2016-05-10T09:36:57-05:00 2015-06-30 KPMG LLP 210 Park Ave Suite 2850 Oklahoma City OK 73102 990 2014-07-01 731034824 INTEGRIS BAPTIST MEDICAL CENTER INC % BARBARA DEAN INTE 4059496026 5300 N INDEPENDENCE AVE STE 130 OKLAHOMA CITY OK 73112 BETH A PAUCHNIK ASSISTANT SECRETARY 4059493172 2016-03-03 true DEBRA C COOK P00031689 4052396411 2014 2016-08-17 19:52:53Z SEE SCHEDULE O C BRUCE LAWRENCE 5300 N INDEPENDENCE AVE OKLAHOMA CITY OK 73112 645590974 false X WWW.INTEGRISOK.COM X 1977 OK TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. X 18 12 2552 450 3477050 3259444 218753 983783 695478134 640770210 20461094 28390435 0 -25031145 716157981 645113283 5707033 8230152 0 0 211123080 216708444 0 0 0 426178765 459791968 643008878 684730564 73149103 -39617281 1032016212 1260318826 389123547 759355157 642892665 500963669 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. false false 576283286 8230152 640770210 SEE SCHEDULE O STATEMENTS 2 THROUGH 6 576283286 true true false false false false false false false false true true false false true false false true false false false false false false false false true true true true true true false false false false false false false false false true true false false true true true true true false false true X 0 0 2552 true true true false false false false false false false false false X 18 12 true false false false true true true true true false false true true true true true true true true true true OK X BARBARA DEAN 4059512747 5300 N INDEPENDENCE AVE STE 130 OKLAHOMA CITY OK 73112 X ALVIN BATES CHAIRMAN 1.0 0.0 X 0 0 0 ALINE BROWN MD DIRECTOR 1.0 0.0 X 24730 0 1586 WILLIAM COOK MD EX-OFFICIO MED STAFF PRESIDENT 1.0 0.0 X 49429 0 0 H EDWARD DEBEE DIRECTOR 1.0 0.0 X 0 0 0 BRYAN GARCIA DIRECTOR 1.0 0.0 X 0 0 0 ROBERT KELLOGG DIRECTOR 1.0 0.0 X 0 0 0 SUDHIR KHANNA EX-OFFICIO CHIEF OF STAFF 40.0 0.0 X 172885 2475 144 MICHAEL KUTNER EX-OFFICIO MED STAFF PRESIDENT 1.0 0.0 X 18750 1200 0 STEPHEN MERRILL DIRECTOR 1.0 0.0 X 0 0 0 POLLY NICHOLS DIRECTOR 1.0 0.0 X 0 0 0 JAMES PARRACK DIRECTOR 1.0 0.0 X 0 0 0 CARL RACZKOWSKI MD DIRECTOR 1.0 15.0 X 0 238522 0 MIKE ROSS DIRECTOR 1.0 0.0 X 0 0 0 JOEY SAGER DIRECTOR 1.0 1.0 X 0 29360 0 ROBERT SHELTON DIRECTOR 1.0 0.0 X 0 0 0 ALISON TAYLOR DIRECTOR 1.0 0.0 X 0 0 0 CHRISTOPHER TURNER DIRECTOR 1.0 1.0 X 0 27960 0 DAVID WHITLOCK DIRECTOR-RESIGNED 5/8/15 1.0 0.0 X 0 0 0 BRUCE LAWRENCE EX-OFFICIO-PRES/CEO IH 1.0 39.0 X X 0 1467535 333014 DAVID R HADLEY ASSISTANT TREASURER 1.0 39.0 X 0 790238 71768 BETH A PAUCHNIK ASSISTANT SECRETARY 1.0 39.0 X 0 624618 103061 MARY K CALBONE VICE PRESIDENT 40.0 0.0 X 264894 0 26124 TIM JOHNSEN PRESIDENT IBMC 40.0 0.0 X 691020 0 75525 JAMES W LONG PHYSICIAN 40.0 0.0 X 1256998 0 23704 JACONNA R TILLER VP CHIEF NURSING OFFICER 40.0 0.0 X 322030 0 22337 DOUGLAS A HORSTMANSHOF PHYSICIAN, MEDICAL DIRECTOR 40.0 0.0 X 613577 0 32633 VIVEK KOHLI TRANSPLANT SURGEON, MED DIR 40.0 0.0 X 644226 0 33478 ABBAS RAZA PHYSICIAN, MEDICAL DIRECTOR 40.0 0.0 X 587977 0 31116 JOSE-MARIE EL-AMM PHYSICIAN, MEDICAL DIRECTOR 40.0 0.0 X 549639 0 24093 E SAMARA TRANSPLANT SURGEON, MED DIR 40.0 0.0 X 576387 0 35128 CHRIS M HAMMES FORMER OFFICER & DIRECTOR 0.0 40.0 X 0 900019 127295 JAY P CANNON MD FORMER DIRECTOR 0.0 0.0 X 13395 1650 6326 DAVID BOGGS FORMER DIRECTOR 