COMPRISED 1,382 (43.7%) OF THOSE REFERRED FOR MAMMOGRAMS. VARIETY CARE NAME OF PROJECT: MENTAL HEALTH AWARENESS AND REFERRAL TO TREATMENT PROJECT DESCRIPTION: VARIETY CARE MEDICAL ASSISTANTS SCREEN PATIENTS AGE 12 AND OLDER FOR DEPRESSION. IF THE SCREEN IS POSITIVE, THE MEDICAL PROVIDER WILL MAKE AN IN-HOUSE REFERRAL TO A BEHAVIORAL HEALTH PROVIDER. PROGRESS: IN THE FIRST NINE MONTHS OF THE GRANT YEAR, MEDICAL TEAMS SCREENED 22,609 (60.2%) OUT OF 37,574 MEDICAL PATIENTS FOR DEPRESSION AND DEVELOPED A TREATMENT PLAN FOR THOSE WITH A POSITIVE SCREEN. OF THOSE, 7,192 (31.8%) WERE UNINSURED. WE HAVE SEEN AN INCREASE IN THE NEED FOR BEHAVIORAL HEALTH DURING THE PANDEMIC. SOME THERAPISTS ARE SCHEDULED OUT FOUR TO FIVE WEEKS, WITH PSYCHIATRISTS BOOKED OUT ABOUT THREE WEEKS. IN ADDITION TO AN INCREASE IN THE NEED FOR TREATMENT OF DEPRESSION AND ANXIETY, WE SEE A CONTINUING NEED FOR MEDICATION ASSISTED TREATMENT. TELEHEALTH REMAINS AN ESSENTIAL METHOD OF SERVICE DELIVERY IN RESPONSE TO THE PANDEMIC. VARIETY CARE NAME OF PROJECT: OBESITY PREVENTION, REFERRAL TO TREATMENT AND HEALTHY FOOD ACCESS PROJECT DESCRIPTION: VARIETY CARE DIETITIANS AND BEHAVIORAL HEALTH STAFF WORK WITH OVERWEIGHT PATIENTS WITH DIABETES OR HYPERTENSION TO ATTAIN A HEALTHY WEIGHT. PROGRESS: IN THE FIRST NINE MONTHS OF THE GRANT YEAR, VARIETY CARE MEDICAL TEAMS DOCUMENTED BMI FOR 14,646 OUT OF 20,153 CHILDREN (72.7%) AND 14,689 OUT OF 31,232 ADULTS (47.0%), PROVIDING COUNSELING TO THOSE WHOSE WEIGHT WAS OUTSIDE NORMAL PARAMETERS. OF THE 14,646 CHILDREN WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 395 (2.0%) MADE SUSTAINED PROGRESS TOWARD IDEAL WEIGHT. OF THE 14,689 ADULTS WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 13,224 (90.0%) MADE PROGRESS TOWARD THEIR IDEAL WEIGHT. OF THOSE WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 8.3% OF CHILDREN AND 19.6% OF ADULTS WERE UNINSURED. HEALTHY FOODS ARE AN ESSENTIAL PART OF A DAILY DIET. OBTAINING FRESH FRUITS AND VEGETABLES IS ESPECIALLY DIFFICULT FOR LOW-INCOME PATIENTS. VARIETY CARE REGISTERED DIETITIANS DISTRIBUTED 41 $50 GIFT CARDS TO LOW-INCOME PATIENTS WITH HYPERTENSION AND/OR PREDIABETES OR DIABETES TO REMOVE A BARRIER TO THEIR ABILITY TO CHOOSE FRESH FRUITS AND VEGETABLES. THIRTEEN OF THE PATIENTS THAT RECEIVED GIFT CARDS FOR HEALTHY FOOD WERE UNDER AGE 18. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED YMCA OF GREATER OKLAHOMA CITY NAME OF PROJECT: EXERCISE IS MEDICINE PROJECT DESCRIPTION: THE EXERCISE IS MEDICINE PROGRAM INCORPORATES CARDIOVASCULAR, FLEXIBILITY, STRENGTH TRAINING AND MIND BODY EXERCISES, AWARENESS OF NUTRITIONAL IMPACT ON HEALTH, APPLICATION OF SUSTAINED HEALTHY HABITS, AND BEHAVIORAL AND ENVIRONMENTAL SUPPORT TO ELICIT LONG-TERM SUCCESS. PARTICIPANTS ARE REFERRED BY HEALTH CARE PROVIDERS. INSTRUCTION IS OVERSEEN BY A TEAM OF EXERCISE IS MEDICINE TRAINERS FOR 12 WEEKS, TWICE PER WEEK FOR A TOTAL OF 24 ONE-HOUR SESSIONS. THIS PROGRAM IS FACILITATED IN A SMALL GROUP SETTING WITH A RATIO OF 1:8 FOR OPTIMAL INSTRUCTION. PROGRESS: THE FIRST COHORT HAS FINALIZED THEIR PROGRAMMING AND ASSESSMENTS. WE ARE IN THE PROCESS OF RECRUITING FOR THE NEXT COHORT OF APPROXIMATELY 40 PARTICIPANTS THROUGH A PARTNERSHIP WITH LYNN INSTITUTE. THE NEXT QUARTER WILL BE THE LARGEST FOR PARTICIPATION AND EXPENDITURES. YWCA ENID NAME OF PROJECT: YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) AND COUNSELING PROGRAMS. PROJECT DESCRIPTION: YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM OFFERS FREE FORENSIC EXAMS TO ADULT VICTIMS OF SEXUAL ASSAULT. THE SPECIALLY TRAINED SANE NURSE PROVIDES AN EXAM AND PROTOCOL MEDICATIONS TO VICTIMS IN A COMFORTABLE AND CONFIDENTIAL