INTEGRIS BAPTIST MEDICAL CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
INTEGRIS BAPTIST MEDICAL CENTER INC (EIN 73-1034824)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-08
IRS object ID
201831289349300538
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-08T09:19:58-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1210 Park Ave Suite 2650AddressLine1Txt
CityOklahoma CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731034824EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTEGRIS BAPTIST MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JAQUETTA CLEMONSInCareOfNm
Business Name ControlINTEBusinessNameControlTxt
Phone4059496026PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL DAVISPersonNm
Person TitleCFOPersonTitleTxt
Phone4059512736PhoneNum
Signature2018-04-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMORGAN L SOUZAPreparerPersonNm
PTINP00652612PTIN
Phone4052396411PhoneNum
Preparation2018-04-12PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerC BRUCE LAWRENCEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 N INDEPENDENCE AVEAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73112ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$773,758,047GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INTEGRISOK.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2465TotalEmployeeCnt
Total Volunteers423TotalVolunteersCnt
Total Gross UBI$3,504,384TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,146,560NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,529,859PYContributionsGrantsAmt
CY Contributions Grants$1,633,587CYContributionsGrantsAmt
PY Program Service Revenue$744,230,264PYProgramServiceRevenueAmt
CY Program Service Revenue$756,838,953CYProgramServiceRevenueAmt
PY Investment Income$14,753,186PYInvestmentIncomeAmt
CY Investment Income$14,714,381CYInvestmentIncomeAmt
PY Other Revenue$280,146PYOtherRevenueAmt
CY Other Revenue$289,990CYOtherRevenueAmt
PY Total Revenue$761,793,455PYTotalRevenueAmt
CY Total Revenue$773,476,911CYTotalRevenueAmt
PY Grants And Similar Paid$8,359,371PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,675,580CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$225,115,847PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$227,447,074CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$475,085,248PYOtherExpensesAmt
CY Other Expenses$483,142,768CYOtherExpensesAmt
PY Total Expenses$708,560,466PYTotalExpensesAmt
CY Total Expenses$719,265,422CYTotalExpensesAmt
PY Revenues Less Expenses$53,232,989PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$54,211,489CYRevenuesLessExpensesAmt
Total Assets BOY$1,307,099,737TotalAssetsBOYAmt
Total Assets EOY$1,156,224,816TotalAssetsEOYAmt
Total Liabilities BOY$877,390,613TotalLiabilitiesBOYAmt
Total Liabilities EOY$634,153,730TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$429,709,124NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$522,071,086NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$606,697,535ExpenseAmt
Grant$8,675,580GrantAmt
Revenue$756,838,953RevenueAmt
DescSEE SCHEDULE O STATEMENTS 2 THROUGH 4Desc
Total Program Service Expenses$606,697,535TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2465EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAQUETTA CLEMONSPersonNm
Phone4059512732PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HANI BARADI
DIRECTOR1.039.0Yes (X)$0$1,277,638$22,083
ALVIN BATES
CHAIRMAN1.00.0Yes (X)$0$0$0
LAURA BOYD
DIRECTOR1.00.0Yes (X)$0$0$0
ALINE BROWN MD
DIRECTOR1.00.0Yes (X)$22,000$559$0
H EDWARD DEBEE
DIRECTOR1.00.0Yes (X)$0$0$0
BRYAN GARCIA
DIRECTOR1.00.0Yes (X)$0$0$0
BILL HULSE
DIRECTOR1.00.0Yes (X)$0$0$0
REGGIE JOHNSON
DIRECTOR1.00.0Yes (X)$0$0$0
ROBERT KELLOGG
DIRECTOR1.00.0Yes (X)$0$0$0
SUDHIR KHANNA
EX-OFFICIO CHIEF OF STAFF40.00.0Yes (X)$190,120$1,567$10,078
STEPHEN MERRILL
DIRECTOR1.00.0Yes (X)$0$0$0
JAMES PARRACK
DIRECTOR1.00.0Yes (X)$0$0$0
MIKE ROSS
DIRECTOR1.00.0Yes (X)$0$0$0
JOEY SAGER
DIRECTOR1.01.0Yes (X)$0$28,680$0
ROBERT SHELTON
DIRECTOR1.00.0Yes (X)$0$0$0
ALLISON TAYLOR
DIRECTOR1.00.0Yes (X)$0$0$0
C BRUCE LAWRENCE
EX-OFFICIO-PRES/CEO IH1.039.0Yes (X)$0$1,041,789$384,000Yes (X)
BETH A PAUCHNIK
ASSISTANT SECRETARY1.039.0$0$456,815$128,908Yes (X)
DAVID R HADLEY
ASST. TREASURER THRU 8/160.00.0$0$651,258$20,313Yes (X)
TOM HONAN
INTERIM ASST.TREAS. THRU 10/161.039.0$0$296,574$0Yes (X)
DANIEL DAVIS
ASST. TREASURER1.039.0$0$74,212$290Yes (X)
MARY K CALBONE
VICE PRESIDENT40.00.0$209,349$0$35,348Yes (X)
MICHELE DIEDRICH
VP CHIEF NURSING OFFICER40.00.0$212,281$0$17,884Yes (X)
TIM JOHNSEN
PRESIDENT IBMC40.00.0$530,702$0$104,480Yes (X)
JAMES W LONG
PHYSICIAN40.00.0$1,265,046$0$23,071Yes (X)
PHILIP LANCE
PRESIDENT39.01.0$297,202$0$88,885Yes (X)
ALY BANAYOSY
PHYSICAN40.00.0$815,070$0$16,455Yes (X)
DOUGLAS A HORSTMANSHOF
PHYSICAN40.00.0$761,212$0$32,437Yes (X)
VIVEK KOHLI
TRANSPLANT SURGEON40.00.0$692,140$0$33,083Yes (X)
ABBAS RAZA
PHYSICAN40.00.0$801,751$0$30,245Yes (X)
E SAMARA
TRANSPLANT SURGEON40.00.0$670,472$0$49,781Yes (X)
CHRIS M HAMMES
FORMER OFFICER & DIRECTOR0.040.0$0$639,089$186,555Yes (X)
CHRISTOPHER TURNER
FORMER DIRECTOR0.02.0$0$29,812$0Yes (X)
DAVID BOGGS
FORMER DIRECTOR13.01.0$75,005$6,910$0Yes (X)
MICHAEL MCGEE MD
FORMER DIRECTOR20.02.0$31,750$4,600$0Yes (X)
WILLIAM COOK MD
FORMER DIRECTOR1.50.0$9,640$1,412$0Yes (X)
CARL RACZKOWSKI MD
FORMER DIRECTOR0.012.0$0$266,614$0Yes (X)
STEVEN REITER
FORMER DIRECTOR0.040.0$0$903,157$22,722Yes (X)
ERROL A MITCHELL
FORMER KEY EMPLOYEE0.040.0$0$330,129$41,163Yes (X)
JACONNA R TILLER
FORMER KEY EMPLOYEE0.00.0$111,271$0$5,214Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,695,011TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,010,815TotReportableCompRltdOrgAmt
Total Other Compensation$1,252,995TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K244IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonSEE SCHEDULE O GENERAL STATEMENT 1PersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
Compensation$71,662,345CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K67CntrctRcvdGreaterThan100KCnt
Related Organizations$1,633,587RelatedOrganizationsAmt
Noncash Contributions$1,272,215NoncashContributionsAmt
Total Contributions$1,633,587TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE621990$727,884,821$727,129,801$755,020
JOINT VENTURE INCOME900099$13,260,220$10,510,856$2,749,364
CAFETERIA722514$4,955,843$4,955,843
RENTAL INCOME531120$1,520,694$1,520,694
340B PHARMACY INCOME446110$4,721,755$4,721,755

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,495,620TotalRevenueColumnAmt
Related Or Exempt Func Income$2,552,575RelatedOrExemptFuncIncomeAmt
Exclusion$1,943,045ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$756,838,953TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,995,017TotalRevenueColumnAmt
Exclusion$14,995,017ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$281,136OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$280,636OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$280,636TotalRevenueColumnAmt
Exclusion-$280,636ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC. INCOMEDesc
Business900099BusinessCd
Total Revenue Column$289,990TotalRevenueColumnAmt
Exclusion$289,990ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$289,990OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$773,476,911TotalRevenueColumnAmt
Related Or Exempt Func Income$746,435,681RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,504,384UnrelatedBusinessRevenueAmt
Exclusion$21,903,259ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,646,580TotalAmt
Program Services$8,646,580ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$29,000TotalAmt
Program Services$29,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,023,634TotalAmt
Program Services$3,023,634ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$102,808TotalAmt
Program Services$102,808ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$174,859,244TotalAmt
Program Services$174,859,244ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,580,226TotalAmt
Program Services$10,580,226ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,892,005TotalAmt
Program Services$26,892,005ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,989,157TotalAmt
Program Services$11,989,157ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$112,976,929TotalAmt
Program Services$409,042ProgramServicesAmt
Management And General$112,567,887ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,512,466TotalAmt
Program Services$10,512,466ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$314,512TotalAmt
Program Services$314,512ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$168,394,666TotalAmt
Program Services$168,394,666ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,139,980TotalAmt
Program Services$6,139,980ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$597,522TotalAmt
Program Services$597,522ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$354,251TotalAmt
Program Services$354,251ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,503,669TotalAmt
Program Services$5,503,669ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,623,194TotalAmt
Program Services$23,623,194ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,636,692TotalAmt
Program Services$4,636,692ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
PURCHASED SERVICES$52,631,567$52,631,567$0
RIF & RECRUITMENT$48,509,294$48,509,294$0
CONTRACT LABOR$23,956,447$23,956,447$0
UNRELATED BUS.INCOME TAXES$810,000$810,000$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,181,579TotalAmt
Program Services$24,181,579ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$719,265,422TotalAmt
Program Services$606,697,535ProgramServicesAmt
Management And General$112,567,887ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$213,831BOYAmt
EOY$213,165EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$477,789,807BOYAmt
EOY$399,262,668EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$185,759,967BOYAmt
EOY$117,335,266EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,030,606BOYAmt
EOY$9,030,606EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,408,887BOYAmt
EOY$17,330,333EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$476,159BOYAmt
EOY$570,193EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$466,690,595LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$294,076,238LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$173,132,520BOYAmt
EOY$172,614,357EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$409,650,997BOYAmt
EOY$419,057,679EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$10,704,496BOYAmt
EOY$9,794,716EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,932,467BOYAmt
EOY$11,015,833EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,307,099,737BOYAmt
EOY$1,156,224,816EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$353,323,378BOYAmt
EOY$149,265,675EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$521,350,076BOYAmt
EOY$481,997,342EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,717,159BOYAmt
EOY$2,890,713EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$877,390,613BOYAmt
EOY$634,153,730EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$429,709,124BOYAmt
EOY$522,071,086EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$429,709,124BOYAmt
EOY$522,071,086EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,307,099,737BOYAmt
EOY$1,156,224,816EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$54,211,489ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$74,083,273NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$35,932,800OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$196,573OtherCostOrOtherBasisAmt
Book Value$196,573BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$202,216,256OtherCostOrOtherBasisAmt
Depreciation$97,328,586DepreciationAmt
Book Value$104,887,670BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,491,649OtherCostOrOtherBasisAmt
Depreciation$1,480,986DepreciationAmt
Book Value$10,663BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$248,115,532OtherCostOrOtherBasisAmt
Depreciation$192,043,083DepreciationAmt
Book Value$56,072,449BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,670,585OtherCostOrOtherBasisAmt
Depreciation$3,223,583DepreciationAmt
Book Value$11,447,002BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$172,614,357TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INTEGRIS HEALTH FOUNDATION,$18,579,852F
CASH SURRENDER VALUE$984,726F
INTEREST RECEIVABLE LT NOTE$1,435,582F
POOLED FUND INVESTMENTS$398,057,519F
FieldValueIRS element (for citing)
Total Book Value Securities$419,057,679TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONDesc
Amt$2,890,713Amt
FieldValueIRS element (for citing)
Total Liability$2,890,713TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,427,899TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,427,899NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,358,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,141,032DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,786,866TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,141,032DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,427,899NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$362,955TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$362,955NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,618,952TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,404,918DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,214,034NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,050TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,050NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$235,024TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$235,024NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,310,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,404,918DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,906,063NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,097,847TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,545,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,333,962NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,029NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,119NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,925TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,925NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$230NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,303TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,303NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$7,579,937BadDebtExpenseAmt
Bad Debt Expense Attributable$378,997BadDebtExpenseAttributableAmt
Reimbursed By Medicare$189,986,544ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$208,454,584CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,468,040MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE HBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesPART VIPrimaryActivitiesTxt
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTEGRIS BAPTIST MEDICAL CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 NORTHWEST EXPRESSWAYAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73112ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.INTEGRISOK.COMWebsiteAddressTxt
State License2297StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INTEGRIS BAPTIST MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1SCHEDULE H, PART V: INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IBMC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW.