0.0 0.0 X 9000 4160 0 MICHAEL MCGEE MD FORMER DIRECTOR 20.0 0.0 X 32250 0 0 STANLEY F HUPFELD FORMER OFFICER & DIRECTOR 0.0 21.0 X 0 13260 17612 LUKE CORBETT FORMER DIRECTOR 0.0 1.0 X 0 27090 0 WENTZ MILLER FORMER OFFICER 0.0 0.0 X 0 1698289 39523 GEORG LUNDAY FORMER KEY EMPLOYEE 0.0 40.0 X 0 254167 36852 ERROL A MITCHELL FORMER KEY EMPLOYEE 0.0 40.0 X 129064 217428 42813 JIM W PORTERFIELD FORMER KEY EMPLOYEE 0.0 40.0 X 0 269723 29605 5956251 6567694 1113737 204 true true false SEE SCHEDULE O STATEMENT 14 33581426 62 983783 792787 983783 NET PATIENT REVENUE 621990 583627880 583584851 43029 PARTNERSHIP INCOME 900099 13305285 9871264 3434021 CAFETERIA 722320 5030847 5030847 RENTAL INCOME 900099 1909571 1909571 340B PHARMACY INCOME 446110 30906968 30906968 5989659 4002994 1986665 640770210 28852211 28852211 0 0 0 0 0 15915 477691 -461776 -461776 -461776 0 0 0 MISC. INCOME 900099 12838 12838 LOSS ON RETIREMENT OF DEBT 900099 -25043983 -25043983 -25031145 645113283 630275648 3477050 10376802 8185152 8185152 45000 45000 0 0 3047205 3047205 11500 11500 169872560 169872560 10392063 10392063 21731394 21731394 11653722 11653722 108447278 108447278 0 0 0 0 0 11104282 11104282 214661 214661 162580062 162580062 0 0 6836432 6836432 811756 811756 0 458300 458300 13986278 13986278 0 23665963 23665963 6920251 6920251 PURCHASED SERVICES 52074092 52074092 0 0 RIF & RECRUITMENT 41573190 41573190 0 0 SHOPP FEE 18073978 18073978 0 0 UNRELATED BUS.INCOME TAXES 860000 860000 0 0 12185445 12185445 684730564 576283286 108447278 0 174931390 397997397 80960065 67938690 0 0 68086278 77414223 0 0 0 0 0 9030605 12879566 13909334 1514257 562985 536953178 370790380 173427528 166162798 0 0 17752506 503434708 16876925 9123799 0 0 485587697 14744287 1032016212 1260318826 94766290 240916267 0 0 0 0 291474216 515655195 0 0 0 0 0 0 0 0 2883041 2783695 389123547 759355157 X 642892665 500963669 0 0 0 0 642892665 500963669 1032016212 1260318826 X -39617281 -21811715 -80500000 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 196573 196573 247811184 146347026 101464158 7086557 7052405 34152 269957367 212676514 57280853 11901497 4714435 7187062 166162798 INTEGRIS HEALTH FOUNDATION, 18579852 F CASH SURRENDER VALUE 932721 F INTEREST RECEIVABLE LT NOTE 655183 F POOLED FUND INVESTMENTS 483266952 F 503434708 0 ASSET RETIREMENT OBLIGATION 2783695 2783695 true true X true X true X true true true false true true 11660651 0 11660651 0.01700 62066803 68910113 -6843310 73727454 68910113 4817341 0.01700 391243 10181 381062 0.00060 6690591 1734014 4956577 0.00720 324771 0 324771 0.00050 362254 0 362254 0.00050 7768859 1744195 6024664 0.00880 81496313 70654308 10842005 0.02580 1242 0 1242 26967 0 26967 84 0 84 3186 0 3186 3994 0 3994 35473 0 35473 false 7747312 387366 174469680 182075429 -7605749 X true true SEE SCHEDULE H PART VI 1 1 INTEGRIS BAPTIST MEDICAL CENTER INC 3300 NORTHWEST EXPRESSWAY OKLAHOMA CITY OK 73112 WWW.INTEGRISOK.COM 2297 X X X INTEGRIS BAPTIST MEDICAL CENTER INC 1 false false true X X X X X X X X X 12 true true false true X SEE PART V, SECTION C X X true 13 true SEE PART V, SECTION C false false true X 150. 