INTEGRIS BAPTIST MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
INTEGRIS BAPTIST MEDICAL CENTER INC (EIN 73-1034824)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-04
IRS object ID
201711249349301526
Schema version
2015v3.0
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)
Return2017-05-04T13:29:03-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 2850AddressLine1Txt
CityOklahoma CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

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% CHERYL PERRYInCareOfNm
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
Signature2017-04-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMORGAN L SOUZAPreparerPersonNm
PTINP00652612PTIN
Phone4052396411PhoneNum
Preparation2017-04-17PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$761,979,326GrossReceiptsAmt
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 Employee2563TotalEmployeeCnt
Total Volunteers533TotalVolunteersCnt
Total Gross UBI$3,157,703TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,964,885NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$983,783PYContributionsGrantsAmt
CY Contributions Grants$2,529,859CYContributionsGrantsAmt
PY Program Service Revenue$640,770,210PYProgramServiceRevenueAmt
CY Program Service Revenue$744,230,264CYProgramServiceRevenueAmt
PY Investment Income$28,390,435PYInvestmentIncomeAmt
CY Investment Income$14,753,186CYInvestmentIncomeAmt
PY Other Revenue-$25,031,145PYOtherRevenueAmt
CY Other Revenue$280,146CYOtherRevenueAmt
PY Total Revenue$645,113,283PYTotalRevenueAmt
CY Total Revenue$761,793,455CYTotalRevenueAmt
PY Grants And Similar Paid$8,230,152PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,359,371CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$216,708,444PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$225,115,847CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$459,791,968PYOtherExpensesAmt
CY Other Expenses$475,085,248CYOtherExpensesAmt
PY Total Expenses$684,730,564PYTotalExpensesAmt
CY Total Expenses$708,560,466CYTotalExpensesAmt
PY Revenues Less Expenses-$39,617,281PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$53,232,989CYRevenuesLessExpensesAmt
Total Assets BOY$1,260,318,826TotalAssetsBOYAmt
Total Assets EOY$1,307,099,737TotalAssetsEOYAmt
Total Liabilities BOY$759,355,157TotalLiabilitiesBOYAmt
Total Liabilities EOY$877,390,613TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$500,963,669NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$429,709,124NetAssetsOrFundBalancesEOYAmt
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$590,825,692ExpenseAmt
Grant$8,359,371GrantAmt
Revenue$744,230,264RevenueAmt
DescSEE SCHEDULE O STATEMENTS 2 AND 3Desc
Total Program Service Expenses$590,825,692TotalProgramServiceExpensesAmt
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 ContributionfalseDeductibleArtContributionInd
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
Employee2563EmployeeCnt
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)
PersonCHERYL PERRYPersonNm
Phone4059512747PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 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
DIRECTOR1.00.0Yes (X)$0$850$0
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)$22,875$0$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
ROBERT KELLOGG
DIRECTOR1.00.0Yes (X)$0$0$0
SUDHIR KHANNA
EX-OFFICIO CHIEF OF STAFF40.00.0Yes (X)$276,975$0$10,020
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$28,672$0
ROBERT SHELTON
DIRECTOR1.00.0Yes (X)$0$0$0
ALISON TAYLOR
DIRECTOR1.00.0Yes (X)$0$0$0
CHRISTOPHER TURNER
DIRECTOR1.01.0Yes (X)$0$28,250$0
C BRUCE LAWRENCE
EX-OFFICIO-PRES/CEO IH1.039.0Yes (X)$0$1,404,018$387,641Yes (X)
DAVID R HADLEY
ASSISTANT TREASURER1.039.0$0$714,874$111,515Yes (X)
BETH A PAUCHNIK
ASSISTANT SECRETARY1.039.0$0$599,379$118,035Yes (X)
MARY K CALBONE
VICE PRESIDENT40.00.0$266,593$0$38,002Yes (X)
TIM JOHNSEN
PRESIDENT IBMC40.00.0$645,627$0$95,510Yes (X)
JAMES W LONG
PHYSICIAN40.00.0$1,257,248$0$23,387Yes (X)
JACONNA R TILLER
VP CHIEF NURSING OFFICER40.00.0$308,263$0$25,080Yes (X)
DOUGLAS A HORSTMANSHOF
PHYSICIAN40.00.0$698,510$0$32,906Yes (X)
VIVEK KOHLI
TRANSPLANT SURGEON40.00.0$701,644$0$33,288Yes (X)
E SAMARA
TRANSPLANT SURGEON40.00.0$658,523$0$45,273Yes (X)
ALY EL BANAYOSY
PHYSICIAN40.00.0$796,945$0$22,133Yes (X)
MICHAEL KOERNER
PHYSICIAN40.00.0$602,818$0$22,196Yes (X)
CHRIS M HAMMES
FORMER OFFICER & DIRECTOR0.040.0$0$874,874$163,454Yes (X)
DAVID BOGGS
FORMER DIRECTOR0.00.0$51,604$0$0Yes (X)
MICHAEL MCGEE MD
FORMER DIRECTOR20.00.0$36,000$0$0Yes (X)
WILLIAM COOK MD
FORMER DIRECTOR10.00.0$59,546$1,200$0Yes (X)
CARL RACZKOWSKI MD
FORMER DIRECTOR0.012.0$0$235,941$0Yes (X)
AZAR KHAN MD
FORMER DIRECTOR1.039.0$28,865$125,000$0Yes (X)
ERROL A MITCHELL
FORMER KEY EMPLOYEE0.040.0$0$339,405$43,731Yes (X)
JIM W PORTERFIELD
FORMER KEY EMPLOYEE0.040.0$0$258,206$35,163Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,412,036TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,610,669TotReportableCompRltdOrgAmt
Total Other Compensation$1,207,334TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K218IndivRcvdGreaterThan100KCnt
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$41,485,796CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K59CntrctRcvdGreaterThan100KCnt
Related Organizations$2,529,859RelatedOrganizationsAmt
Noncash Contributions$2,146,118NoncashContributionsAmt
Total Contributions$2,529,859TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE621990$701,369,428$701,332,919$36,509
PARTNERSHIP INCOME900099$14,730,697$11,609,503$3,121,194
CAFETERIA722514$5,248,761$5,248,761
ELECTRONIC HEALTH RECORDS900099$2,262,171$2,262,171
340B PHARMACY INCOME446110$14,074,425$14,074,425