SUPPLEMENTAL INFORMATION 2PART V, SECTION B, LINE 5: PUBLIC HEALTH EXPERTISE WAS UTILIZED WITH EACH FACILITY USING THE OKLAHOMA STATE DEPARTMENT OF HEALTH'S TURNING POINT CONSULTANT. EACH CONSULTANT GAVE THEIR INPUT BASED ON COUNTY DATA AND GAVE THEIR APPROVAL OF THE CHOSEN INDICATORS. THEY ALSO SIGNED IN APPROVAL OF THE OVERALL STRATEGIC PLAN. EACH CONSULTANT HELPED THE INDIVIDUAL COALITIONS PRIORITIZE THEIR COUNTY'S NEEDS BASED ON SEVERAL FACTORS. PUBLIC HEALTH EXPERTS INCLUDE: CENTRAL OKLAHOMA TURNING POINT WELLNESS CHAIR: KEITH KLESZYNSKI IN CONDUCTING THE CHNA, THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SURVEYS, LISTENING SESSIONS, FOCUS GROUPS, AND LOCAL DATA COLLECTION. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINIC, CHURCHES, HEALTH DEPARTMENT, HUMAN SERVICES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES.
SUPPLEMENTAL INFORMATION 3PART V, SECTION B, LINE 6A: THE FACILITIES LISTED IN THE METRO AREA USED THE SAME SURVEY, BUT SOME CONTENTS OF THE PLANS WERE CHANGED DUE TO SOME DEMOGRAPHIC ASPECTS OF THE COMMUNITIES (IE LARGE HISPANIC POPULATION, HIGHER SOCIO ECONOMIC FACTORS, ETC). THOSE FACILITIES INCLUDED: INTEGRIS HEALTH EDMOND, INTEGRIS BAPTIST MEDICAL CENTER, LAKESIDE WOMEN'S HOSPITAL, OKLAHOMA CENTER OF ORTHOPEDIC MULTI-SPECIALTY SURGERY, INTEGRIS SOUTHWEST MEDICAL CENTER, AND INTEGRIS CANADIAN VALLEY HOSPITAL. DUE TO THEIR CLOSE PROXIMITY AND GEOGRAPHIC LOCATION, INTEGRIS GROVE HOSPITAL AND INTEGRIS BAPTIST REGIONAL HEALTH CENTER USED THE SAME. INTEGRIS BASS BAPTIST HEALTH CENTER AND INTEGRIS NORTHWEST SPECIALTY HOSPITAL USED THE SAME SURVEY SINCE THEY SHARE THE SAME ZIP CODE. EACH FACILITY PLACED THE ASSESSMENT SURVEY ON THEIR WEB SITE'S HOME PAGE.
SUPPLEMENTAL INFORMATION 4PART V, SECTION B, LINE 6B: OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT
SUPPLEMENTAL INFORMATION 5PART V, SECTION B, LINE 7D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS, AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL.
SUPPLEMENTAL INFORMATION 6PART V, SECTION B, LINE 11: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS SERVICE AREAS. MANY OF THE NEEDS IDENTIFIED WERE COMMON WITHIN THE VARIOUS SERVICE AREAS, INCLUDING HEART DISEASE, DIABETES, TOBACCO USE, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE. OTHERS, HOWEVER, SUCH AS CHILD ABUSE AND TEEN PREGNANCY, WERE NOT AS PREDOMINANT. THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THESE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS TO DETERMINE WHICH NEEDS COULD MOST EFFECTIVELY BE IMPACTED BY INTEGRIS THROUGH ADMINISTRATION OF THE DEVELOPED CHIP AND WHICH, IF ANY OF THE REMAINING, WERE CURRENTLY BEING ADDRESSED THROUGH OTHER COMMUNITY RESOURCES AND/OR SERVICES. INTEGRIS OPTED TO CONCENTRATE ON THE SAME THREE FOCUS AREAS FOR THE CHIPS IN EACH OF THE SERVICE AREAS-HEART DISEASE, MENTAL HEALTH, AND OBESITY-BELIEVING THAT A UNITED EFFORT WOULD ALLOW FOR A SHARING OF RESOURCES, PERSONNEL, PROGRAMS, ETC. AND ENSURE CONSISTENCY IN IMPLEMENTATION AND EVALUATION METHODS, THEREBY INCREASING THE POTENTIAL TO MORE EFFECTIVELY COMBAT THE ISSUES SYSTEM-WIDE. OTHER COMMONLY IDENTIFIED NEEDS SUCH AS DIABETES, TOBACCO USE, AND SUBSTANCE ABUSE THAT ARE ASSOCIATED RISK FACTORS FOR THE PRIMARY FOCUS AREAS ARE ADDRESSED IN ONE OR MORE OF THOSE RESPECTIVE SECTIONS OF THE CHIP. IT WAS DETERMINED THAT THE REMAINING NEEDS THAT WERE HIGHLY PRIORITIZED WITHIN CERTAIN SERVICE AREAS WERE PREVIOUSLY IDENTIFIED AND ALREADY BEING ADDRESSED THROUGH LOCAL AGENCY AND/OR COALITION AND PARTNERSHIP EFFORTS WITHIN THE COMMUNITIES. AS SUCH, INTEGRIS COMMITTED TO PROVIDE SUPPORT AND RESOURCES TO THE COMMUNITY PARTNERS TAKING THE LEAD ON THOSE PARTICULAR ISSUES.