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X true false X X X X true X false false SUPPLEMENTAL INFORMATION 1 SCHEDULE 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 2 PART 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 3 PART 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 4 PART V, SECTION B, LINE 7D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS, AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL. SUPPLEMENTAL INFORMATION 5 PART V, SECTION B, LINE 11: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS 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 6 PART V, SECTION B, LINE 7A AND LINE 10A INTEGRISOK.COM/COMMUNITY-WELLNESS-SERVICES-OKLAHOMA-COMMUNITY-HEALTH-IMPRO VEMENT SUPPLEMENTAL INFORMATION 7 PART V, SECTION B, LINES 16A, B & C INTEGRISOK.COM/PRICING SUPPLEMENTAL INFORMATION 1 SCHEDULE 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 2 PART I, LINE 3C: N/A SUPPLEMENTAL INFORMATION 3 PART 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 4 PART I, LINE 7, COLUMN F: BAD DEBT OF $0 (GROSS CHARGES) WAS SUBTRACTED FROM PART IX LINE 25(A) $684,730,564 TO ARRIVE AT TOTAL EXPENSE. SUPPLEMENTAL INFORMATION 5 PART 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 6 PART II: COMMUNITY BUILDING ACTIVITIES COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS. SUPPLEMENTAL INFORMATION 7 PART III, LINES 2, 3 AND 4: NET PATIENT SERVICE REVENUE IS RECORDED AT ESTABLISHED RATES, NET OF CONTRACTUAL ADJUSTMENTS, CHARITY CARE ADJUSTMENTS, ADMINISTRATIVE ADJUSTMENTS, AND NET PATIENT BAD DEBT. RETROACTIVELY CALCULATED CONTRACTUAL ADJUSTMENTS ARISING UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED. ADJUSTMENTS TO ESTIMATES IN FUTURE PERIODS ARE RECORDED AS FINAL SETTLEMENTS ARE DETERMINED OR AS ADDITIONAL INFORMATION BECOMES AVAILABLE. ACCOUNTS RECEIVABLE ARE RECORDED NET OF AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS OF APPROXIMATELY $551,223,000 AND $470,709,000 AT JUNE 30, 2015 AND 2014, RESPECTIVELY, WHICH IS FROM THE CONSOLIDATED AUDIT. ALTHOUGH INTEGRIS HEALTH ESTIMATES UNCOLLECTIBLE ACCOUNTS ON A REASONABLE BASIS, THE NET PATIENT ACCOUNTS RECEIVABLE BALANCE IS SUBJECT TO AN ACCOUNTING LOSS IF PATIENTS AND THIRD-PARTY PAYORS ARE UNABLE TO MEET THEIR CONTRACTUAL OBLIGATIONS. THE ALLOWANCE AND RESULTING PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND PAYMENT TRENDS BY PAYOR CATEGORY. PATIENT ACCOUNTS ARE ALSO MONITORED, AND, IF NECESSARY, PAST DUE ACCOUNTS ARE PLACED WITH COLLECTION AGENCIES IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY INTEGRIS HEALTH. ALL PATIENT BALANCES REGARDLESS OF PAYOR SOURCE ARE COLLECTED IN ACCORDANCE WITH A PREDEFINED TIME LIMITED PROCESS DESIGNED TO GIVE THE PATIENT AN OPPORTUNITY TO PAY THE BALANCE BEFORE WRITING OFF THE BALANCE TO BAD DEBT EXPENSE AND TURNING THE ACCOUNT OVER TO A COLLECTION AGENCY. INTEGRIS BAPTIST MEDICAL CENTER, INC. AND CERTAIN OTHER OF THE HEALTHCARE RELATED CONTROLLED ENTITIES OF INTEGRIS HEALTH, INC. PROVIDE CARE WITHOUT CHARGE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER INTEGRIS HEALTH'S CHARITY CARE POLICY. BECAUSE THESE ENTITIES DO NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET REVENUE OR INCLUDED IN NET ACCOUNTS RECEIVABLE. THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON PART III, LINE 2. DISCOUNTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. INTEGRIS HEALTH CONTRIBUTES RESOURCES, ADVOCACY AND COMMUNITY SUPPORT TO