MEDICAL ROOM ON-SITE AT THE YWCA. REQUESTS ARE RECEIVED FROM INDIVIDUALS FOR EXAMS, OR REFERRALS FROM LAW ENFORCEMENT. AFTER THE EXAM IS COMPLETE AND EVIDENCE IS TURNED OVER TO LAW ENFORCEMENT, THE SANE NURSE WILL THEN FOLLOW UP WITH THE VICTIM TWO WEEKS AFTER THE EXAM TO PROVIDE NEEDED RESOURCES AND ADDITIONAL MEDICAL ASSISTANCE. SEXUAL ASSAULT RESPONSE ADVOCATES (SARAS) ARE SPECIALLY TRAINED RECRUITED VOLUNTEERS PROVIDING EMOTIONAL SUPPORT AND RESOURCES TO VICTIMS AT THE TIME OF THE EXAM AND IN THE WEEKS FOLLOWING. THE STAFF COURT ADVOCATE IS ALSO AVAILABLE TO ACCOMPANY THE VICTIMS IN THE INSTANCE OF PROSECUTION. THE SANE NURSE REGULARLY TESTIFIES IN COURT TO AID IN THIS PROSECUTION. WITHOUT YWCA'S SANE PROGRAM, VICTIMS WOULD TRAVEL TO WOODWARD, STILLWATER OR PONCA CITY FOR AN EXAM IN THE MIDST OF THEIR TRAUMATIC INCIDENT. YWCA ENID'S COUNSELING PROGRAM OFFERS FREE INDIVIDUAL AND GROUP COUNSELING TO VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING, AS WELL AS THE COMMUNITY AT LARGE. REQUESTS COME FROM INDIVIDUALS FOR SERVICES, AND OCCASIONALLY OKDHS ARE RECEIVED WITH THIS PROGRAM. THE LICENSED PROFESSIONAL COUNSELOR WILL MEET WITH THOSE INDIVIDUALLY OR IN A GROUP SETTING TO FACILITATE AN UNDERSTANDING OF TRAUMA, NORMALIZE THEIR EXPERIENCE AND PROVIDE SUPPORT AND HEALTHY COPING SKILLS. OTHER SKILLS FOSTERED ARE APPROPRIATE PARENTING SKILLS AND TECHNIQUES TO MANAGE ANXIETY, DEPRESSION AND PTSD. PROGRESS: THE SANE NURSE PROVIDED ONE DOMESTIC VIOLENCE AND THREE SEXUAL ASSAULT EXAMS IN JULY 2021, TWO SEXUAL ASSAULT EXAMS IN AUGUST 2021, AND ONE SEXUAL ASSAULT EXAM IN SEPTEMBER. IN TOTAL, THE SANE NURSE PERFORMED SEVEN EXAMS THIS QUARTER. 100% OF INDIVIDUALS REQUESTING A SANE/DVNE EXAM WERE PROVIDED WITH ONE. 100% OF CLIENTS SERVED BY THE YWCA CRISIS CENTER SHELTER WERE ALSO OFFERED A SANE/DVNE EXAM. YWCA'S SANE NURSE ALSO FACILITATED 81 HOURS OF ADVOCACY SERVICES FOR THESE VICTIMS AND SUPPLIED FOUR LAW ENFORCEMENT DEPARTMENTS WITH FORENSIC EVIDENCE FOR PROSECUTION. ADDITIONALLY, THE SANE NURSE PROVIDED ONE TRAINING TO LAW ENFORCEMENT THIS QUARTER. YWCA HOSTED A SEXUAL ASSAULT RESPONSE ADVOCATE (SARA) OPEN HOUSE IN OCTOBER DURING DOMESTIC VIOLENCE AWARENESS MONTH TO RECRUIT MORE VOLUNTEERS TO ASSIST WITH THE SANE PROGRAM. YWCA ENID'S COUNSELING PROGRAM HAS BEEN EXTREMELY BUSY THIS QUARTER. IN FACT, AFTER REVIEWING METRICS FROM LAST FISCAL YEAR, COUNSELING SERVICES HAVE INCREASED BY 70% SINCE THE ONSET OF THE COVID-19 PANDEMIC. DURING THIS QUARTER (JULY- SEPTEMBER 2021), THE LICENSED PROFESSIONAL COUNSELOR PROVIDED 144 HOURS OF COUNSELING TO 70 CLIENTS. NINE OF THESE CLIENTS WERE NEW ADMISSIONS, AND 85% WERE NON-RESIDENTIAL COMMUNITY MEMBERS. 100% OF VICTIMS REQUESTING SERVICES IN ANY CAPACITY WERE OFFERED COUNSELING AT NO CHARGE. 92% OF CLIENTS SERVED ACQUIRED HEALTHY COPING SKILLS AND DEMONSTRATED IMPROVEMENT IN THEIR QUALITY OF LIFE. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED NORTH ENID LIONS CLUB NAME OF PROJECT: EYEGLASSES FOR NEEDY RESIDENTS PROJECT DESCRIPTION: AS A CIVIC CLUB, THE GOAL IS TO PROVIDE SERVICE PROJECTS. THE PROJECT WE ARE WORKING ON IS TO PROVIDE EYE EXAMS AND GLASSES TO NEEDY INDIVIDUALS. PROGRESS: THE NORTH ENID LIONS CLUB HAS SPENT A TOTAL OF $1,115 ON EYEGLASSES FROM MAY THROUGH SEPTEMBER 2021. COMMUNITY DEVELOPMENT SUPPORT ASSOCIATION, INC. (CDSA) NAME OF PROJECT: EMERGENCY MEDICATION AND SHORT-TERM MEDICATION AND MEDICAL SUPPLIES SUPPORT PROJECT DESCRIPTION: PROGRAM SUPPORT TO ADDRESS THE LONG-STANDING NEED FOR EMERGENCY MEDICATIONS AND SHORT-TERM MEDICATION SUPPORT WHILE ACCESSING OTHER ASSISTANCE AND EMERGENCY MEDICAL SUPPLY NEEDS, INCLUDING THE NEED FOR ADULT INCONTINENCE SUPPLIES. PROGRESS: 1. PURCHASED INCONTINENCE SUPPLIES. 