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,544,782TotalRevenueColumnAmt
Related Or Exempt Func Income$5,148,597RelatedOrExemptFuncIncomeAmt
Exclusion$1,396,185ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$744,230,264TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,928,880TotalRevenueColumnAmt
Exclusion$14,928,880ExclusionAmt

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$10,177OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$185,871OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$175,694OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$175,694TotalRevenueColumnAmt
Exclusion-$175,694ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$280,146TotalRevenueColumnAmt
Exclusion$280,146ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$280,146OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$761,793,455TotalRevenueColumnAmt
Related Or Exempt Func Income$734,427,615RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,157,703UnrelatedBusinessRevenueAmt
Exclusion$21,678,278ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,330,371TotalAmt
Program Services$8,330,371ProgramServicesAmt

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$2,892,722TotalAmt
Program Services$2,892,722ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$113,723TotalAmt
Program Services$113,723ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$174,590,117TotalAmt
Program Services$174,590,117ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,253,829TotalAmt
Program Services$12,253,829ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,263,203TotalAmt
Program Services$23,263,203ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,002,253TotalAmt
Program Services$12,002,253ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$117,734,792TotalAmt
Program Services$18ProgramServicesAmt
Management And General$117,734,774ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,235TotalAmt
Program Services$1,235ProgramServicesAmt

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$10,724,280TotalAmt
Program Services$10,724,280ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$291,523TotalAmt
Program Services$291,523ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$162,609,694TotalAmt
Program Services$162,609,694ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,143,522TotalAmt
Program Services$6,143,522ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$649,943TotalAmt
Program Services$649,943ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$487,539TotalAmt
Program Services$487,539ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,612,558TotalAmt
Program Services$5,612,558ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,130,629TotalAmt
Program Services$23,130,629ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,629,153TotalAmt
Program Services$4,629,153ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED SERVICES$55,515,090$55,515,090$0$0
RIF & RECRUITMENT$48,481,185$48,481,185$0$0
SHOPP FEE$18,669,081$18,669,081$0$0
UNRELATED BUS.INCOME TAXES$1,461,000$1,461,000$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,944,024TotalAmt
Program Services$18,944,024ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$708,560,466TotalAmt
Program Services$590,825,692ProgramServicesAmt
Management And General$117,734,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$223,301BOYAmt
EOY$213,831EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$465,712,786BOYAmt
EOY$477,789,807EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$77,414,223BOYAmt
EOY$185,759,967EOYAmt

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$9,030,605BOYAmt
EOY$9,030,606EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,909,334BOYAmt
EOY$13,408,887EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$562,985BOYAmt
EOY$476,159EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$563,806,273LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$390,673,753LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$166,162,798BOYAmt
EOY$173,132,520EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$503,434,708BOYAmt
EOY$409,650,997EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$9,123,799BOYAmt
EOY$10,704,496EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,744,287BOYAmt
EOY$26,932,467EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,260,318,826BOYAmt
EOY$1,307,099,737EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$240,916,267BOYAmt
EOY$353,323,378EOYAmt