PROMOTE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. INTEGRIS HEALTH BELIEVES THAT MEDICALLY NECESSARY HEALTH CARE SERVICES SHOULD BE ACCESSIBLE TO ALL REGARDLESS OF RACE, ANCESTRY, RELIGION, NATIONAL ORIGIN, CITIZENSHIP STATUS, AGE, DISABILITY OR GENDER. INTEGRIS HEALTH IS COMMITTED TO PROVIDING HEALTH SERVICES AND ACKNOWLEDGES THAT IN SOME CASES THE PATIENT WILL NOT BE ABLE TO PAY FOR THE SERVICES RECEIVED AND IN THOSE CASES ASSOCIATED BAD DEBT COULD BE CONSIDERED AS A COMMUNITY BENEFIT. INTEGRIS HEALTH HAS ADOPTED A PRESUMPTIVE PROCESS TO ACCURATELY IDENTIFY THOSE PATIENTS WHO WOULD QUALIFY FOR CHARITY ASSISTANCE. THE PROCESS REVIEWS THE PATIENT'S ABILITY TO PAY BASED ON AN ALGORITHM DEVELOPED BY AN EXTERNAL VENDOR AND REVIEWED BY KPMG, THE EXTERNAL AUDITOR FOR INTEGRIS. ALL BAD DEBT ACCOUNTS ARE REVIEWED USING THIS ALGORITHM AND THOSE THAT MEET THE CHARITY THRESHOLD OF 150% OF THE FEDERAL POVERTY LEVEL ARE RECLASSIFIED AS CHARITY CARE. THE RESULTANT EFFECT IS THAT INTEGRIS BELIEVES THAT LESS THAN 5% OF BAD DEBT EXPENSE MIGHT BE ABLE TO BE CLASSIFIED AS CHARITY EXPENSE. SUPPLEMENTAL INFORMATION 8 PART III, LINE 8: COMMUNITY BENEFIT: ------------------ THE HOSPITAL BELIEVES THAT ALL OF THE $7,605,749 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 9 PART 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 10 PART 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 %: 60.683761 OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEE'S PROFIT % OR STOCK OWNERSHIP %: 0.00000 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 39.316239 SUPPLEMENTAL INFORMATION 11 PART 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 12 PART 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 13 PART 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 14 PART 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 15 PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES IBMC IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. INTEGRIS BAPTIST MEDICAL CENTER IS THE FLAGSHIP HOSPITAL OF THE SYSTEM. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON SCHEDULE H, PART V AND THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O, GENERAL STATEMENTS 3 THROUGH 6 FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM. SUPPLEMENTAL INFORMATION 16 PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT ALL STATES WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: OK true INTEGRIS SOUTHWEST MEDICAL CENTER INC 5300 N INDEPENDENCE AVE SUITE 13 OKLAHOMA CITY OK 73112 731089149 501(C)(3) 2375348 TO FUND OPERATIONS TO FUND OPERATIONS INTEGRIS RURAL HEALTH INC 5300 N INDEPENDENCE AVE SUITE 13 OKLAHOMA CITY OK 73112 731444504 501(C)(3) 2505477 TO FUND OPERATIONS TO FUND OPERATIONS INTEGRIS AMBULATORY CARE CORPORATION 5300 N INDEPENDENCE AVE SUITE 13 OKLAHOMA CITY OK 73112 731192765 501(C)(3) 2890151 TO FUND OPERATIONS TO FUND OPERATIONS INTEGRIS HEALTH EDMOND INC 5300 N INDEPENDENCE AVE SUITE 13 OKLAHOMA CITY OK 73112 451027361 501(C)(3) 414176 TO FUND OPERATIONS TO FUND OPERATIONS 4 HIGH SCHO0L SCHOLARSHIPS 35 45000 SUPPLEMENTAL INFORMATION 1 SCHEDULE 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. false true false false false false false true false SUDHIR KHANNA EX-OFFICIO CHIEF OF STAFF 167575 2475 5310 0 0 0 144 0 0 0 173029 2475 0 