2. BEGAN MARKETING AVAILABILITY OF SUPPLIES. 3. DISTRIBUTED INCONTINENCE SUPPLIES TO FOUR INDIVIDUALS IN THE FIRST QUARTER AND SEVEN IN THE SECOND QUARTER DURING 2021. 4. DEVELOPED PARTNERSHIP WITH FAMILY PHARMACY FOR DISCOUNTED MEDICATION/SUPPLIES PRICING. 5. DISTRIBUTED TEST STRIPS AND TESTING MACHINE TO ONE DIABETIC PATIENT. 6. MARKETED SERVICES TO ENID COMMUNITY CLINIC, LOAVES AND FISHES, OUR DAILY BREAD, MEADOWS POINT APARTMENTS, AREA AGENCY ON AGING, ENID SENIOR CENTER AND TO RSVP TO DISTRIBUTE MATERIALS TO RECIPIENTS OF ENID MOBILE MEALS. 7. PROVIDED FIRST AID SUPPLIES (BANDAGES, ANTIBIOTIC OINTMENT, CLEANSING PADS, HOT/COLD PACKS AND TYLENOL FOR OUTREACH TO ENID SOS FOR HOMELESS OUTREACH. 8. ASSISTED 13 CLIENTS WITH MEDICATIONS CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OKLAHOMA CITY (CCAOKC) NAME OF PROJECT: COUNSELING SERVICES AND FAMILY SUPPORT SERVICES PROJECT DESCRIPTION: CATHOLIC CHARITIES OFFERS COUNSELING SERVICES THROUGH THEIR REGIONAL OFFICE. LICENSED PROFESSIONAL COUNSELORS OFFER AFFORDABLE OUTPATIENT COUNSELING FOR INDIVIDUALS, FAMILIES AND CHILDREN TO ADDRESS LIFE'S STRESSES AND PROBLEMS HINDERING THEIR DAILY FUNCTIONING. COUNSELORS PROVIDE A MENTAL HEALTH CONTINUUM OF CARE THAT INCLUDES SUPPORT, PREVENTION, INTERVENTION AND TREATMENT. THE SKILLED AND CARING STAFF ARE GUIDED BY EVIDENCE-BASED STRATEGIES AND WORK COLLABORATIVELY WITH THE CLIENT TO DEVELOP CARE PLANS THAT ARE INDIVIDUALIZED. ALSO OFFERED THROUGH THIS REGIONAL OFFICE IS THE FAMILY SUPPORT SERVICES PROGRAM, WHICH HAS TWO KEY COMPONENTS (EMERGENCY RENT AND UTILITY ASSISTANCE, AND FAMILY HOPE) THAT ADDRESS IMMEDIATE CLIENT NEEDS AND FACILITATE A PATH TO A STABLE AND ECONOMICALLY INDEPENDENT FUTURE. THROUGH THE EMERGENCY RENT AND UTILITY ASSISTANCE PROGRAM CLIENTS FACING A FINANCIAL CRISIS ARE ASSISTED WITH A PORTION OF THEIR PAST DUE RENT AND/OR UTILITY PAYMENT. THE PROGRAM OBJECTIVES ARE TO PREVENT HOMELESSNESS AND UNSAFE LIVING CONDITIONS BY HELPING CLIENTS AVOID EVICTION DUE TO OVERDUE RENT OR UTILITY SHUT-OFFS, WHICH IS GROUNDS FOR EVICTION IN OKLAHOMA. THE FAMILY HOPE (HELP, ORGANIZE, PRIORITIZE AND EMPOWER) PROGRAM PROMOTES INDEPENDENCE AND EQUIPS CLIENTS WITH THE SKILLS TO OVERCOME OBSTACLES AND GAIN ECONOMIC STABILITY. CASE MANAGERS WORK WITH CLIENTS TO CREATE ACTION-ORIENTED, GOAL- CENTERED SERVICE PLANS. SERVICE PLANS FOCUS ON UNMET NEEDS (E.G., FINANCIAL MANAGEMENT, EDUCATION, HEALTH AND WELLNESS, EMPLOYMENT, HOUSING AND MENTAL HEALTH) AND STEPS FOR GOAL COMPLETION. PROGRESS: COUNSELING SERVICES PROGRAM BENCHMARK PERCENTAGES HAVE BEEN MET, ADDING FIVE FAMILIES TO OUR COUNSELING PROGRAM, THUS IMPACTING THE LIVES OF 19 MORE PEOPLE. EMERGENCY RENT AND UTILITY ASSISTANCE PROGRAM WE HAVE MET OUT BENCHMARK PERCENTAGES IN EMERGENCY ASSISTANCE, INCLUDING COVID RELIEF. WE HAVE SERVED A TOTAL OF 254 PEOPLE WITH THESE SERVICES. FAMILY HOPE PROGRAM THE BENCHMARK PERCENTAGES CONTINUE TO BE MET FOR FAMILY HOPE. THERE ARE SIX NEW FAMILIES IN THIS PROGRAM, MAKING A TOTAL OF 10 ACTIVE CASES. DIABETES SOLUTIONS-OK, INC. NAME OF PROJECT: DSOK CAMP ENDRES PROJECT DESCRIPTION: THE DIABETES CAMPS, CAMP ENDRES, PROVIDE A CRUCIAL PART OF CHILDREN'S JOURNEY WITH DIABETES. WITH HELP FROM INTEGRIS HEALTH, WHEN WE FIRST FORMED DSOK IN 2000, WE HOSTED ONE 10-DAY SUMMER CAMP PROGRAM. CURRENTLY WE HOST SIX ANNUAL CAMPING PROGRAMS TO SUIT EVERYONE'S NEEDS. ROUGHLY 300 CHILDREN, TEENS, ADULTS AND FAMILIES ARE HOSTED DIRECTLY WITH CAMP ENDRES PROGRAMS THROUGHOUT THE CALENDAR YEAR. PROGRESS: DUE TO COVID-19, THE SPRING FLING FOR TEENS AND THE SEPTEMBER ADULT GETAWAY WERE CANCELLED. WE HOPE TO RESUME THESE TWO PROGRAMS IN 2022. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED CHRISTIAN MEDICAL CLINIC OF GRAND LAKE, INC. NAME OF PROJECT: FILLING THE GAP IN THE COMMUNITY'S HEALTH CARE SYSTEM. PROJECT DESCRIPTION: HELP WITH PURCHASING MEDICATIONS FOR OUR PATIENTS. PROGRESS: OVER 500 PATIENTS ARE SEEN FROM OUR FOUR COUNTIES EVERY THREE MONTHS. DURING JULY THROUGH SEPTEMBER 2021, 1,733 PRESCRIPTIONS WERE FILLED AT NO COST TO THE PATIENTS. YOUTH & FAMILY SERVICES OF NORTH CENTRAL OKLAHOMA NAME OF PROJECT: CHAMPION DAY TREATMENT PROGRAM PROJECT DESCRIPTION: THE TREATMENT PROGRAM, CHAMPION, IS DESIGNED TO HELP STUDENTS WHO HAVE DIFFICULTY WITH SCHOOL DUE TO POSSIBLE MENTAL HEALTH SYMPTOMOLOGY RELATED TO ENVIRONMENTAL FACTORS, TRAUMA EXPOSURE, DEPRESSION AND ANXIETY, OR LACK OF EMOTIONAL REGULATION. OFTEN, THESE ARE CHILDREN WHO WOULD BE STEPPING DOWN FROM THE INTEGRIS HEALTH MEADOWLAKE FACILITY. FOR THESE PARTICULAR CHILDREN, THE SCHOOL SYSTEM SIMPLY CANNOT MEET THEIR NEEDS. THE PROGRAM PROVIDES COUNSELING, EDUCATION AND PROBLEM-SOLVING SKILLS WHILE COLLABORATING WITH THE TEACHER IN AN EFFORT TO REINTEGRATE STUDENTS INTO THE MAINSTREAM CLASSROOM SETTING. THE MODEL FOCUSES ON THE STUDENT'S PERSONAL STRENGTHS AND ABILITIES AS THEY RELATE TO ACADEMICS, SOCIAL SKILLS AND COLLABORATIVE PROBLEM SOLVING. PROGRESS: SINCE JUNE 2021, WE HAVE MAINTAINED SIX CHILDREN FROM THE PROGRAM AND WERE ABLE TO WORK WITH THEM IN PERSON OVER THE SUMMER AT OUR FACILITY. UNDERSTANDING HOSPITAL CHARGES CAN SOMETIMES BE CHALLENGING: AT INTEGRIS HEALTH OUR GOAL IS TO DELIVER THE HIGHEST QUALITY CARE AT THE MOST REASONABLE PRICES THROUGH OUTSTANDING CUSTOMER SERVICE. WE PLEDGE TO BE TRANSPARENT IN OUR COST, QUALITY AND CUSTOMER SERVICE REPORTING. THESE DAYS PATIENTS ARE SHARING MORE IN THE COSTS OF THEIR OWN HEALTH CARE, THEREFORE INTEGRIS HEALTH BELIEVES YOU SHOULD HAVE ACCESS TO THE INFORMATION YOU NEED TO MAKE INFORMED HEALTH CARE CHOICES. OUR PRICING PHILOSOPHY IS THIS: INTEGRIS HEALTH SEEKS TO ESTABLISH PRICES THAT ARE FAIR TO PATIENTS AND PAYORS, REASONABLE IN THE MARKETS WE SERVE, CONSISTENT WITH OUR PEERS WHO PROVIDE SIMILAR SERVICES WHILE IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE ALSO BELIEVE IT IS IMPORTANT FOR YOU TO UNDERSTAND HOW EACH DOLLAR OF BILLED CHARGES IS SPENT AT INTEGRIS HEALTH. AS A NOT-FOR-PROFIT COMPANY, INTEGRIS HEALTH REINVESTS ANY BUDGET SURPLUS BACK INTO THE ORGANIZATION TO IMPROVE THE LEVEL OF SERVICES THAT IT PROVIDES TO THE COMMUNITY. WHILE YOUR HEALTH PLAN OR PERSONAL PREFERENCE MAY DICTATE WHERE YOU DECIDE TO RECEIVE CARE, COMPARING CHARGES BETWEEN LOCAL PROVIDERS FOR SIMILAR PROCEDURES, COMBINED WITH QUALITY DATA, MAY BETTER PROVIDE YOU WITH AN OVERALL PICTURE OF THE TOTAL VALUE YOU WILL RECEIVE AT THE HOSPITAL OF YOUR CHOICE. INTEGRIS HEALTH HOSPITAL BILLS DO NOT INCLUDE FEES FOR PHYSICIAN SERVICES. YOU MAY RECEIVE MORE THAN ONE BILL FOR YOUR HOSPITAL VISIT. 2021 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS HEALTH PROVIDED $72,073,512.56 IN COMMUNITY BENEFITS. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR COMMUNITY. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE AS REFLECTED IN THE PREVIOUS PAGES. OUR RETURNSHIP EFFORTS EQUALED $5,656,217.41. COMMUNITY BUILDING COMMUNITY BUILDING IS ANOTHER VITAL WAY WE GIVE BACK. THESE EFFORTS ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. SOME OF OUR ACTIVITIES IN COMMUNITY BUILDING ARE PHYSICAL IMPROVEMENTS IN HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL ENHANCEMENTS AND ADVOCACY FOR ADVANCEMENTS IN COMMUNITY HEALTH. OUR COMMUNITY BUILDING EFFORTS EQUALED $107,306. UNCOMPENSATED SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS HEALTH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH-NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. INTEGRIS HEALTH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY CARE BY OFFERING FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. INTEGRIS HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED COST OF $41,886,204.13. BAD DEBT IN ADDITION TO CHARITY CARE, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $20,912,368.12 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE SYSTEM ANTICIPATED BUT DID NOT RECEIVE PAYMENT. THIS HAPPENS WHEN PATIENTS ARE UNABLE TO PAY THEIR BILLS BUT DO NOT APPLY FOR FINANCIAL ASSISTANCE OR ARE UNWILLING TO PAY THEIR BILLS. MEDICAID SERVICES INTEGRIS HEALTH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. THIS INCLUDES THE ACTUAL UNPAID COST OF PROVIDING CARE TO MEDICAID PATIENTS AND REPRESENTS A SHORTFALL BETWEEN COST OF CARE AND PAYMENTS RECEIVED BY MEDICAID. INTEGRIS HEALTH PROVIDED MEDICAID SERVICES AT AN ESTIMATED COST OF $24,423,785.02. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS A CHANCE TO CHANGE ACS - HOPE LODGE GROUNDBREAKING CEREMONY ACS - OK STATEWIDE BOARD CALL ACS - OK STATEWIDE BOARD MEETING ACS BOARD COMM ENGAGEMENT SUBCOMMITTEE MEETING ACS CATTLE BARON'S BRAINSTORMING MEETING ALA - 2021 FFAC PLANS & COMMITTEE MEETING ALA - FFAC COMMITTEE ALA - FFAC COMMITTEE MEETING ALA - FIGHT FOR AIR CLIMB MEETING ALA FFAC COMMITTEE ALA FIGHT FOR AIR CLIMB COMMITTEE MEETING ALZHEIMER'S ASSOCIATION OF OKLAHOMA AMERICAN CANCER SOCIETY AMERICAN CANCER SOCIETY - CHAD RICHISON LODGE - GROUNDBREAKING CEREMONY AMERICAN CANCER SOCIETY - OKTXNM AREA BOARD MEETING AMERICAN CANCER SOCIETY - OKTXPAN AREA BOARD MEETING AMERICAN CANCER SOCIETY MEETING AMERICAN CANCER SOCIETY STATEWIDE BOARD MEETING AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION AMERICAN LUNG ASSOCIATION - FFAC COMMITTEE AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR CLIMB AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR CLIMB BOOTH AT IBMC-NW AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR LUNG CLIMB AMERICAN LUNG ASSOCIATION - LUNG FORCE GALA AN INTRODUCTION TO COMPASSION CULTIVATION ASK THE DIETITIAN DIETARY CONSULTS BAM INFUSIONS BRIGHT FUTURES MENTORING BUFFALO RUN CASINO HEALTH FAIR CALM WATERS CENTER FOR CHILDREN AND FAMILIES CARDIOLOGY EDUCATION TO GREAT PLAINS RESIDENTS CENTRAL OKLAHOMA HEALTH IMPACT TEAM CHANGING YOUR WEIGHS (SEVEN SESSIONS) WEIGHT MANAGEMENT CHANGING YOUR WEIGHS (EIGHT SESSION) WEIGHT MANAGEMENT CHILD ABUSE MEDICAL EXAMINER FOR DELAWARE COUNTY CHNA FOCUS GROUP CI HEALTH GROUP INTERNSHIP COMMUNITY CLINICS COMMUNITY COVID EDUCATION COMMUNITY EDUCATION STROKE AWARENESS COMMUNITY EDUCATION STROKE EDUCATION COMMUNITY FLU SHOTS AND BP READINGS COMMUNITY GRANT RECIPIENT - CATHOLIC CHARITIES OF OKC REGIONAL COMMUNITY GRANT RECIPIENT - CDSA COMMUNITY GRANT RECIPIENT - LIONS CLUB NORTH ENID COMMUNITY GRANT RECIPIENT - YWCA COMMUNITY HEALTH FAIR AT WILL ROGERS SENIOR CENTER COMMUNITY HOURS FOR TAMARA CLIFT, FY 2020-21 COMMUNITY HOURS FOR TIM PEHRSON, CEO, FY2020-21 COMMUNITY ROTATION FOR DIETETIC INTERNS FROM OUHS COMMUNITY WELLNESS BUDGET FY 2020-21 COPING SKILLS PRESENTATION MIAMI HIGH SCHOOL COVID VACCINATION CLINIC FOR PACIFIC ISLANDERS COVID VACCINATION SHOTS DAYCARE FLU SHOTS AND BP READINGS DCCAN FLU SHOTS AND BP READINGS DCCP COVID ANTIBODY TESTING DE MUJER A MUJER DELAWARE COUNTY ELDERS DRIVE THRU HEALTH FAIR DIABETES EDUCATION AT ICC DIABETES PREVENTION PROGRAM (DPP) EASTERN OKLAHOMA LIBRARY HEALTH SERIES EATING WELL WITH DIABETES MABEL C FRY LIBRARY ADULT PROGRAMS ECONOMIC DEVELOPMENT FOR RONDA