SUPPLEMENTAL INFORMATION 7PART V, SECTION B, LINE 7A AND LINE 10A: HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTS
SUPPLEMENTAL INFORMATION 8PART V, SECTION B, LINES 16A, 16B, AND 16C: INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE
SUPPLEMENTAL INFORMATION 9INTEGRIS HEALTH SYSTEMS INTERNAL AUDIT FUNCTION PERFORMED A COMPLIANCE ASSESSMENT OF THE SYSTEMS ADHERENCE TO THE FINAL SECTION 501(R) REGULATIONS, APPLICABLE TO ALL INTEGRIS HEALTH SYSTEM HOSPITAL FACILITIES BEGINNING WITH THE FISCAL YEAR ENDED JUNE 30, 2017. FIELDWORK WAS INITIATED, PERFORMED, AND COMPLETED DURING APRIL MAY 2017. THE OBJECTIVE OF THIS ASSESSMENT WAS TO EVALUATE THE COMPLIANCE OF EACH INTEGRIS HOSPITAL FACILITY WITH THE FINAL REGULATIONS ISSUED ON DECEMBER 30, 2014, IDENTIFY ANY COMPLIANCE GAPS, AND IMMEDIATELY FACILITATE THE CORRECTION OF ANY IDENTIFIED DEFICIENCIES. DURING THAT ASSESSMENT, THE FOLLOWING DEFICIENCIES WERE IDENTIFIED AND CORRECTED: LIMITATIONS ON CHARGES 1. DURING FISCAL YEAR ENDED JUNE 30, 2017, THE METHODS USED FOR DETERMINING AND APPLYING AMOUNTS GENERALLY BILLED (AGB) DID NOT MEET THE SPECIFIC REQUIREMENTS OF TREAS. REG. SECTION 1.501(R)-5. THOUGH INTEGRIS CHOSE TO APPLY THE LOOK-BACK METHOD OF DETERMINING AGB, THE AGB PERCENTAGE WAS APPLIED ON A FISCAL YEAR BASIS RATHER THAN WITHIN 120 DAYS OF THE END OF THE 12-MONTH PERIOD USED IN CALCULATING THE AGB PERCENTAGES. AS A RESULT, INTEGRIS INADVERTENTLY APPLIED AN ERRONEOUS AGB PERCENTAGE, INITIALLY APPLYING A 28% AGB RATHER THAN A 27% AGB TO ALL FACILITIES WITHIN THE SYSTEM, AS THIS WAS THE LOWEST AGB FOR ANY FACILITY. REFUNDS OF THE ABG DIFFERENCES WERE MADE TO AFFECTED FAP-ELIGIBLE PATIENTS. IT WAS SUBSEQUENTLY DISCOVERED THAT CERTAIN PATIENT REFUNDS WERE DUE TO PATIENTS WHO HAD MADE A PAYMENT AND THEN WERE DETERMINED TO BE FAP-ELIGIBLE FOR 100% FREE CARE. INTEGRIS BEGAN PROCESSING THOSE REFUNDS AS SOON AS THEY WERE DISCOVERED. 2. UPON CALCULATION OF THE CORRECTED AGB, IMPLEMENTATION OF THE CORRECTED AGB WAS IMMEDIATELY ENACTED AND INTEGRIS REVIEWED PATIENT ACCOUNTS TO DETERMINE WHETHER ANY PATIENT WAS OVERBILLED AS A RESULT OF THE ERROR. FOR THE CALENDAR YEAR 2017 FINANCIAL ASSISTANCE POLICY (FAP), THE AGB FOR THE LOOK-BACK PERIOD WAS DETERMINED TO BE 27%. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE IN 2017 WERE NOT CHARGED MORE THAN 27% OF BILLED CHARGES FOR ANY MEDICALLY NECESSARY SERVICES. THIS CALCULATION WILL BE DONE YEARLY AND IMPLEMENTED BY THE 120TH DAY AFTER THE END OF THE 12-MONTH PERIOD USED BY INTEGRIS IN CALCULATING THE AGB PERCENTAGES TO DETERMINE THE AGB. REFUNDS OF THE ABG DIFFERENCES WERE MADE TO AFFECTED PATIENTS. ALTHOUGH TOTAL PATIENT REFUNDS TO FAP-ELIGIBLE PATIENTS FOR THE FISCAL YEAR CAN BE DETERMINED, THE EXACT NUMBER OF INDIVIDUALS AND DOLLAR AMOUNTS ATTRIBUTABLE SOLELY TO THE ABG MISCALCULATION CANNOT BE EASILY IDENTIFIED. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, THE AGB CALCULATION WILL BE DONE YEARLY AND IMPLEMENTED BY THE 120TH DAY AFTER THE END OF THE 12-MONTH PERIOD USED BY INTEGRIS IN CALCULATING THE AGB PERCENTAGES TO DETERMINE THE AGB. THE LOWEST AGB OF ALL INTEGRIS HOSPITAL FACILITIES WILL BE APPLIED TO ALL HOSPITAL FACILITIES WITHIN THE SYSTEM. FINANCIAL ASSISTANCE POLICY 1. AT THE TIME OF THE COMPLIANCE ASSESSMENT, THE FAP WAS NOT FULLY COMPLIANT WITH SECTION 501(R) REGULATIONS. NECESSARY REVISIONS INCLUDED DESCRIBING THE METHOD FOR DETERMINING AGB, OUTLINING THE PERCENTAGES FOR AGB, DESCRIBING ALL DISCOUNTS AVAILABLE AND ELIGIBILITY CRITERIA FOR EACH DISCOUNT, INCLUDING A COMPLETE LIST OF PROVIDERS DELIVERING EMERGENCY OR MEDICALLY NECESSARY CARE, DESCRIBING THE REFUND PROCESS IF AN ELIGIBLE PATIENT WAS CHARGED IN EXCESS OF AGB, AND PROVIDING CONTACT INFORMATION TO OBTAIN INFORMATION ABOUT THE POLICY AND/OR ASSISTANCE WITH THE APPLICATION PROCESS. 2. TO CORRECT THESE DEFICIENCIES, THE FAP WAS REVISED AND REVIEWED WITH INTEGRIS LEGAL COUNSEL TO MEET ALL 501(R) CRITERIA, AND APPROVED BY INTEGRIS BOARD OF DIRECTORS. ALL REQUIRED DOCUMENTATION, INCLUDING THE FAP, PLAIN LANGUAGE SUMMARY, AND BILLING AND COLLECTIONS POLICY, WAS MADE AVAILABLE IN ALL REQUIRED LANGUAGES ON THE INTEGRIS HEALTH SYSTEM PUBLIC WEBSITE AND AVAILABLE TO PATIENT ACCESS AREAS. ALL CORRECTIVE ACTIONS WERE TAKEN BEFORE JUNE 30, 2017. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, THE FAP WILL BE REVIEWED ANNUALLY BY THE SYSTEM BUSINESS OFFICE IN CONCURRENCE WITH 501(R) GUIDELINE POLICIES, APPLICATIONS, AND PLAIN LANGUAGE SUMMARIES. FURTHER, SPECIFIC 501(R) TRAINING AND EDUCATION WAS PROVIDED TO APPLICABLE PERSONNEL TO ENSURE A COMPLETE, THOROUGH, AND CONSISTENT UNDERSTANDING BY ALL STAFF WITH RELATED RESPONSIBILITIES, PRIOR TO JUNE 30, 2017. WIDE PUBLICATION AND AVAILABILITY OF FINANCIAL ASSISTANCE POLICY (FAP) AND RELATED INFORMATION 1. AT THE TIME OF THE COMPLIANCE ASSESSMENT, NOT ALL SIGNAGE DISPLAYS AND TRANSLATED FAP INFORMATION REQUIRED UNDER TREAS. REG. SECTION 1.501(R)-4 WERE PRESENT IN THE INTEGRIS HOSPITAL FACILITIES EMERGENCY AND/OR ADMISSION AREAS, AS WELL AS ON THE ORGANIZATIONS PUBLIC WEBSITE. 2. TO CORRECT THESE DEFICIENCIES, POSTERS AT ALL IDENTIFIED ACCESS POINTS WERE COMPLETED BY APRIL 30, 2017 AND INTEGRIS IMPLEMENTED A POLICY THAT SYSTEM LEADERSHIP WILL AUDIT FOR POSTER COMPLIANCE AT LEAST QUARTERLY. THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE ALL MADE AVAILABLE IN LANGUAGES WITH SIGNIFICANT POPULATIONS (ENGLISH, SPANISH, AND VIETNAMESE), PRIOR TO JUNE 30, 2017. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, DEPARTMENT EDUCATION FOR ALL ACCESS AND PATIENT FINANCIAL SERVICES STAFF WAS PERFORMED BEFORE JUNE 30, 2017 AND WILL BE CONDUCTED ANNUALLY THEREAFTER. SYSTEM WIDE COMMUNICATION ABOUT THE LAW AND INTEGRIS RESPONSIBILITIES TO MAKE FAP INFORMATION WIDELY AVAILABLE WAS SENT TO ALL EMPLOYEES AND INTEGRIS QUERIED ALL APPLICABLE OUTSOURCED VENDORS TO INSURE COMPLIANCE WITH INTEGRIS POLICIES, WHERE APPLICABLE, AND REQUIRE THEM TO TRAIN THEIR STAFF, PROVIDE DOCUMENTATION AND AUDIT REGULARLY. THESE MEASURES WERE IMPLEMENTED PRIOR TO JUNE 30, 2017. BILLING AND COLLECTIONS POLICY 1. AT THE TIME OF THE COMPLIANCE ASSESSMENT, THE BILLING AND COLLECTIONS POLICY WAS NOT FULLY COMPLIANT WITH SECTION 501(R) REGULATIONS. NECESSARY REVISIONS INCLUDED THE DESCRIPTION OF PROCESS, TIMEFRAMES, AND REASONABLE EFFORTS THE HOSPITAL WILL MAKE TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE BEFORE ENGAGING INTO EXTRAORDINARY COLLECTION ACTIVITIES AS WELL AS THE OFFICE, DEPARTMENT, COMMITTEE OR OTHER BODY WITH THE FINAL AUTHORITY OR RESPONSIBILITY FOR DETERMINING THE HOSPITAL HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE AND MAY THEREFORE ENGAGE IN ECAS AGAINST THE INDIVIDUAL. FURTHER, ALTHOUGH THE FAP SPECIFIES INTEGRIS HAS A SEPARATE POLICY, NEITHER THE FAP NOR THE BCP STATE HOW THE PUBLIC CAN OBTAIN COPIES OF THE SEPARATE BCP (AND ANY NECESSARY TRANSLATIONS). 2. TO CORRECT THESE DEFICIENCIES, THE BILLING AND COLLECTION POLICY WAS REVISED AND REVIEWED WITH INTEGRIS LEGAL COUNSEL TO MEET ALL 501(R) CRITERIA, AND APPROVED BY INTEGRIS BOARD OF DIRECTORS. INDIVIDUALS CAN OBTAIN THE POLICY IN A NUMBER OF WAYS AS DESCRIBED IN SECTION 4.0 OF THE BILLING AND COLLECTIONS POLICY. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, THE BILLING AND COLLECTION POLICY WILL BE REVIEWED ANNUALLY BY THE SYSTEM BUSINESS OFFICE IN CONCURRENCE WITH 501(R) GUIDELINE POLICIES, APPLICATIONS, AND PLAIN LANGUAGE SUMMARIES. THE PROCESS TO REVIEW AND ENSURE THAT DUE DILIGENCE IS COMPLETED WILL BE DONE BY THE SYSTEM DIRECTOR OVER CUSTOMER SERVICE ON AN AS NEEDED BASIS (I.E., AS PATIENTS BECOME ELIGIBLE FOR ECAS). THEY WILL REVIEW RANDOM ACCOUNTS TO ENSURE THAT THE INDIVIDUAL IS RECEIVING THE CORRECT NUMBER OF STATEMENTS AND CALLS AS OUTLINED AND IN COMPLIANCE WITH INTEGRIS BILLING AND COLLECTION POLICY.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

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SUPPLEMENTAL INFORMATION 1SCHEDULE H, PART VI: INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IBMC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW.
SUPPLEMENTAL INFORMATION 2PART I, LINE 3C: N/A
SUPPLEMENTAL INFORMATION 3PART I, LINE 6A: INTEGRIS HEALTH, INC., (EIN: 73-1192764), THE PARENT ORGANIZATION OF INTEGRIS BAPTIST MEDICAL CENTER, INC., PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC.
SUPPLEMENTAL INFORMATION 4PART I, LINE 7, COLUMN F: BAD DEBT OF <$8,276> (GROSS CHARGES) WAS ADDED TO PART IX LINE 25(A) $719,265,422 TO ARRIVE AT TOTAL EXPENSE.
SUPPLEMENTAL INFORMATION 5PART I, LINE 7: COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON PART 1, LINE 7. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
SUPPLEMENTAL INFORMATION 6PART 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.
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
SUPPLEMENTAL INFORMATION 8PART III, LINE 8: COMMUNITY BENEFIT: ------------------ THE HOSPITAL BELIEVES THAT ALL OF THE $18,468,040 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH OUR COST EXCEEDS REIMBURSEMENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING ELDERLY IN OUR COMMUNITY. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.