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$515,655,195BOYAmt
EOY$521,350,076EOYAmt

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$2,783,695BOYAmt
EOY$2,717,159EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$759,355,157BOYAmt
EOY$877,390,613EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$500,963,669BOYAmt
EOY$429,709,124EOYAmt

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$500,963,669BOYAmt
EOY$429,709,124EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,260,318,826BOYAmt
EOY$1,307,099,737EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$53,232,989ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$43,487,551NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$80,999,983OtherChangesInNetAssetsAmt
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$254,713,889OtherCostOrOtherBasisAmt
Depreciation$154,740,385DepreciationAmt
Book Value$99,973,504BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,811,819OtherCostOrOtherBasisAmt
Depreciation$6,790,634DepreciationAmt
Book Value$21,185BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$283,469,178OtherCostOrOtherBasisAmt
Depreciation$224,264,954DepreciationAmt
Book Value$59,204,224BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,614,814OtherCostOrOtherBasisAmt
Depreciation$4,877,780DepreciationAmt
Book Value$13,737,034BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$173,132,520TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INTEGRIS HEALTH FOUNDATION,$18,579,852F
CASH SURRENDER VALUE$1,009,279F
INTEREST RECEIVABLE LT NOTE$1,042,583F
POOLED FUND INVESTMENTS$389,019,283F
FieldValueIRS element (for citing)
Total Book Value Securities$409,650,997TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONDesc
Amt$2,717,159Amt
FieldValueIRS element (for citing)
Total Liability$2,717,159TotalLiabilityAmt

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 BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,081,853TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,081,853NetCommunityBenefitExpnsAmt
Total Expense0.01560TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,568,357TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,321,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,650,210TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,321,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,081,853NetCommunityBenefitExpnsAmt
Total Expense0.01560TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$341,158TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$341,158NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,314,548TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,569,210DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,745,338NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,900TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99,900NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$281,942TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$856DirectOffsettingRevenueAmt
Net Community Benefit Expns$281,086NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,037,548TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,570,066DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,467,482NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,687,758TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,891,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,549,335NetCommunityBenefitExpnsAmt
Total Expense0.02470TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,788TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,788NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,801TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,801NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,198TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,198NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$840TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$840NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,627TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,627NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$9,700,284BadDebtExpenseAmt
Bad Debt Expense Attributable$485,014BadDebtExpenseAttributableAmt
Reimbursed By Medicare$181,410,977ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$199,316,402CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,905,425MedicareSurplusOrShortfallAmt

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
Information GapsYes (X)InformationGapsInd
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
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 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 INTEGRISOK.COM/COMMUNITY-WELLNESS-SERVICES-OKLAHOMA-COMMUNITY-HEALTH-IMPRO VEMENT
SUPPLEMENTAL INFORMATION 8PART V, SECTION B, LINES 16B INTEGRISOK.COM/PRICING-FINANCIAL-ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $0 (GROSS CHARGES) WAS SUBTRACTED FROM PART IX LINE 25(A) $708,560,466 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 $17,905,425 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 STATEMENT 3 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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
INTEGRIS SOUTHWEST MEDICAL CENTER INC
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112731089149501(C)(3)$2,566,807TO FUND OPERATIONS
INTEGRIS AMBULATORY CARE CORPORATION
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112731192765501(C)(3)$2,874,855TO FUND OPERATIONS
INTEGRIS RURAL HEALTH INC
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112731444504501(C)(3)$2,399,148TO FUND OPERATIONS
INTEGRIS HEALTH EDMOND INC
5300 N INDEPENDENCE AVE SUITE 13OKLAHOMA CITYOK73112451027361501(C)(3)$489,561TO FUND OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