0 CARL RACZKOWSKI MD DIRECTOR 0 238522 0 0 0 0 0 0 0 0 0 238522 0 0 DAVID R HADLEY ASSISTANT TREASURER 0 464950 0 311680 0 13608 0 58788 0 12980 0 862006 0 0 BETH A PAUCHNIK ASSISTANT SECRETARY 0 416915 0 191342 0 16361 0 90924 0 12137 0 727679 0 0 BRUCE LAWRENCE EX-OFFICIO-PRES/CEO IH 0 947961 0 492054 0 27520 0 320096 0 12918 0 1800549 0 0 MARY K CALBONE VICE PRESIDENT 186245 0 67784 0 10865 0 18623 0 7501 0 291018 0 0 0 TIM JOHNSEN PRESIDENT IBMC 472860 0 207456 0 10704 0 58869 0 16656 0 766545 0 0 0 JAMES W LONG PHYSICIAN 1245506 0 1980 0 9512 0 10200 0 13504 0 1280702 0 0 0 JACONNA R TILLER VP CHIEF NURSING OFFICER 227725 0 84334 0 9971 0 10509 0 11828 0 344367 0 0 0 DOUGLAS A HORSTMANSHOF PHYSICIAN, MEDICAL DIRECTOR 582682 0 0 0 30895 0 16610 0 16023 0 646210 0 0 0 VIVEK KOHLI TRANSPLANT SURGEON, MED DIR 621441 0 11700 0 11085 0 16700 0 16778 0 677704 0 0 0 ABBAS RAZA PHYSICIAN, MEDICAL DIRECTOR 539244 0 43976 0 4757 0 14150 0 16966 0 619093 0 0 0 JOSE-MARIE EL-AMM PHYSICIAN, MEDICAL DIRECTOR 493701 0 55112 0 826 0 16700 0 7393 0 573732 0 0 0 E SAMARA TRANSPLANT SURGEON, MED DIR 462875 0 112584 0 928 0 32314 0 2814 0 611515 0 0 0 CHRIS M HAMMES FORMER OFFICER & DIRECTOR 0 600560 0 284339 0 15120 0 110850 0 16445 0 1027314 0 0 GEORG LUNDAY FORMER KEY EMPLOYEE 0 208230 0 45063 0 874 0 21589 0 15263 0 291019 0 0 WENTZ MILLER FORMER OFFICER 0 117181 0 1578851 0 2257 0 27223 0 12300 0 1737812 0 1344036 ERROL A MITCHELL FORMER KEY EMPLOYEE 129064 127327 0 84361 0 5740 0 30420 0 12393 129064 260241 0 0 JIM W PORTERFIELD FORMER KEY EMPLOYEE 0 195854 0 64159 0 9710 0 22729 0 6876 0 299328 0 0 JAY P CANNON MD FORMER DIRECTOR 13395 1650 0 0 0 0 6122 0 204 0 19721 1650 0 0 DAVID BOGGS FORMER DIRECTOR 9000 4160 0 0 0 0 0 0 0 0 9000 4160 0 0 MICHAEL MCGEE MD FORMER DIRECTOR 32250 0 0 0 0 0 0 0 0 0 32250 0 0 0 STANLEY F HUPFELD FORMER OFFICER & DIRECTOR 0 2108 0 10302 0 850 0 6308 0 11304 0 30872 0 0 LUKE CORBETT FORMER DIRECTOR 0 27090 0 0 0 0 0 0 0 0 0 27090 0 0 SUPPLEMENTAL INFORMATION 1 SCHEDULE 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 2 SCHEDULE 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 WENTZ MILLER RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR EQUAL TO $1,344,036. SUPPLEMENTAL INFORMATION 3 SCHEDULE 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. A THE OK DEVELOPMENT FINANCE AGENCY 2015C 731083741 678908L28 2015-06-01 89880000 REFUND OF 2011A/B; ISSUED 7/6/11 false false false B THE OK DEVELOPMENT FINANCE AGENCY 2015B 731083741 67884XBV8 2015-04-15 48425000 REFUND OF 2007A; ISSUED 11/8/07 false false false C THE OK DEVELOPMENT FINANCE AGENCY 2015A 731083741 67884XBR7 2015-04-15 222198189 REFUND OF 2008B/C; ISSUED 7/30/08 false false false D THE OK DEVELOPMENT FINANCE AGENCY 2013 AB 731083741 67884XAZ0 2013-05-03 97945000 REFUND OF 2008A; ISSUED 5/6/08 false false false A 0 0 89880000 0 0 0 0 0 0 0 89880000 0 2011 true false true true B 0 0 48425000 0 0 0 521063 0 0 0 47903937 0 2010 true false true true C 0 0 222198189 0 0 220460765 1737424 0 0 0 0 0 2011 false true false true D 1750000 0 97945000 0 0 0 0 0 0 0 97945000 0 2009 true false true true A false true true true false 0.00010 0.00000 0.00010 false false false true B false true true true false 0.00010 0.00000 0.00010 false false false true C false