LITTLE, FY20-21 ECONOMIC DEVELOPMENT FOR TIM PEHRSON, CEO FOR FY20 EMERGENCY MEDICAL SERVICE COMMUNITY SERVICE FACEBOOK LIVE INFORMATION SESSIONS IN SPANISH FOCUS GROUP MEETING FOR CHNA IN ENID, OK FOCUS GROUP MEETING FOR CHNA IN MUSTANG, OK FOOD DEMONSTRATION AT THE MOORE FOOD AND RESOURCE FOOD DISTRIBUTIONS FOR COMMUNITY MEMBERS FRANCIS TUTTLE CART ! SPRING 2021 RESPIRATORY THERAPY CLINICAL FRANCIS TUTTLE NICU RESPIRATORY THERAPY CLINICALS FRANCIS TUTTLE PFT RESPIRATORY THERAPY CLINICALS FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS (FALL 2020) FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS (FALL 220) CART 1 FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS CART 1 SUMMER 2020 FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS FALL 2020 FRANCIS TUTTLE SUMMER 2020 RESPIRATORY THERAPY STUDENTS FY21 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS FY21 STUDENT, RESIDENT AND FELLOW EDUCATION HOURS FY21 STUDENT, RESIDENT AND FELLOW EDUCATION HOURS WITH PHYSICIANS GO RED FOR YOUR HEART/VESTIDO ROJO GRACELAND UNIVERSITY NURSING STUDENT GRADUATE MEDICAL EDUCATION SUPERVISOR SALARY GROVE PASTORAL CARE GROVE TWEEN FAIR HEALTH ALLIANCE FOR THE UNINSURED HEALTHY LIVING, LIVESTRONG AT THE YMCA HEDGES SILENT FILM SPONSORSHIP HES 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 HES 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 HISPANIC HERITAGE MONTH MEN'S HEALTH PRESENTATION HISPANIC RADIO, TELEVISION AND NEWSPAPER HOSPICE CIRCLE OF LOVE MINT JULEP JUBLIEE SPONSOR INTEGRIS HEALTH COMMUNITY CLINIC INTEGRIS HEALTH GROVE RESPIRATORY THERAPY STUDENTS (AUGUST 2020-MAY 2021) INTEGRIS HEALTH JIM THORPE REHAB STUDENT HOURS INTEGRIS HEALTH MOBILE CARE CLINIC INTEGRIS HEALTH PHARMACEUTICAL ASSISTANCE PROGRAM FY 2020-21 INTEGRIS HEALTH PHYSICIAN MEDICAL MEETINGS INTEGRIS HEALTH REHAB AND SPORTS MEDICINE STUDENTS HOURS J & M FARMS HEALTH FAIR JOHN ADAMS-OBI (OK BLOOD INSTITUTE) BOARD MEETINGS JOHN ADAMS-SOUTH OKC CHAMBER OF COMMERCE ADVISORY JOHN ADAMS-SOUTH OKLAHOMA CITY CHAMBER OF COMMERCE LEADERSHIP OKC BOARD MEETING PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED LEADERSHIP OKLAHOMA CITY - EXECUTIVE COMMITTEE LEADERSHIP OKLAHOMA CITY EXECUTIVE COMMITTEE MEETING LEADERSHIP OKLAHOMA CITY HOLIDAY DRIVE THROUGH EVENT LEUKEMIA & LYMPHOMA SOCIETY LEUKEMIA & LYMPHOMA SOCIETY - LIGHT THE NIGHT KICK LYNN INSTITUTE LYNN INSTITUTE ON THE ROAD TO HEALTH WELLNESS PROGRAM MAKE-A-WISH SPONSORSHIP MEALS ON WHEELS FY 2020-21 MEDICAL STUDENT FAMILY MEDICINE ROTATION 20-21 MEDITATION MEETINGS WITH NON PROFIT ORGANIZATIONS MENTORING PROGRAM FY 2020-21 MIAMI FIRE DEPARTMENT REFRESHER COURSE MIAMI LIONS CLUB MIAMI RESPIRATORY THERAPY STUDENTS (AUGUST 2020-MAY 2021) MINI HEALTH FAIRS MONTHLY LECTURES / CONFERENCIAS MENSUALES MPS OSWE MT 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 NEO NURSING STUDENTS NON-REIMBURSED IRB FEES FY 2021 (JULY 2020-JUNE 2021) NORTHEAST TRIBAL HEALTH SYSTEM HEALTH AWARENESS NORTHEASTERN TRIBAL HEALTH SYSTEM (NTHS) DIABETES BOARD MEETINGS NTC AFTON NURSING STUDENTS NTC KANSAS NURSING STUDENTS NURSES, AUA, SURGICAL TECH AND PARAMEDIC STUDENTS NURSING STUDENTS IN A CLINICAL NURSE INTERN ROLE NUTRITION CLASS SERIES / CLASE DE NUTRICIN NUTRITION PROGRAM FOR OKC VILLAGES (ZOOM) OK ACS CAN NATIVE AMERICAN HEALTH DISPARITIES CONFERENCE OK BLACK PHYSICIAN'S ALLIANCE: HEART HEALTHY COOKING OK COLORECTAL CANCER COALITION MEETING OK SCHOOL OF SCIENCE AND MATHEMATICS BOARD MEETING OKC CHAMBER STATE OF HEALTH CONFERENCE OKLAHOMA BLOOD INSTITUTE - BLOODMOBILE OKLAHOMA MEN COUNT SPONSORSHIP OKLAHOMA SCHOOL OF SCIENCE AND MATHEMATICS FOUNDATION OSSM BOARD MEETING OSSM FOUNDATION OUTREACH