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 (21 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
SUDHIR KHANNA
EX-OFFICIO CHIEF OF STAFF$258,985$0$17,990$0$0$0$10,020$0$0$0$286,995$0$0$0
C BRUCE LAWRENCE
EX-OFFICIO-PRES/CEO IH$0$978,354$0$390,993$0$34,671$0$375,231$0$12,410$0$1,791,659$0$0
DAVID R HADLEY
ASSISTANT TREASURER$0$511,015$0$179,513$0$24,346$0$95,862$0$15,653$0$826,389$0$0
BETH A PAUCHNIK
ASSISTANT SECRETARY$0$431,657$0$152,210$0$15,512$0$106,280$0$11,755$0$717,414$0$0
MARY K CALBONE
VICE PRESIDENT$193,342$0$63,085$0$10,166$0$30,917$0$7,085$0$304,595$0$0$0
TIM JOHNSEN
PRESIDENT IBMC$484,225$0$148,119$0$13,283$0$79,181$0$16,329$0$741,137$0$0$0
JAMES W LONG
PHYSICIAN$1,247,373$0$729$0$9,146$0$10,400$0$12,987$0$1,280,635$0$0$0
JACONNA R TILLER
VP CHIEF NURSING OFFICER$118,198$0$60,786$0$129,279$0$13,356$0$11,724$0$333,343$0$0$0
DOUGLAS A HORSTMANSHOF
PHYSICIAN$645,588$0$25,708$0$27,214$0$16,936$0$15,970$0$731,416$0$0$0
VIVEK KOHLI
TRANSPLANT SURGEON$674,453$0$14,488$0$12,703$0$17,025$0$16,263$0$734,932$0$0$0
E SAMARA
TRANSPLANT SURGEON$576,145$0$77,000$0$5,378$0$37,825$0$7,448$0$703,796$0$0$0
ALY EL BANAYOSY
PHYSICIAN$753,184$0$38,430$0$5,331$0$6,625$0$15,508$0$819,078$0$0$0
MICHAEL KOERNER
PHYSICIAN$536,244$0$60,573$0$6,001$0$6,625$0$15,571$0$625,014$0$0$0
CHRIS M HAMMES
FORMER OFFICER & DIRECTOR$0$629,915$0$226,957$0$18,002$0$147,611$0$15,843$0$1,038,328$0$0
ERROL A MITCHELL
FORMER KEY EMPLOYEE$0$263,398$0$65,765$0$10,242$0$32,625$0$11,106$0$383,136$0$0
JIM W PORTERFIELD
FORMER KEY EMPLOYEE$0$185,903$0$45,818$0$26,485$0$28,901$0$6,262$0$293,369$0$0
DAVID BOGGS
FORMER DIRECTOR$51,604$0$0$0$0$0$0$0$0$0$51,604$0$0$0
MICHAEL MCGEE MD
FORMER DIRECTOR$36,000$0$0$0$0$0$0$0$0$0$36,000$0$0$0
WILLIAM COOK MD
FORMER DIRECTOR$59,546$1,200$0$0$0$0$0$0$0$0$59,546$1,200$0$0
CARL RACZKOWSKI MD
FORMER DIRECTOR$0$235,941$0$0$0$0$0$0$0$0$0$235,941$0$0
AZAR KHAN MD
FORMER DIRECTOR$28,865$125,000$0$0$0$0$0$0$0$0$28,865$125,000$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 JACONNA R. TILLER AND JIM PORTERFIELD. $123,936 AND $18,611 OF THE CALENDAR YEAR 2015 COMPENSATION REPORTED FOR THESE TWO 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. DAVID R. HADLEY CHRIS M. HAMMES TIM JOHNSEN C. BRUCE LAWRENCE BETH A. PAUCHNIK
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$2,060,000$0$89,880,000$0$0$0$0$0$0$0$89,880,000$02011Yes (true)falseYes (true)Yes (true)
B$1,165,000$0$48,425,000$0$0$0$521,063$0$0$0$47,903,937$02010Yes (true)falseYes (true)Yes (true)
C$7,240,000$0$222,198,189$0$0$209,564,536$1,737,424$0$0$0$10,896,229$02011falseYes (true)falseYes (true)
D$4,900,000$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)17.2falsefalsefalse0falseYes (true)
JP MORGAN CHASE
BfalseYes (true)falsefalseYes (true)Yes (true)17.33falsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
GOLDMAN SACHS
DfalseYes (true)falsefalseYes (true)Yes (true)19.3falsefalsefalse0falseYes (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 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)
PersonDRAWCO 1 LLCPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMUTUAL BOARD MEMBERRelationshipDescriptionTxt
Transaction$184,683TransactionAmt
TransactionLEASE PAYMENTSTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$5,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$40NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMEDICAL EQUIPMENTDesc
Contribution15ContributionCnt
Noncash Contributions Rpt F990$2,141,078NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
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$662,284,046FairMarketValueOfAssetAmt
Method Of FMV DeterminationCOSTMethodOfFMVDeterminationTxt
EIN731192764EIN
PersonINTEGRIS HEALTH INCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 N INDEPENDENCE AVE STE 130AddressLine1Txt
CityOKLA 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
Receive Compensation2falseReceiveCompensation2Ind