SUPPLEMENTAL INFORMATION 9PART III, LINE 9B: PATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES. ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED. IBMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
SUPPLEMENTAL INFORMATION 10PART IV: MANAGEMENT COMPANIES AND JOINT VENTURES NAME OF ENTITY: QUALITY CARDIAC CARE CENTERS, LLC (DBA QC-III) DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: CARDIAC CARE ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 47.865200 OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEE'S PROFIT % OR STOCK OWNERSHIP %: 0.00000 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 52.134800
SUPPLEMENTAL INFORMATION 11PART VI, LINE 2: NEEDS ASSESSMENT INTEGRIS HEALTH UTILIZES A VARIETY OF TOOLS TO DETERMINE THE HEALTH CARE NEEDS OF OUR COMMUNITIES. THESE INCLUDE PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES AND ORGANIZATIONS TO DETERMINE SPECIFIC TARGET MARKET NEEDS, PROGRAM SURVEYS AND COMMUNITY FOCUS GROUPS, PROGRAM EVALUATIONS FROM PARTICIPANTS IN OUR COMMUNITY HEALTH SCREENINGS, HEALTH EDUCATION AND SUPPORT GROUPS, THE COUNTY HEALTH RANKINGS REPORT AND THE OKLAHOMA STATE HEALTH DEPARTMENT'S "STATE OF THE STATE HEALTH REPORT." AFTER REVIEWING THESE MATERIALS FOR ISSUES CONCERNING ACCESS TO CARE, HEALTH EDUCATION NEEDS AND GAPS IN SERVICES IN OUR COMMUNITIES, INTEGRIS HEALTH DETERMINES HOW TO ADDRESS THESE ISSUES BY DEVELOPING PROGRAMS/SERVICES TO IMPLEMENT, INCLUDING, BUT NOT LIMITED TO, HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION AND WELLNESS PROGRAMS, SUPPORT GROUPS, AND ACCESS TO HEALTH CARE FACILITIES. INTEGRIS HEALTH UTILIZES OUR HEALTH SYSTEM RESOURCES, FACILITIES AND PERSONNEL FOR MANY OF THESE PROGRAMS, BUT ALSO PARTNERS WITH OUR COMMUNITIES AND DEVELOPS COLLABORATIONS WITH LOCAL NON-PROFIT AGENCIES, CIVIC ORGANIZATIONS, SCHOOLS, AND CHURCHES TO IMPROVE THE ISSUES IDENTIFIED.
SUPPLEMENTAL INFORMATION 12PART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCE INTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES: *POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS. *A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH 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.
SUPPLEMENTAL INFORMATION 13PART 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 BAPTIST MEDICAL CENTER IS LOCATED IN OKLAHOMA CITY, WHICH IS IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA. THIS CAMPUS OFFERS MORE THAN 500 LICENSED BEDS AND HAS BEEN SERVING THE STATE SINCE 1959. SERVICES INCLUDE A BURN CENTER, TRANSPLANT CENTER, AND FERTILITY CENTER.
SUPPLMENTAL INFORMATION 14PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS. ALL INTEGRIS HEALTH FACILITIES ARE GOVERNED BY A BOARD OF DIRECTORS SPECIFICALLY MADE UP OF MEN AND WOMEN WHO LIVE AND WORK IN THE COMMUNITY INCLUDING: LOCAL BUSINESS OWNERS, CIVIC LEADERS, COMMUNITY VOLUNTEERS, REPRESENTATIVES WORKING IN HIGHER EDUCATION, UTILITY COMPANIES, AND A VARIETY OF NON-PROFIT ORGANIZATIONS. PATIENT AND COMMUNITY ADVISORY GROUPS HAVE ALSO BEEN ESTABLISHED AT SEVERAL INTEGRIS FACILITIES ACROSS THE STATE. THESE GROUPS GIVE HOSPITAL LEADERS INPUT, SUGGESTIONS, AND FEEDBACK ON WAYS TO IMPROVE PROGRAMS, SERVICES, COMMUNITY NEEDS, AND PROCESS IMPROVEMENT IN CLINICAL AREAS. PROGRAMS ESTABLISHED TO MEET COMMUNITY NEEDS INCLUDE A FALLS PREVENTION PROGRAM FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES SUPPORT GROUP, AFRICAN AMERICAN MEN AND WOMEN'S HEART HEALTH, AND STROKE LECTURES. ADVOCACY INITIATIVES FOR PROMOTING COMMUNITY-WIDE, STATE OR NATIONAL EFFORTS TO IMPROVE HEALTH OF THE POPULATION AND INCREASE ACCESS. INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA LIONS CLUB MOBILE HEALTH UNIT, THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE OKLAHOMA TURNING POINT PROGRAM TO INCREASE HEALTH SCREENING OPPORTUNITIES AND HEALTH ACCESS FOR PEOPLE LIVING IN RURAL, UNDERSERVED AREAS OF OKLAHOMA. THE PARTNERSHIP INCLUDES DONATION OF RESOURCES AND MONEY TO SPONSOR THE OPERATION OF THE LIONS MOBILE HEALTH UNIT WHICH TRAVELS AROUND THE STATE OFFERING FREE HEALTH SCREENINGS AND MEDICAL INFORMATION. THE OKLAHOMA STATE HEALTH DEPARTMENT AND THE OKLAHOMA TURNING POINT PROGRAM ASSIST WITH HEALTH SCREENINGS AND HELP WITH REFERRALS TO MEDICAL HOMES AND CLINICS FOR PEOPLE WITHOUT A PHYSICIAN AND FOR THOSE UNINSURED OR UNDERINSURED. INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA TURNING POINT PROGRAM, LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, ROTARY, AND KIWANIS CLUBS, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA. THE HOSPITAL'S ROLE IN WORKING WITH OTHERS TO IDENTIFY COMMUNITY NEEDS AND ADDRESS COMMUNITY PROBLEMS. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS, TASK FORCES, AND COMMITTEES HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION. THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES, AND REDUCING HEALTH CARE COSTS. INTEGRIS COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS ABOUT HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT HOW THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HAS BEEN ABLE TO HELP SLOWLY IMPROVE HEALTH IN SOME INDICATORS, SUCH AS CHILDHOOD IMMUNIZATIONS, ADULT IMMUNIZATIONS, AND SMALL STEP TOWARD IMPROVING CHILDHOOD OBESITY WITH SEVERAL PROGRAMS IMPLEMENTED IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS. ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS.
SUPPLEMENTAL INFORMATION 15PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES IBMC IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. INTEGRIS BAPTIST MEDICAL CENTER IS THE FLAGSHIP HOSPITAL OF THE SYSTEM. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON SCHEDULE H, PART V AND THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O, GENERAL STATEMENTS 3 THROUGH 4 FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM.
SUPPLEMENTAL INFORMATION 16PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT ALL STATES WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: OK

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
INTEGRIS RURAL HEALTH INC
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112731444504501(C)(3)$2,275,825TO FUND OPERATIONS
INTEGRIS AMBULATORY CARE CORPORATION
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112731192765501(C)(3)$2,420,409TO FUND OPERATIONS
INTEGRIS HEALTH EDMOND INC
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112451027361501(C)(3)$473,481TO FUND OPERATIONS
INTEGRIS SOUTHWEST MEDICAL CENTER INC
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112731089149501(C)(3)$2,282,536TO FUND OPERATIONS
INTEGRIS HEALTH FOUNDATION INC
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112731047338501(C)(3)$1,194,329TO FUND OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHIGH SCHOOL SCHOLARSHIPSGrantTypeTxt
Recipient29RecipientCnt
Cash Grant$29,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATION 1FormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS TO SUPPORT THEIR OPERATIONS. IBMC DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS. COLLEGE SCHOLARSHIPS ARE PROVIDED TO EMPLOYEES' CHILDREN WHO QUALIFY BASED ON CERTAIN CRITERIA. A COLLEGE TRANSCRIPT MUST BE PROVIDED FOR EACH SEMESTER AS LONG AS THE SCHOLARSHIP IS IN PLACE.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HANI BARADI
DIRECTOR$0$645,685$0$630,504$0$1,449$0$6,625$0$15,458$0$1,299,721$0$0
SUDHIR KHANNA
EX-OFFICIO CHIEF OF STAFF$190,120$1,567$0$0$0$0$10,078$0$0$0$200,198$1,567$0$0
C BRUCE LAWRENCE
EX-OFFICIO-PRES/CEO IH$0$992,513$0$0$0$49,276$0$371,936$0$12,064$0$1,425,789$0$0
BETH A PAUCHNIK
ASSISTANT SECRETARY$0$439,938$0$0$0$16,877$0$117,518$0$11,390$0$585,723$0$0
MARY K CALBONE
VICE PRESIDENT$195,988$0$0$0$13,361$0$28,817$0$6,531$0$244,697$0$0$0
MICHELE DIEDRICH
VP CHIEF NURSING OFFICER$201,426$0$0$0$10,855$0$2,446$0$15,438$0$230,165$0$0$0
TIM JOHNSEN
PRESIDENT IBMC$507,425$0$0$0$23,277$0$89,138$0$15,342$0$635,182$0$0$0
JAMES W LONG
PHYSICIAN$1,246,743$0$0$0$18,303$0$10,600$0$12,471$0$1,288,117$0$0$0
ALY BANAYOSY
PHYSICAN$635,636$0$169,930$0$9,504$0$14,575$0$1,880$0$831,525$0$0$0
DOUGLAS A HORSTMANSHOF
PHYSICAN$742,784$0$3,338$0$15,090$0$17,038$0$15,399$0$793,649$0$0$0
VIVEK KOHLI
TRANSPLANT SURGEON$666,386$0$11,100$0$14,654$0$17,225$0$15,858$0$725,223$0$0$0
ABBAS RAZA
PHYSICAN$532,088$0$256,376$0$13,287$0$14,575$0$15,670$0$831,996$0$0$0
E SAMARA
TRANSPLANT SURGEON$559,319$0$105,560$0$5,593$0$38,261$0$11,520$0$720,253$0$0$0
DAVID R HADLEY
ASST. TREASURER THRU 8/16$0$239,281$0$197,232$0$214,745$0$12,731$0$7,582$0$671,571$0$197,232
CHRIS M HAMMES
FORMER OFFICER & DIRECTOR$0$617,867$0$0$0$21,222$0$170,945$0$15,610$0$825,644$0$0
CHRISTOPHER TURNER
FORMER DIRECTOR$0$29,812$0$0$0$0$0$0$0$0$0$29,812$0$0
ERROL A MITCHELL
FORMER KEY EMPLOYEE$0$166,498$0$0$0$163,631$0$29,469$0$11,694$0$371,292$0$0
DAVID BOGGS
FORMER DIRECTOR$75,005$6,910$0$0$0$0$0$0$0$0$75,005$6,910$0$0
MICHAEL MCGEE MD
FORMER DIRECTOR$31,750$4,600$0$0$0$0$0$0$0$0$31,750$4,600$0$0
WILLIAM COOK MD
FORMER DIRECTOR$9,640$1,412$0$0$0$0$0$0$0$0$9,640$1,412$0$0
CARL RACZKOWSKI MD
FORMER DIRECTOR$0$266,614$0$0$0$0$0$0$0$0$0$266,614$0$0
JACONNA R TILLER
FORMER KEY EMPLOYEE$0$0$0$0$111,271$0$0$0$5,214$0$116,485$0$0$0
PHILIP LANCE
PRESIDENT$285,149$0$0$0$12,053$0$73,355$0$15,530$0$386,087$0$0$0
TOM HONAN
INTERIM ASST.TREAS. THRU 10/16$0$296,574$0$0$0$0$0$0$0$0$0$296,574$0$0
STEVEN REITER
FORMER DIRECTOR$0$504,973$0$367,613$0$30,571$0$15,900$0$6,822$0$925,879$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1SCHEDULE J, PART 1, LINE 3 INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, IBMC RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION.