true true true false 0.00000 0.00000 0.00000 false false false true D false true true true false 0.00010 0.00000 0.00010 false false false true A false true false false true true GOLDMAN SACHS 18.2 false false false 0 false true B false true false false true true JP MORGAN CHASE 18.33 false false false 0 false true C false true false false false false 0 false 0 false true D true false false true true GOLDMAN SACHS JP 20.3 false false false 0 false true A true B true C true D true SUPPLEMENTAL INFORMATION 1 PART II, LINE 11, COLUMNS A&B: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS FROM THE ISSUE THAT ARE NO LONGER IN ESCROW. DRAWCO 1 LLC MUTUAL BOARD MEMBER 199318 LEASE PAYMENTS false X 1 46075 FMV X LEASEHOLD IMPROVEMENTS 1 5000 FMV X MEDICAL EQUIPMENT 20 741712 FMV false true false REIMBURSEMENT OF EXPENSES 487531400 COST 731192764 INTEGRIS HEALTH INC 5300 N INDEPENDENCE AVE SUITE 13 OKLAHOMA CITY OK 73112 501(C)(3) true true false false SUPPLEMENTAL INFORMATION 1 SCHEDULE 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 TURNER GENERAL STATEMENT 1 FORM 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 - DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT INTEGRIS BAPTIST MEDICAL CENTER INTEGRIS JIM THORPE OUTPATIENT REHABILITATION AT ICIO GENERAL STATEMENT 2 PART 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 $11,660,651. 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 $7,747,312. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT SEE THE ATTACHED COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O BEGINNING WITH STATEMENT 3 THROUGH 6. GENERAL STATEMENT 3 PART III, LINE 4A: COMMUNITY BENEFIT REPORT MOST TRUSTED NAME IN HEALTH CARE 2015 INTEGRIS COMMUNITY BENEFITS ANNUAL REPORT "WITH REGARD TO EXCELLENCE, IT IS NOT ENOUGH TO KNOW, BUT WE MUST TRY TO HAVE AND USE IT." ARISTOTLE BOARD OF DIRECTORS INTEGRIS FISCAL YEAR 2015 OFFICERS MARSHALL SNIPES, PAST-CHAIRMAN DAVID L. THOMPSON, CHAIRMAN CHRISTOPHER C. TURNER, SECRETARY AND TREASURER C. BRUCE LAWRENCE, PRESIDENT AND CEO BOARD MEMBERS LUKE R. CORBETT JAMES R. DANIEL PETER B. DELANEY DENNIS LUCKINBILL EDMUND O. MARTIN CHARLES H. MORGAN, M.D. PHILIP MOSCA, M.D. ELLIOTT R. SCHWARTZ, D.O. JOEY D. SAGER GEORGIANNE SNOWDEN, M.D. LETTER FROM OUR PRESIDENT AND CEO CARING FOR PEOPLE IS AT THE CENTER OF EVERYTHING WE DO AT INTEGRIS. WITHIN THE PAGES OF OUR 2015 COMMUNITY BENEFIT REPORT YOU WILL SEE PATIENT STORIES THAT SHOWCASE THE CAPABILITIES OF INTEGRIS. THE PATIENTS AND FAMILIES WE FEATURE - AND HUNDREDS OF THOUSANDS MORE LIKE THEM - ARE THE VERY FOUNDATION OF OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. OUR CLINICAL EXCELLENCE IS HIGHLY REGARDED AND WE TAKE PRIDE IN THE FACT THAT INTEGRIS OFFERS THE HIGHEST-ACUITY CARE AVAILABLE ANYWHERE IN OKLAHOMA. WE BELIEVE OUR MISSION EXTENDS BEYOND OUR WALLS. THAT IS WHY YOU SEE INTEGRIS SPONSORING HEALTH FAIRS, WELLNESS SCREENINGS, FITNESS EVENTS AND SCORES OF OTHER HEALTH-RELATED ACTIVITIES ACROSS OUR STATE. YOU WILL SEE THE INTEGRIS NAME ATTACHED TO WALKING AND BIKING TRAILS INCLUDING A NEW TRAIL DEDICATED IN NOVEMBER 2015: THE INTEGRIS JIM THORPE COURAGE TRAIL AT MARTIN PARK NATURE CENTER IN OKLAHOMA CITY. IT IS THE STATE'S FIRST FULLY ACCESSIBLE TRAIL. INTEGRIS IS PROUD TO SPONSOR, ALONG WITH OTHER