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: DAVID R. HADLEY C. BRUCE LAWRENCE BETH A. PAUCHNIK JOEY SAGER CHRISTOPHER TURNERExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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 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 - SPENCER 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 HEART HOSPITAL HEART FAILURE INSTITUTE MAT MOBILE ASSESSMENT TEAM SAMARITAN HOME BASED SERVICES INTEGRIS SLEEP DISORDERS CENTER - EDMOND INTEGRIS JIM THORPE REHABILITATION AT IBMC 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 HEART HOSPITAL INTEGRIS HEART HOSPITAL - DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT INTEGRIS BAPTIST MEDICAL CENTER INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT ICIO
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 $11,081,853. 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 OKLAHOMA HOSPITALS, UNLESS EXEMPT, A SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM FEE. 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 THE SUPPLEMENTAL HOSPITAL OFFSET PAYMENT PROGRAM FEE PAID BY THE HOSPITAL. THE SHOPP PROGRAM IS EXPECTED TO REMAIN IN EFFECT THROUGH FISCAL YEAR 2017. 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 $9,700,284. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT SEE THE ATTACHED COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O STATEMENT 3.
GENERAL STATEMENT 3PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFITS ANNUAL REPORT 2016 FROM OUR PRESIDENT AND CEO INTEGRIS IS WIDELY RECOGNIZED FOR ITS EXCELLENT HEALTH CARE AND CONTINUED COMMITMENT TO ENSURE ALL OKLAHOMANS HAVE EASY ACCESS TO THE MOST COMPREHENSIVE CONTINUUM OF CARE IN THE STATE. FROM OUR WORLD-CLASS BURN CENTER TO OUR PIONEERING TRANSPLANT AND IMPLANT PROGRAMS AND EVERY CENTER OF EXCELLENCE AND SPECIALTY WE OFFER BEGINNING WITH PRIMARY CARE INTEGRIS PHYSICIANS ARE ON THE FOREFRONT OF MEDICINE. LESS RECOGNIZED ARE THE DAY-TO-DAY COMMUNITY OUTREACH PROGRAMS INTEGRIS OFFERS THAT HELP ENCOURAGE EVERYONE, FROM SMALL CHILDREN TO SENIORS, TO LIVE EACH DAY IN A MORE HEALTHY WAY. OUR 2016 COMMUNITY BENEFIT REPORT HIGHLIGHTS A SAMPLING OF THOSE EFFORTS. IT PROVIDES A BRIEF OVERVIEW OF PROGRAMS OFFERED TO THE PEOPLE AND COMMUNITIES WE SERVE. AS YOU WILL SEE IN THESE PAGES, INTEGRIS IS FOCUSED ON KEEPING PEOPLE WELL AND NOT JUST ON CARING FOR THEM, IF AND WHEN THEY BECOME ILL. THE PROGRAMS FEATURED WITHIN THESE PAGES ARE BUT A HANDFUL OF EXAMPLES THAT SHOWCASE INTEGRIS AND ITS EMPLOYEES LIVING OUR MISSION. I AM PROUD TO BE PART OF SUCH A GIVING AND CARING TEAM OF PEOPLE. SINCERELY, BRUCE LAWRENCE, PRESIDENT AND CEO INTEGRIS FROM OUR CHAIRMAN OF THE BOARD AS CHAIRMAN OF THE INTEGRIS HEALTH BOARD, I AM PLEASED THIS YEARS COMMUNITY BENEFIT REPORT SHARES EXAMPLES OF COMMUNITY OUTREACH THAT ILLUSTRATE FOR YOU THE EVERYDAY EFFORTS TO ENCOURAGE FELLOW OKLAHOMANS TO LIVE MORE HEALTHY LIVES. EACH IS BUT ONE OF HUNDREDS OF EVENTS AND ACTIVITIES INTEGRIS OFFERS TO PROMOTE HEALTH AND WELLNESS. FROM A BIGGER-PICTURE PERSPECTIVE, AS OKLAHOMAS LARGEST, LOCALLY OWNED AND OPERATED NOT-FOR-PROFIT HEALTH CARE SYSTEM, I ALSO ENCOURAGE YOU TO CONSIDER THE FACT THAT, WHEN TOTALED, INTEGRIS RETURNSHIP AND COMMUNITY BUILDING