SUPPLEMENTAL INFORMATION 2SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS WERE MADE TO KEY EMPLOYEES ERROL A. MITCHELL AND JACONNA R. TILLER. $156,937 AND $111,271 OF THE CALENDAR YEAR 2016 COMPENSATION REPORTED FOR THESE INDIVIDUALS, RESPECTIVELY, ON FORM 990, PART VII AND SCHEDULE J, PART II REPRESENTS SEVERANCE PAYMENTS.
SUPPLEMENTAL INFORMATION 3SCHEDULE J, PART I, LINE 4B THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT DURING THE YEAR. CHRIS M. HAMMES TIM JOHNSEN PHILIP LANCE C. BRUCE LAWRENCE BETH A. PAUCHNIK DAVID R. HADLEY RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR EQUAL TO $197,232.
SUPPLEMENTAL INFORMATION 4SCHEDULE J, PART I, LINE 7 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. IN THE SECOND PLAN, CERTAIN EMPLOYED PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION PURSUANT TO THEIR WRITTEN EMPLOYMENT AGREEMENTS. ALL INCENTIVE COMPENSATION IS SUBJECT TO A CAP AND DOES NOT EXCEED 50% OF THE PHYSICIAN'S TOTAL COMPENSATION. THERE ARE A VARIETY OF METHODS USED TO CALCULATE INCENTIVE COMPENSATION BASED ON THE PHYSICIAN'S PERSONAL PRODUCTION, RANGING FROM (I) A SPECIFIED PERCENTAGE OF NET INCOME LESS EXPENSES; (II) A SPECIFIED PERCENTAGE OF TOTAL COLLECTIONS LESS EXPENSES; (III) A SPECIFIED PERCENTAGE OF BASE SALARY BASED COMPLIANCE WITH CERTAIN QUALITY, PATIENT SATISFACTION, PRODUCTION AND FINANCIAL INDICATORS; (IV) A SPECIFIED PERCENTAGE OF BASE SALARY BASED ON COMPLIANCE WITH QUALITY, GUIDING VALUES, PATIENT SATISFACTION AND PRODUCTRION CRITERIA; (V) A SPECIFIED PERCENTAGE OF FEE-BASED COLLECTIONS AND CAPITATION COLLECTIONS, IF APPLICABLE, IN EXCESS OF QUARTERLY SALARY; (VI) QUARTERLY BONUSES MEASURED BY RVUS THAT EXCEED A SPECIFIED TARGET PER QUARTER; AND (VII) PRO RATA SHARE OF ANNUAL INCENTIVE POOLS BASED UPON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
THE OK DEVELOPMENT FINANCE AGENCY 2015C
A731083741678908L282015-06-01$89,880,000REFUND OF 2011A/B, ISSUED 7/6/11falsefalsefalse
THE OK DEVELOPMENT FINANCE AGENCY 2015B
B73108374167884XBV82015-04-15$48,425,000REFUND OF 2007A, ISSUED 11/8/07falsefalsefalse
THE OK DEVELOPMENT FINANCE AGENCY 2015A
C73108374167884XBR72015-04-15$222,198,189REFUND OF 2008B/C, ISSUED 7/30/08falsefalsefalse
THE OK DEVELOPMENT FINANCE AGENCY 2013A
D73108374167884XAZ02013-05-03$97,945,000REFUND OF 2008A, ISSUED 5/6/08falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,195,000$0$89,880,000$0$0$0$0$0$0$0$89,880,000$02011Yes (true)falseYes (true)Yes (true)
B$2,350,000$0$48,425,000$0$0$0$521,063$0$0$0$47,903,937$02010Yes (true)falseYes (true)Yes (true)
C$13,160,000$0$222,198,189$0$0$198,595,789$1,737,424$0$0$0$21,864,976$02011falseYes (true)falseYes (true)
D$8,150,000$0$97,945,000$0$0$0$0$0$0$0$97,945,000$02009Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.000100.00010falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0.000100.00010falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)false0falsefalsefalseYes (true)
DfalseYes (true)Yes (true)Yes (true)false0.000100.00010falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GOLDMAN SACHS
AfalseYes (true)falsefalseYes (true)Yes (true)18.2falsefalsefalse0falseYes (true)
JP MORGAN CHASE
BfalseYes (true)falsefalseYes (true)Yes (true)18.33falsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
GOLDMAN SACHS
DfalseYes (true)falsefalseYes (true)Yes (true)20.3falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATION 1FormAndLineReferenceDesc
ExplanationPART II, LINE 11, COLUMNS A,B,C,& D: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS FROM THE ISSUE THAT ARE NO LONGER IN ESCROW.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSEE PART VPersonNm
FieldValueIRS element (for citing)
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1SCHEDULE L, PART IV: BUSINESSS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF INTERESTED PERSON: INTEGRIS PROHEALTH, INC. (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $547,546 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO (A) NAME OF INTERESTED PERSON: INTEGRIS HEALTH PARTNERS, LLC (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $87,673 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO (A) NAME OF INTERESTED PERSON: INTEGRIS CARDIOVASCUALR PHYSICIANS, LLC (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $24,042,942 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO
SUPPLEMENTAL INFORMATION 2SCHEDULE L, PART IV: BUSINESSS TRANSACTIONS INVOLVING INTERESTED PERSONS THE FILING ORGANIZATION AND THE INTERESTED PERSON ARE BOTH AFFILIATES WITHIN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. THE INTERESTED PERSONS REPORTED ON SCHEDULE L, PART V, SUPPLEMENTAL INFORMATION 1 ARE EACH GREATER THAN 35% CONTROLLED ENTITIES OF INTEGRIS HEALTH, INC. AND/OR INTEGRIS BAPTIST MEDICAL CENTER. THE TRANSACTIONS REPORTED CONSIST OF ROUTINE TRANSACTIONS WITHIN THE ACTIVITY OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE TRANSACTIONS INCLUDE EXPENSE REIMBURSEMENTS, LEASING OF FACILITIES, PURCHASE OF SERVICES, EQUITY CONTRIBUTIONS AND DISTRIBUTIONS, AND OTHER INTERCOMPANY TRANSFERS.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$15,705NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)MEDICAL EQUIPMENT20$1,182,703FMV
Yes (X)OTHER EQUIPMENT3$47,139FMV
Yes (X)WIGS1$26,668FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule N IRS990ScheduleN

FieldValueIRS element (for citing)
Liquidation Of Assets TableLiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidREIMBURSEMENT OF EXPENSESAssetsDistriOrExpnssPaidDesc
Fair Market Value Of Asset$761,756,772FairMarketValueOfAssetAmt
Method Of FMV DeterminationCOSTMethodOfFMVDeterminationTxt
EIN731192764EIN
PersonINTEGRIS HEALTH INCPersonNm

US Address USAddress

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CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73112ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2Yes (true)DirectorOfSuccessor2Ind
Employee Of Successor2Yes (true)EmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
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Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATION 1FormAndLineReferenceDesc
ExplanationSCHEDULE N, PART II, LINES 2A AND 2B INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF INTEGRIS HEALTH (INTEGRIS), AN INTEGRATED HEALTHCARE SYSTEM. IBMC IS REIMBURSING INTEGRIS FOR EXPENSES RELATED TO MANAGEMENT, HOUSEKEEPING, UTILITIES, SECURITY AND OTHER INTEGRATED SERVICES PROVIDED BY INTEGRIS. THE FOLLOWING INDIVIDUALS WERE OFFICERS, DIRECTORS, OR EMPLOYEES OF BOTH ORGANIZATIONS AT THE TIME OF TRANSACTIONS: C. BRUCE LAWRENCE BETH A. PAUCHNIK JOEY SAGER DAVID R. HADLEY TOM HONAN DANIEL DAVISExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GENERAL STATEMENT 1FORM 990, BOX C: DOING BUSINESS AS CANCER CENTER OF THE SOUTHWEST LIFEPASS OKLAHOMA TRANSPLANTATION INSTITUTE AMBULATORY INFUSION CENTER OF OKLAHOMA DIRECT CONNECT INTEGRIS MENTAL HEALTH CENTER - SPENCER MIRTH (MEDICAL INSTITUTE FOR RECOVERY THROUGH HUMOR) CHANGING YOUR WEIGHS INTEGRIS MENTAL HEALTH - SPENCER NAZIH ZUHDI TRANSPLANTATION INSTITUTE CERTIFIED BREAST FEEDING EDUCATOR CERTIFIED LACTATION EDUCATOR THIRD AGE LIFE THIRD AGE LIFE CENTER THE CHILDREN'S PLACE INTEGRIS ONCOLOGY SERVICES INTEGRIS ONCOLOGY SERVICES, NORTH HENRY G. BENNETT, JR. FERTILITY INSTITUTE TROY AND DOLLIE SMITH CANCER CENTER INTEGRIS ONCOLOGY SERVICES, NORTH/SOUTH COMPREHENSIVE BREAST CENTER OF OKLAHOMA HEARTSCAN OKLAHOMA INTEGRIS MENTAL HEALTH - INTEGRIS BEHAVIORAL SPECIALISTS INTEGRIS JOINT REPLACEMENT CENTER INTEGRIS HEARING RESOURCE CENTER OF OKLAHOMA AT HOUGH EAR INSTITUTE INTEGRIS DECISIONS DAY TREATMENT INTEGRIS CORPORATE ASSISTANCE PROGRAM INTEGRIS HEART CENTER HEARTSCAN COMPREHENSIVE BREAST CENTER INTEGRIS HEALTH HOSPITAL HEART FAILURE INSTITUTE MAT MOBILE ASSESSMENT TEAM SAMARITAN HOME BASED SERVICES INTEGRIS SLEEP DISORDERS CENTER - EDMOND INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT INTEGRIS BAPTIST MEDICAL CENTER CANCER INSTITUTE - BAPTIST CANCER INSTITUTE OF BAPTIST INTEGRIS CANCER INSTITUTE OF OKLAHOMA PROTON CAMPUS INTEGRIS BAPTIST MEDICAL CENTER - PROTON CAMPUS INTEGRIS ADVANCED CARDIAC CARE SAMARITAN INFUSION SERVICES INTEGRIS CANCER INSTITUTE OF OKLAHOMA RESEARCH - METRO INTEGRIS MENTAL HEALTH PHYSICIANS INTEGRIS MEDICAL SUPPLY INTEGRIS BENNETT FERTILITY CENTER INTEGRIS BENNETT FERTILITY INSTITUTE INTEGRIS HEART HOSPITAL INTEGRIS HEART HOSPITAL - DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY INTEGRIS HOME CARE OKLAHOMA CITY INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT ICIO INTEGRIS CHILDREN'S AT BAPTIST MEDICAL CENTER DECISIONS MENTAL HEALTH & ADDICTION RECOVERY PROGRESS INTEGRIS COCHLEAR EAR IMPLANT CLINIC