COMMITTEE MEETING OSU COMMUNITY RURAL HEALTH ROTATION OT AND OTA 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 OT AND OTA 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 OT AND OTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 OT AND OTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31, 2020 OTTAWA COUNTY FARMERS MARKET BOARD MEETINGS OTTAWA COUNTY UNITED WAY CORPORATE CHALLENGE COMMITTEE POSITIVE DIRECTIONS MENTORING PROGRAM FY 2020-21 PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING PROJECT 31 PT 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 PT 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 PT AND PTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 PT AND PTA 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 RADIOLOGY STUDENTS RESOURCE ROOM ROOSEVELT ELEMENTARY COPING SKILLS PRESENTATION ROOSEVELT ELEMENTARY FIELD DAY ROSE STATE FALL 2020 RESPIRATORY THERAPY FLOOR ROSE STATE FALL 2020 RESPIRATORY THERAPY STUDENTS FLOOR ROSE STATE RESPIRATORY THERAPY CLINICALS SUMMER 2021 ROSE STATE RESPIRATORY THERAPY STUDENTS FALL 2020 ROSE STATE RESPIRATORY THERAPY STUDENTS NICU SUMMER 2020 ROSE STATE RESPIRATORY THERAPY STUDENTS SUMMER 2021 ROSE STATE SUMMER 2020 RESPIRATORY THERAPY STUDENT SCHOOL COOKS TRAINING INFORMATIONAL BAGS SHA COMMUNITY CLINIC SINK FOR PINK SPONSORSHIP SLP 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 SLP 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 SLP 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 SLP 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 SPANISH CANCER SUPPORT GROUP/GRUPO DE APOYO DE CANCER SPORTS PHYSICAL BY HEALTH DEPARTMENT SPORTS PHYSICALS FOR ENID HIGH SCHOOL STUDENTS STANLEY HUPFELD ACADEMY BUDGET FY 2020-21 STITCHING FOR SANITY STRESS COPING SKILLS PRESENTATION TERESA GRAY: YUKON CC 2021 THE FOUNDATION FOR OKCPS THE OKLAHOMA CARING FOUNDATION, INC. TOBACCO AND VAPE PRESENTATION MIAMI HIGH SCHOOL TURMERIC, THE SPICE OF LIFE UCO COMMUNITY & PUBLIC HEALTH INTERNSHIPS UNITED WAY GOLF TOURNAMENT SPONSOR UNITED WAY OF CENTRAL OKLAHOMA UNITED WAY OF CENTRAL OKLAHOMA SNOWFLAKE GALA VOLUNTEER CLINICAL INSTRUCTOR FOR APRN STUDENT WASHINGTON ELEMENTARY COPING SKILLS PRESENTATION YMCA YMCA GOLF TOURNAMENT SPONSORSHIP YODA NIDRA EXPERIENCE YOGA HEALING THROUGH MOVEMENT/SAFER AT HOME YOGA PART V: QUESTION 1A INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, PAYS ALL VENDORS FOR SERVICES PROVIDED TO ALL ENTITIES WITHIN THE SYSTEM. ACCORDINGLY, COMPENSATION PAID TO INDEPENDENT CONTRACTORS IS REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S INFORMATION RETURNS OF INTEGRIS HEALTH, INC., EIN 73-1192764. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX, AS APPROPRIATE. PART V: QUESTION 2A THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC., EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF EMPOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE FILING ORGANIZATION DURING THE 2021 TAX YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE HOSPITAL ADVISORY BOARD FULFILLS THE NECESSARY GOVERNANCE AUTHORITY FOR MEDICAL STAFF MEMBERSHIP AND QUALITY OF CARE OVERSIGHT AS REQUIRED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES CONDITIONS OF PARTICIPATION. FORM 990, PART VI, SECTION A, LINE 2 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE FOLLOWING OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS OFFICERS, DIRECTORS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM: DOUGLAS M. SMITH TIMOTHY PEHRSON FORM 990, PART VI, SECTION A, LINE 6 INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS AMBULATORY CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS AMBULATORY CARE CORPORATION. AS SUCH IT HAS THE POWER (1) TO ELECT THE DIRECTORS OF THE CORPORATION AND TO REMOVE THE ENTIRE BOARD OF DIRECTORS OR ANY INDIVIDUAL DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, AND (3) TO VOTE ON ALL MATTERS WHERE THE AUTHORIZATION OR APPROVAL OF THE SOLE MEMBER IS REQUIRED BY THE CERTIFICATE OF INCORPORATION, THE BYLAWS OR STATE LAW. FORM 990, PART VI, SECTION A, LINE 7B PLEASE SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION A, LINE 7A. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE SYSTEM HAS A SINGLE AUDIT COMPLIANCE COMMITTEE WHICH OVERSEES THE CONSOLIDATED FINANCIAL STATEMENT AUDIT AS WELL AS THE FILING OF FEDERAL AND STATE TAX FORMS. THE SYSTEM ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. A DRAFT FORM 990 IS PROVIDED TO THE SYSTEM VICE PRESIDENT, FINANCE FOR REVIEW. A FINAL FORM 990 IS GIVEN TO THE SYSTEM CHIEF FINANCIAL OFFICER FOR REVIEW, APPROVAL, AND SIGNATURE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, AS WELL AS TO THE SYSTEM'S AUDIT/COMPLIANCE COMMITTEE, FOR REVIEW PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS, AND REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST POLICIES DURING LEADERSHIP TRAINING. LEGAL SERVICES REVIEWS ALL CONTRACTS FOR CONFLICTS OF INTEREST. INTERNAL AUDIT CONDUCTS AUDITS FOR POSSIBLE CONFLICTS OF INTEREST BASED ON THEIR ANNUAL RISK ASSESSMENT. CORPORATE COMPLIANCE INCLUDES ASSESSMENTS FOR CONFLICTS OF INTEREST IN ITS ANNUAL WORK PLAN AND CONDUCTS SPECIALIZED TRAINING FOR HIGH RISK AREAS. THE GOVERANCE COMMITTEE, A COMMITTEE OF THE INTEGRIS HEALTH BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF INTEGRIS AND A DISQUALIFIED PERSON. FORM 990, PART VI, SECTION B, LINE 15B PART VI: QUESTION 15B - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). COMPENSATION FOR VICE PRESIDENTS IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE INTEGRIS HEALTH BOARD OF DIRECTORS AND ULTIMATELY THE FULL BOARD OF DIRECTORS. THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REFLECTS A REVIEW OF THE COMPARABILITY DATA, THE EXECUTIVE PERFORMANCE REVIEWS AND THE DECISION-MAKING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION. FORM 990, PART XI, LINE 9: INCOME FROM SUBSIDIARY - FOUNDATION 100% 26,835. INCREASE IN CONTRIBUTIONS OF LONG-LIVED ASSETS 1,116. CARAVAN HEALTH ACO 34 LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 300865115 ACO DE 0 0 IACC INTEGRIS HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731192764 HEALTH CARE OK 501(C)(3) LINE 12A, I N/A 0 INTEGRIS HOSPICE INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731369586 HEALTH CARE OK 501(C)(3) LINE 10 IH 0 INTEGRIS BAPTIST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731034824 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS RURAL HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731444504 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS SOUTHWEST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731089149 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HEALTH FOUNDATION INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731047338 FUNDRAISING OK 501(C)(3) LINE 7 IH 0 WESTERN VILLAGE ACADEMY INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731588764 SCHOOL OK 501(C)(3) LINE 2 IACC 1 INTEGRIS HEALTH EDMOND INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 451027361 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS MENTAL HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 730738716 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 BMPA LTD 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731228665 MED. 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