EFFORTS EQUALED NEARLY $6 MILLION IN 2016. IF YOU FACTOR UNCOMPENSATED SERVICES THE SYSTEM PROVIDES INTO THAT EQUATION, THE NUMBER SWELLS NEARLY TENFOLD TO MORE THAN $55 MILLION. EACH DOLLAR REPRESENTS HIGH-QUALITY CARE AND THE INVESTMENT BY INTEGRIS OF SIGNIFICANT RESOURCES BACK TO THE MEN, WOMEN AND CHILDREN OF OKLAHOMA. DESPITE ECONOMIC AND INDUSTRY UNCERTAINTY AT TIMES, IT IS COMFORTING TO SEE THAT INTEGRIS CONTINUES TO DO WHATEVER IT CAN TO UPHOLD OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. SINCERELY, DAVID THOMPSON, CHAIRMAN INTEGRIS BOARD OF DIRECTORS INTEGRIS BAPTIST MEDICAL CENTER CHALLENGE YOURSELF: HEALTH AND FITNESS PROGRAM THE INTEGRIS CHALLENGE YOURSELF: HEALTH AND FITNESS PROGRAM FOCUSES ON THE PREVENTION OF OBESITY AND HYPERTENSION. THE PROGRAM INCREASES ACCESS TO CARE BY PROVIDING HEALTH LECTURES, EXERCISE CLASSES, NUTRITION CLASSES AND DEMONSTRATIONS. THE PROGRAM ALSO PROVIDES SCREENINGS AND REFERRAL RESOURCES FOR AT-RISK OKLAHOMA CITY RESIDENTS. SPECIFICALLY, THIS PROGRAM IS AIMED AT OKLAHOMA CITYS AFRICAN AMERICAN AND HISPANIC POPULATIONS WHO ARE AT-RISK NOT ONLY FOR OBESITY AND HEART DISEASE, BUT FOR MANY OTHER CHRONIC CONDITIONS. THE LACK OF ACCESS TO CARE REMAINS A BARRIER TO LIVING A HEALTHIER LIFESTYLE. THE PROGRAM HAS FOUR CORE TENETS: NUTRITION, PHYSICAL ACTIVITY, MENTAL HEALTH AND HEALTH SCREENINGS. WEEKLY SESSIONS ADDRESS HEALTH TOPICS INCLUDING NUTRITION, MENTAL HEALTH, HEALTHY WEIGHT AND ACTIVE LIFESTYLES. INCLUDED IS AN INTRODUCTION TO DIVERSE EXERCISE MODALITIES SUCH AS WALKING, CHAIR EXERCISES, RESISTANCE BANDS AND CARDIO CALISTHENICS THAT MOTIVATE PARTICIPANTS TO STAY ACTIVE AND MAKE HEALTHIER CHOICES. INTEGRIS BASS BAPTIST HEALTH CENTER (ENID) KIDS IN THE KITCHEN KIDS IN THE KITCHEN IS A PROGRAM OFFERED ONCE A MONTH FOR CHILDREN AGES 8 TO 12 YEARS. THE PROGRAM ENCOURAGES KIDS TO COOK BY TEACHING THEM TO MAKE SIMPLE, HEALTHY MEALS. PARTICIPATING KIDS PREPARE A HEALTHY MEAL DURING CLASS AND THEN THE PARENTS ARE INVITED TO EAT THE MEAL WITH THEIR CHILD. KIDS SHARE THE RECIPE WITH THE PARENTS AND TALK ABOUT WHAT THEY DID IN CLASS. THE IDEA IS TO ENCOURAGE FAMILIES TO EAT MORE MEALS AT HOME. THE PROGRAM TEACHES NUTRITION AND COOKING IN A FUN, HANDS-ON WAY. KIDS WHO LEARN ABOUT HEALTHY FOOD CHOICES WILL BE MORE LIKELY TO HAVE BETTER HABITS AS AN ADULT. THIS PROGRAM IS A COLLABORATIVE EFFORT OF INTEGRIS, THE OSU EXTENSION CENTER AND MULTIPLE CHURCHES. THE CHURCHES PROVIDE KITCHEN SPACE, WHICH HELPS US REACH THE UNDERSERVED CHILDREN AND FAMILIES WE ARE TARGETING. SINCE THE PROGRAM STARTED, 261 KIDS AND PARENTS HAVE PARTICIPATED. NEARLY 100 PERCENT OF KIDS SURVEYED SAY THAT AFTER TAKING THE PROGRAM, THEY WILL TRY TO EAT HEALTHIER. ON THE THREE MONTH FOLLOW UP, 85 PERCENT OF KIDS HAD MADE AT LEAST THREE MEALS AT HOME SINCE TAKING THE COURSE. INTEGRIS CANADIAN VALLEY HOSPITAL (YUKON) YOGA FOR KIDS YOGA FOR KIDS WAS DEVELOPED BY THE UNIVERSITY OF ARKANSAS DIVISION OF AGRICULTURE RESEARCH AND EXTENSION. THE PROGRAM IS INTENDED FOR AGES 5 TO 19 AND INCORPORATES ADULT YOGA POSES INTO KID-FRIENDLY YOGA ROUTINES AND GAMES. THE FOCUS OF YOGA FOR KIDS IS HELPING KIDS ACHIEVE OPTIMAL PHYSICAL, SOCIAL AND MENTAL HEALTH. PRACTICING YOGA BUILDS STRENGTH, FLEXIBILITY AND CONFIDENCE. ALSO, THE