GENERAL STATEMENT 2PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) IS A MEMBER OF THE INTEGRIS HEALTH SYSTEM (INTEGRIS HEALTH). INTEGRIS HEALTH IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE CORPORATION WITH HOSPITALS, PHYSICIAN CLINICS, MENTAL HEALTH FACILITIES, ASSISTED LIVING CENTERS AND HOME HEALTH AGENCIES THROUGHOUT THE STATE. AS A MEMBER OF INTEGRIS HEALTH AND A NOT FOR PROFIT ORGANIZATION, EACH YEAR IBMC PROVIDES MILLIONS OF DOLLARS OF CHARITY CARE TO PATIENTS THROUGHOUT THE STATE OF OKLAHOMA. WHILE THIS CARE REPRESENTS A LARGE PERCENTAGE OF IBMC'S GIFT BACK TO THE COMMUNITY, IT IS STILL ONLY PART OF WHAT IBMC CHOOSES TO CALL RETURNSHIP. RETURNSHIP EPITOMIZES IBMC'S MISSION OF GIVING BACK TO ITS COMMUNITY. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA - FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE. IN ADDITION, IBMC PROVIDES SIGNIFICANT AMOUNTS OF UNCOMPENSATED SERVICES. UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED COST CARE. AS A NOT-FOR-PROFIT HOSPITAL, IBMC PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE COVERAGE. THUS, IT PROVIDES A MUCH-NEEDED SAFETY NET FOR MEMBERS OF THE IBMC COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IBMC PROVIDED CHARITY CARE OF $5,427,899. IBMC ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS FOR WHICH THE ORGANIZATION HAD RECEIVED INADEQUATE PAYMENTS IN PRIOR YEARS. THE SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM (SHOPP) WAS CREATED AND IMPLEMENTED BY THE STATE OF OKLAHOMA IN FISCAL YEAR 2012 FOR THE PURPOSE OF ASSURING ACCESS TO QUALITY CARE FOR OKLAHOMA MEDICAID MEMBERS. THE PROGRAM IS DESIGNED TO ASSESS QUALIFIED OKLAHOMA HOSPITALS A FEE FOR THE SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM. THE COLLECTED FEES ARE PLACED IN POOLS AND THEN ALLOCATED TO HOSPITALS AS DIRECTED BY LEGISLATION. THE OKLAHOMA HEALTH CARE AUTHORITY DOES NOT GUARANTEE THAT ALLOCATIONS WILL EQUAL OR EXCEED THE AMOUNT OF FEE PAID INTO THE POOL BY THE HOSPITAL. THE SHOPP PROGRAM IS EXPECTED TO REMAIN IN EFFECT THROUGH FISCAL YEAR 2018. THIS FISCAL YEAR THE SHOPP PAYMENT HELPED OFFSET COSTS RELATED TO MEDICAID PATIENTS. IN ADDITION IBMC BAD DEBT COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IBMC's BAD DEBT COSTS WERE $7,579,937. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT SEE THE ATTACHED COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O STATEMENTS 3 THROUGH 4.
GENERAL STATEMENT 3PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2017 INTEGRIS BAPTIST MEDICAL CENTER PROSTATES AND PANCAKES: COME FOR ONE...STAY FOR THE OTHER INTEGRIS MENS HEALTH UNIVERSITY OFFERS A HEARTY PANCAKE DINNER AND ROUTINE SCREENINGS FOR PROSTATE CANCER. FREE PSA BLOOD TESTS ARE AVAILABLE FOR MEN 50 YEARS OF AGE AND OLDER UNLESS THEY HAVE A PREVIOUS FAMILY HISTORY. ONE IN SIX MEN WILL BE DIAGNOSED WITH PROSTATE CANCER DURING HIS LIFETIME. A LARGE PERCENTAGE OF MEN HAVE ONLY LIMITED CONTACT WITH PHYSICIANS AND THE HEALTH CARE SYSTEM AS A WHOLE. MEN NOT ONLY FAIL TO GET ROUTINE CHECK-UPS AND PREVENTIVE CARE, BUT OFTEN IGNORE SYMPTOMS OR DELAY SEEKING MEDICAL ATTENTION WHEN SICK OR IN PAIN. BLOOD PRESSURE, GLUCOSE AND CHOLESTEROL HEALTH SCREENINGS WERE ALSO OFFERED TO APPROXIMATELY 55 MEN THIS YEAR. INTEGRIS BASS BAPTIST HEALTH CENTER (ENID) MENTAL HEALTH FIRST AID MENTAL HEALTH FIRST AID IS AN INTERNATIONAL EVIDENCE-BASED PROGRAM MANAGED BY THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH. THE PROGRAM INTRODUCES PARTICIPANTS TO RISK FACTORS AND WARNING SIGNS OF MENTAL HEALTH PROBLEMS, BUILDS UNDERSTANDING OF THEIR IMPACT AND OVERVIEWS APPROPRIATE SUPPORTS. THIS EIGHT-HOUR COURSE USES ROLE-PLAYING AND SIMULATIONS TO DEMONSTRATE HOW TO OFFER INITIAL HELP IN A MENTAL HEALTH CRISIS AND CONNECT PEOPLE TO THE APPROPRIATE PROFESSIONAL, PEER, SOCIAL AND SELF-HELP CARE. THE PROGRAM ALSO TEACHES COMMON RISK FACTORS AND WARNING SIGNS OF SPECIFIC ILLNESSES LIKE ANXIETY, DEPRESSION, SUBSTANCE ABUSE, BIPOLAR DISORDER, EATING DISORDERS AND SCHIZOPHRENIA. MENTAL HEALTH FIRST AID TEACHES PARTICIPANTS A FIVE-STEP ACTION PLAN TO SUPPORT SOMEONE DEVELOPING SIGNS AND SYMPTOMS OF A MENTAL ILLNESS OR EXPERIENCING AN EMOTIONAL CRISIS. INTEGRIS CANADIAN VALLEY HOSPITAL (YUKON) DEEP: DIABETES EMPOWERMENT EDUCATION PROGRAM THE DEEP (DIABETES EMPOWERMENT EDUCATION PROGRAM) IS AN EVIDENCE BASED PROGRAM DEVELOPED TO PROVIDE THE COMMUNITY WITH THE TOOLS TO BETTER MANAGE THEIR DIABETES IN ORDER TO REDUCE COMPLICATIONS AND LEAD HEALTHIER, LONGER LIVES BASED ON PRINCIPLES OF EMPOWERMENT AND ADULT EDUCATION. THE PROGRAM WAS DEVELOPED BY THE MIDWEST LATINO HEALTH RESEARCH, TRAINING AND POLICY CENTER AT THE UNIVERSITY OF ILLINOIS AT CHICAGO IN ENGLISH AND SPANISH AS A CURRICULUM DESIGNED TO ENGAGE COMMUNITY RESIDENTS IN SELF-MANAGEMENT PRACTICES FOR THE PREVENTION AND CONTROL OF DIABETES. THE PROGRAM IS CURRENTLY BEING IMPLEMENTED ACROSS THE U.S., IN PUERTO RICO AND IN PERU. DEEP CURRICULUM EDUCATES PARTICIPANTS ON THE PRIORITY INDICATORS OF HEART DISEASE PREVENTION, NUTRITION AND PHYSICAL ACTIVITY/OBESITY. PROGRAM CURRICULUM ALSO COVERS MENTAL HEALTH ISSUES INCLUDING STRESS RELIEF, DEPRESSION AND COPING WITH DIABETES. INTEGRIS CANCER INSTITUTE 23RD ANNUAL CELEBRATION OF LIFE ART SHOW THE TROY AND DOLLIE SMITH WELLNESS CENTER AT THE INTEGRIS CANCER INSTITUTE CELEBRATED ITS 23RD ANNUAL ART EXHIBIT, DEDICATED TO THE CURATIVE POWERS OF CREATIVITY AND TO ALL WHOSE LIVES HAVE BEEN AFFECTED BY CANCER. THE EXHIBIT SHOWCASES ALL FORMS OF ART INCLUDING FIBER, GRAPHICS, OIL, WATERCOLOR, MIXED MEDIA, PHOTOGRAPHY, POTTERY, SCULPTURE, WRITING AND POETRY. WORK BY ARTISTS OF ALL AGES IS ON DISPLAY EXPRESSING HOW THEIR LIVES HAVE BEEN AFFECTED BY CANCER. MORE THAN 200 PIECES OF ART WERE INCLUDED THIS YEAR AND ARTISTS, CANCER SURVIVORS, FAMILIES AND FRIENDS WERE RECOGNIZED AT AN OPENING RECEPTION. INTEGRIS GROVE HOSPITAL COMMUNITY GARDEN NUTRITION TRAINING IN CONJUNCTION WITH THE DELAWARE COUNTY BOYS AND GIRLS CLUB AND THE DELAWARE COUNTY COMMUNITY COALITION, WE PARTICIPATED IN A NUTRITION TRAINING EVENT WITH APPROXIMATELY 70 CHILDREN FROM THE GROVE AREA. ON DAY ONE, WE VISITED THE COMMUNITY GARDEN. THE STUDENTS TOURED THE GARDEN, THEN GOT UP CLOSE AND PERSONAL WITH SEEDS, HERBS AND FRESH PRODUCE AS WELL AS PACKAGED ITEMS FROM THE GROCERY STORE. ON DAY TWO, WE WENT TO THE DELAWARE COUNTY BOYS AND GIRLS CLUB TO DEMONSTRATE HOW TO MAKE HEALTHY SNACKS WITH ITEMS FROM THE GARDEN. WE CREATED A "SUSHI" TURKEY AND VEGETABLE ROLL WITH CARROTS, CUCUMBERS, RADISHES AND A SPINACH TORTILLA. THE KIDS HAD A GREAT TIME LEARNING