BREATHING PROMOTES RELAXATION AND QUIETS THE MIND. YOGA AND STRETCH BREAKS IN THE CLASSROOM 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. SINCE THE PROGRAM BEGAN, 649 STUDENTS HAVE PARTICIPATED. OVER 20 SCHOOL STAFF MEMBERS HAVE BEEN TRAINED AND 92 PERCENT OF TEACHERS ARE CONTINUING TO IMPLEMENT YOGA IN THE CLASSROOM AS OF A SIX MONTH FOLLOW UP. INTEGRIS CANCER INSTITUTE CELEBRATION OF LIFE: NATIONAL CANCER SURVIVORS DAY THE INTEGRIS CANCER INSTITUTE CELEBRATED NATIONAL CANCER SURVIVORS DAY WITH OUR 29TH ANNUAL CELEBRATION OF LIFE ON SUNDAY, JUNE 5, 2016, AT THE NATIONAL COWBOY AND WESTERN HERITAGE MUSEUM IN OKLAHOMA CITY. THE ANNUAL CELEBRATION OF LIFE WAS ALSO HELD IN HUNDREDS OF COMMUNITIES WORLDWIDE. CANCER SURVIVORS, CAREGIVERS, FAMILY MEMBERS, FRIENDS AND HEALTH CARE PROFESSIONALS ALL UNITE ON THE FIRST SUNDAY EVERY JUNE TO SHOW THAT LIFE AFTER A CANCER DIAGNOSIS CAN BE MEANINGFUL, PRODUCTIVE AND INSPIRING. THE INTEGRIS CANCER INSTITUTE RECOGNIZES OUR OWN EVER GROWING FAMILY OF CANCER SURVIVORS EACH YEAR WITH A COMPLIMENTARY COMMUNITY CELEBRATION. ORDAINED EPISCOPAL PRIEST NICK MEZACAPAS HUMOROUS AND INSPIRATIONAL MESSAGE IN 2016 FOCUSED ON OUR RESPONSIBILITY TO LIVE OUR LIVES AS FULLY AND RICHLY AS POSSIBLE. THE DAY INCLUDED A DELICIOUS MEAL, MUSICAL ENTERTAINMENT, A SURVIVOR RECOGNITION IN BOTH ENGLISH AND SPANISH AND A BUTTERFLY RELEASE FOR MORE THAN 400 CANCER SURVIVORS. INTEGRIS GROVE HOSPITAL SOUPER BOWL SATURDAY THE 2016 INTEGRIS GROVE SOUPER BOWL SATURDAY PROVIDED AN OPPORTUNITY FOR COMMUNITY MEMBERS TO VISIT THE INTEGRIS GROVE HOSPITAL CAMPUS, TALK WITH PHYSICIANS AND STAFF, AND LEARN ABOUT NEW EQUIPMENT AND SERVICES BEING OFFERED. FREE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE, CHOLESTEROL, GLUCOSE AND EKGS WERE AVAILABLE. THE EVENT FEATURED HEALTH EDUCATION AND SERVICE INFORMATION. ENTERTAINMENT WAS PROVIDED BY THE GROVE HIGH SCHOOL JAZZ BAND, A LOCAL VENTRILOQUIST, A MAGICIAN AND A DEMONSTRATION BY CHEERS!, A CHEERLEADING AND GYMNASTICS GROUP. ATTENDEES COULD ALSO SUPPORT THE INTEGRIS GROVE HOSPITAL AUXILIARY BY PURCHASING A $5 LUNCH INCLUDING SOUP, DESSERT AND A DRINK. OVER 300 PEOPLE ATTENDED THE EVENT. MULTIPLE HEALTH SCREENINGS WERE PERFORMED INCLUDING 71 EKGS, 63 BONE DENSITY CHECKS, 60 EYE SCREENINGS, AND 90 CHOLESTEROL AND GLUCOSE SCREENINGS. INTEGRIS HEALTH EDMOND TOOLS FOR LIVING TOOLS FOR LIVING WITH CHRONIC CONDITIONS IS AN EVIDENCE BASED COURSE DEVELOPED AT THE STANFORD UNIVERSITY PATIENT EDUCATION RESEARCH CENTER AS A COLLABORATIVE RESEARCH PROJECT BETWEEN STANFORD AND THE NORTHERN CALIFORNIA KAISER PERMANENTE MEDICAL CARE PROGRAM. THE ONGOING SIX-WEEK PROGRAM TEACHES PARTICIPANTS HOW TO BECOME BETTER SELF-MANAGERS OF THEIR HEALTH. TOPICS INCLUDE GOAL SETTING, DEALING WITH DIFFICULT EMOTIONS, MEDICATION USAGE, PHYSICAL ACTIVITY AND NUTRITION, COPING WITH PAIN/DISCOMFORT, COMMUNICATION WITH HEALTH CARE PROVIDERS, MAKING INFORMED TREATMENT DECISIONS AND FACILITATING PEER SUPPORT. THE PROGRAM IS TAUGHT IN COLLABORATION WITH THE INTEGRIS COMMUNITY WELLNESS DEPARTMENT AND AN INTEGRIS MEDICAL GROUP CARE COORDINATOR. PARTICIPANTS COME FROM ALL AGES AND BACKGROUNDS. AS A RESULT OF COMPLETING THE PROGRAM, OVER 80 PERCENT OF THE PARTICIPANTS REPORT AN INCREASE IN HOW OFTEN THEY USE FORMS OF RELAXATION TO DEAL WITH PAIN AND DISCOMFORT AND 90 PERCENT REPORT THEY UNDERSTAND THEIR HEALTH BETTER. INTEGRIS MENTAL HEALTH AMERICAN FOUNDATION FOR SUICIDE PREVENTION: INTERNATIONAL SURVIVORS OF SUICIDE LOSS DAY INTERNATIONAL SURVIVORS OF SUICIDE LOSS DAY IS HOSTED BY THE CENTRAL OKLAHOMA SUICIDE PREVENTION TASK FORCE. THE EVENT IS DESIGNED TO PROVIDE AWARENESS AND COMMUNITY RESOURCES FOR SURVIVORS OF SUICID
GENERAL STATEMENT 4PART 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 2015 TAX YEAR.
GENERAL STATEMENT 5PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTION 2 RELATED PARTIES TYPE OF RELATIONSHIP --------------- -------------------- JOEY SAGER AND BUSINESS ALVIN BATES JOEY SAGER AND BUSINESS STEPHEN MERRILL 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: DAVID R. HADLEY JOEY SAGER C. BRUCE LAWRENCE CHRISTOPHER TURNER BETH A. PAUCHNIK
GENERAL STATEMENT 6PART 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 7PART 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 OF FINANCIAL REPORTING 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 8PART 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 9PART 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 10PART 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 11PART VII: SECTION B. INDEPENDENT CONTRACTORS DIAGNOSTIC LABORATORY REFERENCE LAB $24,321,545 OF OKLAHOMA, LLC 225 N.E. 97TH STREET OKLA. CITY, OK 73114 INTELISTAFF OF OKLAHOMA CONTRACT STAFFING $ 9,795,211 HEALTHCARE LLC P.O. BOX 202996 DALLAS, TX 75320-1300 LIFESHARE TRANSPLANT DONOR ORGAN ACQUISITION $ 4,612,053 4705 N.W. EXPRESSWAY OKLA. CITY, OK 73132 OUHSC PHYSICIAN SERVICES $ 1,451,195 1100 N. LINDSAY SCB223 OKLA. CITY, OK 73126 NORTHWEST ANESTHESIA PC ANESTHESIA SERVICES $ 1,305,792 P.O. BOX 26168 OKLA. CITY, OK 73126
GENERAL STATEMENT 12PART XI: RECONCILIATION OF NET ASSETS, LINE 9 EQUITY TRANSFER TO INTEGRIS HEALTH, INC. ($80,500,000) TRANSFER TO INTEGRIS CARDIOVASCULAR ($ 499,983) PHYSICIANS, LLC ------------- TOTAL ($80,999,983) =============

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$1,773,999TotalIncomeAmt
End Of Year Assets-$19,779,759EndOfYearAssetsAmt

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 9IHfalse
INTEGRIS HEALTH INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731192764HEALTH CAREOK501(C)(3)LINE 11 -INAfalse
INTEGRIS RURAL HEALTH INC
5300 N INDEPENDENCE AVE STE 130OKLA CITYOK73112731444504HEALTH CAREOK501(C)(3)LINE 3IHfalse
INTEGRIS SOUTHWEST MEDIKCAL 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 7IHYes (true)
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)-$5,681$91,522$00.60684
DIAGNOSTIC LAB 73-1560760
LYNDHURST NJ 07071LYNDHURSTNJ07071CLINICAL LABNJNARELATEDfalseYes (true)$16,503,159$11,581,227$3,121,1940.49000
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$2,714,914$5,535,8211.00000
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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INTEGRIS HEALTH FOUNDATION INC
c$383,741CASH
INTEGRIS HEALTH FOUNDATION INC
c$2,146,118FMV
INTEGRIS HEALTH FOUNDATION INC
p$111,132COST
INTEGRIS HEALTH FOUNDATION INC
b$158,200CASH

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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