ABOUT THE GARDEN AND INCORPORATING THAT INTO MAKING A HEALTHY AND FUN SNACK! MANY OF THEM WERE VERY SURPRISED THEY ENJOYED THE SNACK WITH FRESH PRODUCE IN IT. THEY ALSO LEARNED ABOUT PORTION SIZES FOR EACH FOOD GROUP. INTEGRIS HEALTH EDMOND SUNSET ELEMENTARY SCHOOL MAY 5 CINCO DE MAYO FESTIVAL THE INTEGRIS COMMUNITY WELLNESS DEPARTMENT PARTICIPATED IN THE ANNUAL CINCO DE MAYO FESTIVAL AT SUNSET ELEMENTARY SCHOOL. MANY PARENTS OF THE STUDENTS ATTENDED. THE EVENT INCLUDED FUN PHYSICAL ACTIVITIES INCLUDING MAKING HEALTHY FRUIT SMOOTHIES USING BLENDERS POWERED BY PEDALING BICYCLES. THE RESPONSE FROM THE CHILDREN WAS GREAT, AS THEY COMPETED AGAINST THEIR TEACHERS TO SEE WHO COULD POWER THE BLENDER THE FASTEST. EVERYONE WATCHED HOW TO MAKE ONE, AND MANY SAID THEY WERE GOING TO TRY IT AT HOME. A SAMPLE OF THE SMOOTHIE WAS GIVEN TO APPROXIMATELY 500 CHILDREN AT THE SCHOOL FROM 1ST THROUGH 5TH GRADES. INTEGRIS COMMUNITY WELLNESS CONTINUES TO PARTNER WITH SUNSET ELEMENTARY SCHOOL. THE SCHOOL HAS ONE OF THE HIGHEST PERCENTAGES OF CHILDREN WHO ARE ELIGIBLE FOR FREE OR REDUCED COST LUNCHES IN THE EDMOND PUBLIC SCHOOLS. INTEGRIS MENTAL HEALTH MENTAL HEALTH SCREENING IN PARTNERSHIP WITH INTEGRIS, MEMBERS OF THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENTS WELLNESS NOW MENTAL HEALTH AND ADDICTION RECOVERY WORK GROUP ACCEPTED THE FUTURE OF POPULATION HEALTH AWARD FROM THE PUBLIC HEALTH FOUNDATION IN MAY. THIS AWARD RECOGNIZES EXEMPLARY PRACTICE BY HOSPITALS AND HEALTH SYSTEMS THAT ARE COLLABORATING WITH PUBLIC HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS ON HEALTH IMPROVEMENT STRATEGIES AND IMPLEMENTATION EFFORTS. THE AWARDEES FOR THE 2016 PROGRAM WERE INTEGRIS HEALTH IN OKLAHOMA AND WELLSPAN HEALTH IN PENNSYLVANIA. THESE ORGANIZATIONS ARE ENGAGED IN INNOVATIVE AND AMBITIOUS LOCAL PARTNERSHIPS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES IN THE COMMUNITIES THEY SERVE. "THESE HOSPITALS AND THEIR PARTNERS ARE BUILDING ON ONE ANOTHER'S STRENGTHS AS THEY TAKE ON TOUGH, LONGSTANDING COMMUNITY HEALTH PROBLEMS," SAID PHF PRESIDENT RON BIALEK. "OUR MISSION AT INTEGRIS IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE," SAID BRUCE LAWRENCE, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF INTEGRIS. "IN ORDER TO MAKE A MEANINGFUL DIFFERENCE IN TODAY'S HEALTH CARE ENVIRONMENT WE HAVE TO CHANGE BEHAVIORS, AND THE ONLY WAY TO DO THAT IS THROUGH COLLABORATION." THE GROUP IS RECOGNIZED FOR THEIR JOINT EFFORTS TO PROMOTE THE FREE, ANONYMOUS, ONLINE SCREENINGS PROVIDED BY INTEGRIS THROUGH THE WEBSITE, MENTALHEALTHSCREENING.ORG, AND FOR THE GROUPS' EFFORTS TO PROVIDE MENTAL HEALTH FIRST AID TRAINING THROUGHOUT THE COMMUNITY.
GENERAL STATEMENT 4PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS MIAMI HOSPITAL YOGA FOR KIDS YOGA FOR KIDS WAS DEVELOPED BY THE UNIVERSITY OF ARKANSAS DIVISION OF AGRICULTURE RESEARCH AND EXTENSION PROGRAM FOR AGES 5-19. IT INCORPORATES ADULT YOGA POSES INTO KID-FRIENDLY YOGA ROUTINES AND GAMES. THE YOGA FOR KIDS PROGRAM FOCUSES ON HELPING KIDS ACHIEVE OPTIMAL PHYSICAL, SOCIAL AND MENTAL HEALTH. PRACTICING YOGA BUILDS STRENGTH, FLEXIBILITY AND CONFIDENCE. IN ADDITION, THE BREATHING TECHNIQUES PROMOTE RELAXATION AND QUIET THE MIND. YOGA AND STRETCH BREAKS IN THE CLASSROOM ARE PROVEN TO IMPROVE CONCENTRATION. THIS FUN AND SIMPLE EXERCISE PROGRAM COMBINES BREATH, PHYSICAL POSTURES AND MINDFULNESS TO HELP STRENGTHEN AND CALM THE BODY AND MIND. YOGA FOR KIDS PROMOTES STRESS RELIEF AS WELL AS PHYSICAL ACTIVITY. SCHOOLS IN THE MIAMI AND GROVE AREA ARE SO EXCITED THAT WE OFFER THIS FOR THEM IN RURAL OKLAHOMA. MANY OF THE SCHOOLS WERE LOOKING FOR WAYS TO INCORPORATE MENTAL HEALTH AWARENESS, BUT WERE UNSURE WHERE TO TURN. WE NOW HAVE 13 SCHOOL DISTRICTS THAT HAVE YOGA FOR KIDS ON THE CALENDAR FOR THIS SCHOOL YEAR. WE ALSO SERVE EACH LOCAL BOYS AND GIRLS CLUB AT LEAST ONCE A MONTH AND THERE ARE MANY TEACHERS WHO NOW INCORPORATE SOME FORM OF YOGA IN THEIR CLASSROOMS. INTEGRIS SOUTHWEST MEDICAL CENTER GO RED FOR YOUR HEART/CHECK. CHANGE. CONTROL CHECK. CHANGE. CONTROL. IS AN AMERICAN HEART/ STROKE ASSOCIATION EVIDENCE-BASED HYPERTENSION MANAGEMENT PROGRAM THAT UTILIZES AN ONLINE HEALTH TRACKER TO EMPOWER PARTICIPANTS TO TAKE OWNERSHIP OF THEIR CARDIOVASCULAR HEALTH. THE PROGRAM INCORPORATES SELF-MONITORING, MENTORING AND ONLINE TRACKING AS KEY FEATURES TO IMPROVE OUTCOMES IN HYPERTENSION MANAGEMENT, PHYSICAL ACTIVITY AND WEIGHT REDUCTION. PARTICIPANTS ENGAGE IN LEARNING OPPORTUNITIES RELATED TO BLOOD PRESSURE MANAGEMENT SUCH AS HEART HEALTHY NUTRITION, INCREASING PHYSICAL ACTIVITY, REDUCING STRESS AND QUITTING SMOKING. THE PROGRAM HAS A GRAND FINALE WITH THE GO RED FOR YOUR HEART EVENT WHERE THE PARTICIPANTS SHARE THEIR LEARNING EXPERIENCE WITH OTHER PARTICIPANTS FROM ACROSS THE STATE. LAKESIDE WOMENS HOSPITAL RAISES $7,500 FOR MARCH OF DIMES PROGRAMS LAKESIDE WOMENS HOSPITAL PARTICIPATED IN THE 2017 MARCH OF DIMES WALK ON MAY 6 AT THE MYRIAD GARDENS IN OKLAHOMA CITY TO RAISE AWARENESS FOR PREVENTION OF PRE-TERM BIRTHS. THEY RAISED OVER $7,500 TO SUPPORT PROGRAMS THAT HELP PRETERM NEWBORN BABIES AND THEIR MOTHERS. THE MARCH OF DIMES MISSION IS TO WORK IN COMMUNITIES TO IMPROVE THE HEALTH OF MOTHERS AND BABIES THROUGH EDUCATION ON HEALTHY PREGNANCY, PRENATAL CARE AND OTHER SERVICES TO REDUCE THE RISK OF PREMATURE BIRTH AND OTHER POOR BIRTH OUTCOMES, AND TO PROVIDE SUPPORT FOR FAMILIES WHOSE BABIES NEED SPECIALIZED CARE IN THE NICU. LAKESIDE STAFF MEMBERS AND PHYSICIANS ALSO WORKED TO RAISE AWARENESS AND FINANCIAL SUPPORT THROUGH FUNDRAISING THAT INCLUDED A GIFT BASKET AUCTION, HOSTING JEANS DAYS AND SPONSORSHIP OF THE HOPE SECTION AT THE MARCH OF DIMES WALK. IT WAS A FULL EFFORT BY HOSPITAL AND CLINIC PHYSICIANS AND STAFF, AND LAKESIDE PATIENTS, TO RAISE THESE FUNDS TO HELP MEET AN URGENT NEED FOR NEWBORN BABIES AND MOTHERS FOR IMPORTANT RESOURCES AND EDUCATION TO HELP PREVENT PRETERM BIRTHS. SERVING OUR COMMUNITY OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE LEARNED A LONG TIME AGO THAT WE CANT FULLY CARE FOR OUR COMMUNITY BY STAYING EXCLUSIVELY WITHIN THE WALLS OF OUR FACILITIES. THAT'S WHY "RETURNSHIP" IS SUCH AN IMPORTANT PART OF OUR PHILOSOPHY. WHAT IS RETURNSHIP? IT'S GIVING BACK PART OF OURSELVES TO THE COMMUNITIES WE SERVE. AT INTEGRIS HEALTH, THE PHYSICIANS, EMPLOYEES AND VOLUNTEERS TAKE THEIR EDUCATION AND SKILLS INTO THE COMMUNITY TO MAKE A DIFFERENCE IN THE LIVES OF FELLOW OKLAHOMANS. THEIR DEDICATION, COMBINED WITH OUR RESOURCES, HELPS ACCOMPLISH A VARIETY OF THINGS FROM PROVIDING FREE CLINICAL SERVICES, SCREENINGS AND EDUCATION PROGRAMS TO WORKING WITH JUVENILE OFFENDERS AND PROVIDING ACTIVITIES FOR SENIOR CITIZENS. WE ALSO REALIZE THAT THE HEALTH OF A COMMUNITY ISNT JUST PHYSICAL AND MENTAL ITS ECONOMIC AND SPIRITUAL AS WELL. THATS WHY WE OFFER A MYRIAD OF PROGRAMS THAT ADDRESS ALL OF THESE IMPORTANT ISSUES. INTEGRIS PROVIDED $47,862,516 IN COMMUNITY BENEFITS INCLUDING THE COST OF BAD DEBT. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR 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 $5,032,848. 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 $198,041. UNCOMPENSATED SERVICES AND MEDICAID SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS 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. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIOS. INTEGRIS ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. INTEGRIS PROVIDED CHARITY CARE AND MEDICAID SERVICES AT AN ESTIMATED COST OF $24,125,641. BAD DEBT IN ADDITION, INTEGRIS INCURRED BAD DEBT WITH AN ESTIMATED COST OF $18,505,986 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO.
GENERAL STATEMENT 5PART V: QUESTION 1A - INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, PAYS ALL VENDORS FOR SERVICES PROVIDED TO ALL ENTITIES WITHIN THE SYSTEM. ACCORDINGLY, COMPENSATION PAID TO INDEPENDENT CONTRACTORS IS REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS OF INTEGRIS HEALTH, INC., EIN 73-1192764. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX, AS APPROPRIATE. PART V: QUESTION 2A - THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC.,EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE FILING ORGANIZATION DURING THE 2016 TAX YEAR.
GENERAL STATEMENT 6PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTION 2 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE FOLLOWING OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS OFFICERS, DIRECTORS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM: C. BRUCE LAWRENCE DAVID R. HADLEY BETH A. PAUCHNIK TOM HONAN JOEY SAGER DANIEL DAVIS HANI BARADI
GENERAL STATEMENT 7PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTIONS 6, 7A AND 7B - INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS BAPTIST MEDICAL CENTER, INC. AS SUCH IT HAS THE POWER (1) TO ELECT THE DIRECTORS 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, (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.
GENERAL STATEMENT 8PART VI: SECTION B. POLICIES PART VI: QUESTION 11B - THE ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE SYSTEM HAS A SINGLE AUDIT COMPLIANCE COMMITTEE WHICH OVERSEES THE CONSOLIDATED FINANCIAL STATEMENT AUDIT AS WELL AS THE FILING OF FEDERAL AND STATE TAX FORMS. THE SYSTEM ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. A DRAFT FORM 990 IS PROVIDED TO THE SYSTEM VICE PRESIDENT, FINANCE FOR REVIEW. A FINAL FORM 990 IS GIVEN TO THE SYSTEM CHIEF FINANCIAL OFFICER FOR REVIEW, APPROVAL, AND SIGNATURE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, AS WELL AS TO THE SYSTEM'S AUDIT/COMPLIANCE COMMITTEE, FOR REVIEW PRIOR TO FILING THE RETURN.
GENERAL STATEMENT 9PART VI: SECTION B. POLICIES PART VI: QUESTION 12C - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION AND ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS, TO REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST POLICES DURING LEADERSHIP TRAINING. LEGAL SERVICES REVIEWS ALL CONTRACTS FOR CONFLICTS OF INTEREST. INTERNAL AUDIT CONDUCTS AUDITS FOR POSSIBLE CONFLICTS OF INTEREST BASED ON THEIR ANNUAL RISK ASSESSMENT. CORPORATE COMPLIANCE INCLUDES ASSESSMENTS FOR CONFLICTS OF INTEREST IN ITS ANNUAL WORK PLAN AND CONDUCTS SPECIALIZED TRAINING FOR HIGH RISK AREAS. THE GOVERNANCE COMMITTEE, A COMMITTEE OF THE INTEGRIS HEALTH BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF INTEGRIS AND A DISQUALIFIED PERSON.
GENERAL STATEMENT 10PART VI: SECTION B. POLICIES PART VI: QUESTION 15A - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). COMPENSATION FOR THE CEO, MANAGING DIRECTORS AND VICE PRESIDENTS IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE INTEGRIS HEALTH BOARD OF DIRECTORS AND ULTIMATELY THE FULL BOARD OF DIRECTORS. THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REFLECTS A REVIEW OF THE COMPARABILITY DATA, THE EXECUTIVE PERFORMANCE REVIEWS AND THE DECISION-MAKING PROCESS. PART VI: QUESTION 15B - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). ALL DEPARTMENT DIRECTORS COMPENSATION IS REVIEWED ANNUALLY BY THE INTEGRIS COMPENSATION DEPARTMENT OF HUMAN RESOURCES. INDEPENDENT SALARY SURVEY SOURCES FROM THIRD PARTY PROVIDERS ARE USED TO DETERMINE LOCAL AND REGIONAL FAIR MARKET COMPETITIVENESS. ADJUSTMENTS IN SALARIES BASED ON INDIVIDUAL PERFORMANCE STANDARDS OR ANY MARKET EQUITY ADJUSTMENTS ARE APPROVED BY THE RESPECTIVE VICE PRESIDENT OR MANAGING DIRECTOR.
GENERAL STATEMENT 11PART VI: SECTION C. DISCLOSURE PART VI: QUESTION 19 - THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.
GENERAL STATEMENT 12PART VII: SECTION B. INDEPENDENT CONTRACTORS DIAGNOSTIC LABORATORY REFERENCE LAB $24,549,292 OF OKLAHOMA, LLC 225 N.E. 97TH STREET OKLA. CITY, OK 73114 INTELISTAFF OF OKLAHOMA CONTRACT STAFFING $19,639,425 HEALTHCARE LLC P.O. BOX 840292 DALLAS, TX 75284 OKLAHOMA HEALTHCARE SHOPP FEE $18,949,696 AUTHORITY (OHCA) 4345 N. LINCOLN BLVD. OKLA. CITY, OK 73105 LIFESHARE TRANSPLANT DONOR ORGAN ACQUISITION $ 6,957,746 4705 N.W. EXPRESSWAY OKLA. CITY, OK 73132 AMERIPATH PHYSICIAN CALL PAY $ 1,566,186 P.O. BOX 849893 DALLAS, TX 75284
GENERAL STATEMENT 13PART XI: RECONCILIATION OF NET ASSETS, LINE 9 EQUITY TRANSFER TO INTEGRIS HEALTH, INC. ($35,500,000) TRANSFER TO INTEGRIS CARDIOVASCULAR ($ 432,800) PHYSICIANS, LLC ------------- TOTAL ($35,932,800) =============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GREAT PLAINS MEDICAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 N INDEPENDENCE AVE STE 130AddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73112ZIPCd
FieldValueIRS element (for citing)
EIN731457016EIN
Primary ActivitiesMED.RES.PROG.PrimaryActivitiesTxt
Legal Domicile StateOKLegalDomicileStateCd
Total Income$1,922,933TotalIncomeAmt
End Of Year Assets-$22,361,759EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1IBMCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
INTEGRIS AMBULATORY CARE CORPORATION
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731192765HEALTH CAREOK501(C)(3)LINE 3IHfalse
INTEGRIS HOSPICE INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731369586HEALTH CAREOK501(C)(3)LINE 10IHfalse
INTEGRIS HEALTH INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731192764HEALTH CAREOK501(C)(3)LINE 12-INAfalse
INTEGRIS RURAL HEALTH INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731444504HEALTH CAREOK501(C)(3)LINE 3IHfalse
INTEGRIS SOUTHWEST MEDICAL CENTER INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731089149HEALTH CAREOK501(C)(3)LINE 3IHfalse
INTEGRIS HEALTH FOUNDATION INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731047338FUNDRAISINGOK501(C)(3)LINE 7IHfalse
WESTERN VILLAGE ACADEMY INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731588764SCHOOLOK501(C)(3)LINE 2IACCfalse
INTEGRIS HEALTH EDMOND INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112451027361HEALTH CAREOK501(C)(3)LINE 3IHfalse
INTEGRIS MENTAL HEALTH INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112730738716HEALTH CAREOK501(C)(3)LINE 3IHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtUBI Code VUBICodeVAmtOwnershipOwnershipPct
BMPA LTD 73-1228665
OKLAHOMA CITY OK 73112OKLAHOMA CITYOK73112MED. OFFICE BLDG.OKNAN/Afalsefalse
QC-III 20-8723857
OKLAHOMA CITY OK 73112OKLAHOMA CITYOK73112MEDICALOKIBMCRELATEDfalseYes (true)-$9,187$82,335$00.60684
DIAGNOSTIC LAB 73-1560760
LYNDHURST NJ 07071LYNDHURSTNJ07071CLINICAL LABNJNARELATEDfalseYes (true)$16,626,614$10,722,097$2,749,3640.49000
MPI CENTER 73-1283942
OKLAHOMA CITY OK 73112OKLAHOMA CITYOK73112MEDICALOKNAN/Afalsefalse
HILLCRESTINTEGRIS HEALTH LLC
OKLAHOMA CITY OK 73112OKLAHOMA CITYOK73112DORMANTOKNAN/Afalsefalse
LAKESIDE HOSPITAL 73-1493662
OKLAHOMA CITY OK 73112OKLAHOMA CITYOK73112MEDICALOKNAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
INTEGRIS PROHEALTH INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731046179RETAIL PHARMACYOKNAC Corpfalse
THE STANLEY F HUPFELD CHAR REMAIN TRUST
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112266238051FINANCIALOKNATrustYes (true)
QUALITY ALLIANCE ASSURANCE CO
981060671INSURANCENAC CorpfalsePO BOX 10027 KYI-1001GRAND CAYMANCJCJ
BAPTIST HEALTH SYSTEM INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731477468DORMANTOKNAC Corpfalse
ONE CARE INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112DORMANTOKNAC Corpfalse
VADOVATIONS INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112270821922HEALTH CAREOKIBMCC Corpfalse$3,179,721$5,456,8431.00000
INTEGRIS HEALTH PARTNERS LLC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112453482852HEALTH CAREOKNAC Corpfalse
INTEGRIS CARDIOVASCULAR PHYSICIANS LLC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112452867352HEALTH CAREOKNAC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATION 1FormAndLineReferenceDesc
ExplanationSCHEDULE R, PART III UNRELATED BUSINESS INCOME FOR DIAGNOSTIC LABORATORY OF OKLAHOMA WAS CALCULATED FOLLOWING THE APPROACH ALLOWED BY PLR XXX-XX-XXXX.ExplanationTxt

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