COMMUNITY PARTNERS, CAPITAL PROJECTS THAT MAKE ACCESSIBILITY UPDATES TO THE TRAIL A REALITY. WE BELIEVE ALL OKLAHOMANS SHOULD SHARE THE OPPORTUNITY TO ENJOY EXERCISE AMID THE BEAUTY AND NATURE OF OUR GREAT OUTDOORS. WE ALSO TAKE PRIDE IN THE FACT THAT INTEGRIS OPERATES THE STANLEY HUPFELD ACADEMY AT WESTERN VILLAGE, AN INNER-CITY OKLAHOMA CITY PUBLIC SCHOOL. INTEGRIS ACCEPTS FULL FINANCIAL RESPONSIBILITY FOR OPERATION OF THE SCHOOL. MANY OF OUR EMPLOYEES SPEND ONE HOUR EACH WEEK MENTORING STUDENTS AND WE PROVIDE FLU SHOTS, NUTRITIOUS MEALS AND ON-SITE NURSES TO HELP ENSURE THE FAMILIES ARE AS HEALTHY AS POSSIBLE AND THE STUDENTS ARE READY TO LEARN. THANKS TO THE ONGOING EFFORTS OF MANY, THE SCHOOL IS NO LONGER LISTED AS AT-RISK, AND STUDENT ACHIEVEMENT IS IMPROVING. THESE ARE SOME OF THE COUNTLESS EXAMPLES THAT SHOWCASE INTEGRIS AND ITS EMPLOYEES LIVING OUR MISSION, BOTH INSIDE AND OUTSIDE OUR FACILITY WALLS. I AM PROUD TO BE PART OF SUCH A GIVING AND CARING GROUP OF PEOPLE. SINCERELY, BRUCE LAWRENCE, PRESIDENT AND CEO INTEGRIS LETTER FROM OUR CHAIRMAN OF THE BOARD AS BOARD CHAIR, I AM PARTICULARLY PLEASED TO SEE INTEGRIS - AS AN ORGANIZATION - MAKE SUCH POSITIVE DIFFERENCES IN THE LIVES OF OKLAHOMANS. THE EXCELLENCE OFFERED WITHIN INTEGRIS HEALTH CARE FACILITIES IS UNQUESTIONED AND UNMATCHED IN OUR STATE AND, FRANKLY, BEYOND. FROM TIME TO TIME, HOWEVER, I AM ASKED WHY INTEGRIS INVESTS SO MUCH OF ITS TIME AND ENERGY OUTSIDE FACILITY WALLS AND INTO THE COMMUNITIES IT SERVES. THE ANSWER IS SIMPLE. FIRST, WE ARE OKLAHOMANS; OUR EMPLOYEES MAKE THEIR HOMES, CAREERS AND QUALITY OF LIFE PURSUITS IN OUR GREAT STATE. GENEROSITY OF TIME, TALENT AND RESOURCES ARE ATTRIBUTES OF OUR PEOPLE. INDIVIDUALLY AND COLLECTIVELY - FROM THE INTEGRIS BOARD TO OUR NEWEST EMPLOYEES - WE BELIEVE IN OUR SHARED RESPONSIBILITY TO MAKE LIFE BETTER WHERE WE CALL HOME. INTEGRIS ACCEPTS AND ENJOYS THIS ROLE AS OKLAHOMA'S LARGEST, LOCALLY OWNED HEALTH CARE SYSTEM. SECONDLY, INTEGRIS IS A NOT-FOR-PROFIT CORPORATION. THAT MEANS WE ARE ABLE TO INVEST ONE HUNDRED PERCENT OF ANY MONEY EARNED BACK INTO OUR HEALTH CARE SYSTEM THROUGH HIRING OF WORLD-CLASS PHYSICIANS, PURCHASE OF THE LATEST TECHNOLOGIES AND CONSTRUCTION OF THE FINEST HEALTH CARE FACILITIES, AS WELL AS PROGRAMS AND SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR ALL OKLAHOMANS. OUR COMMITMENT IS NOT TO SHAREHOLDERS, IT IS TO THE PEOPLE OF OKLAHOMA. AS I CLOSE, I APPRECIATE THE OPPORTUNITY TO HIGHLIGHT SOMETHING ELSE EMPLOYEES AND ADMINISTRATION MIGHT NOT INCLUDE IN A REPORT LIKE THIS. IN 2015, INTEGRIS EMPLOYEES - WORKING TOGETHER - SET RECORDS WITH THEIR CONTRIBUTIONS TO LOCAL UNITED WAY CHAPTERS AND THE INTEGRIS FOUNDATION'S YOU&I CAMPAIGN. BOTH EFFORTS REPRESENT THE PERSONAL GIVING OF INTEGRIS EMPLOYEES AND, COMBINED, THEY RAISED MORE THAN $1.2 MILLION. AS YOU WILL SEE THROUGHOUT THIS REPORT, INTEGRIS EMPLOYEES, COLLECTIVELY AND INDIVIDUALLY, ARE HELPING TO MAKE OKLAHOMA A BETTER AND HEALTHIER PLACE TO LIVE. IT IS PART OF OUR NEVER-ENDING MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. SINCERELY, DAVID THOMPSON, CHAIRMAN INTEGRIS BOARD OF DIRECTORS INTEGRIS INTEGRIS IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS (ABOUT 9,500 EMPLOYEES STATEWIDE), WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN CLINICS, MENTAL HEALTH FACILITIES, INDEPENDENT LIVING CENTERS AND HOME HEALTH AGENCIES LOCATED THROUGHOUT MUCH OF THE STATE. CORPORATE HEADQUARTERS ARE LOCATED ON THE CAMPUS OF INTEGRIS BAPTIST MEDICAL CENTER IN OKLAHOMA CITY. IT IS A NOT-FOR-PROFIT CORPORATION GOVERNED BY A 14-MEMBER BOARD OF DIRECTORS MADE UP OF BUSINESS, MEDICAL AND COMMUNITY LEADERS FROM ACROSS THE STATE. INTEGRIS IS LED BY PRESIDENT AND CHIEF EXECUTIVE OFFICER BRUCE LAWRENCE, WITH THE ASSISTANCE OF SENIOR STAFF IN THE AREAS OF PHYSICIAN SERVICES, FACILITY OPERATIONS, STRATEGIC SERVICES AND FINANCE. HISTORY FORMED IN 1995, INTEGRIS WAS THE RESULT OF A MERGER THAT SAME YEAR BETWEEN OKLAHOMA HEALTH SYSTEM AND SOUTHWEST MEDICAL CENTER IN OKLAHOMA CITY. OKLAHOMA HEALTH SYSTEM ITSELF WAS A NEW ORGANIZATION FORMED ONE YEAR EARLIER FROM A MERGER BETWEEN OKLAHOMA HEALTHCARE CORPORATION (BAPTIST MEDICAL CENTER'S PARENT COMPANY) AND BAPTIST HEALTHCARE OF OKLAHOMA. THE ENTITIES THAT COMPRISE INTEGRIS PROVIDE CARE IN MANY SETTINGS, FROM SOPHISTICATED URBAN MEDICAL CENTERS TO YOUR OWN HOME. SCOPE INTEGRIS PROVIDES CARE ALL OVER THE STATE, INCLUDING 10 HOSPITALS (EIGHT OF WHICH ARE ACUTE-CARE). THE ORGANIZATION HAS ALLIED MENTAL HEALTH PROVIDERS IN 50 OKLAHOMA TOWNS AND CITIES AND OFFERS HOSPICE SERVICES THROUGH INTEGRIS HOSPICE. APPROXIMATELY SIX OUT OF EVERY 10 OKLAHOMANS LIVE WITHIN 30 MILES OF A FACILITY OR PHYSICIAN INCLUDED IN THE INTEGRIS ORGANIZATION. COLLECTIVELY, THE ENTITIES WITHIN INTEGRIS MAINTAIN MORE THAN 1,900 LICENSED BEDS AND HAVE MEDICAL STAFFS THAT NUMBER MORE THAN 1,500 PHYSICIANS. SERVICES THE ENTITIES THAT COMPRISE INTEGRIS OFFER A WIDE RANGE OF HIGHLY DEVELOPED INPATIENT, OUTPATIENT AND ANCILLARY SERVICES. EXCELLENCE IN MEDICAL CARE ALONG WITH RESEARCH, STAFF EDUCATION, SUPPORT GROUPS FOR PATIENTS AND THEIR FAMILIES, AND EDUCATIONAL PROGRAMS FOR THE COMMUNITY, ALLOWS MEMBERS OF INTEGRIS TO ACHIEVE THE ORGANIZATION'S MISSION. SPECIALIZED CENTERS OF EXCELLENCE HAVE BEEN DEVELOPED THROUGH VARIOUS ENTITIES AFFILIATED WITH INTEGRIS TO PROVIDE A HIGH STANDARD OF CARE FOR OUR COMMUNITIES. EACH OF THESE ORGANIZATIONS BRINGS A RICH HISTORY OF SERVING OKLAHOMANS. INTEGRIS CARING FOR OUR COMMUNITIES MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. VISION MOST TRUSTED NAME IN HEALTH CARE VALUES INTEGRIS'S VALUES CAN BE IDENTIFIED BY THREE SIMPLE BUT VERY POWERFUL CONCEPTS OF LOVE, LEARN AND LEAD. LOVE - TREAT SELF AND OTHERS WITH KINDNESS, DIGNITY AND RESPECT - BE PATIENT AND FORGIVING - SERVE OTHERS WITH A CARING HEART LEARN - LISTEN, ASK AND BE OPEN - IMPROVE EVERY DAY - UNDERSTAND OUR BUSINESS - CREATE A LEARNING ENVIRONMENT LEAD - SEEK AND PROVIDE DIRECTION AND VISION - EXPECT AND ACKNOWLEDGE EXCELLENCE - DEMONSTRATE HONESTY - DEVELOP RELATIONSHIPS - SHOW COURAGE TO MAKE A DIFFERENCE - LEAD BY EXAMPLE INTEGRIS BAPTIST MEDICAL CENTER BRYCE DUKE WAS A NORMAL 11-YEAR-OLD BOY. HE LOVED PLAYING FOOTBALL, RUNNING AROUND WITH HIS FRIENDS AND PLAYING "CALL OF DUTY." EVERYTHING CHANGED IN LATE SEPTEMBER 2014 WHEN HE BEGAN TO EXPERIENCE STRANGE SYMPTOMS. HIS EYES WOULD CROSS AND HIS PUPILS WOULD BECOME ENLARGED FOR NO APPARENT REASON. HE STARTED COMPLAINING OF DIZZINESS AND BLURRED VISION, AND BEGAN STARING OFF INTO SPACE FOR LONG PERIODS OF TIME. HE HAD RECENTLY SUFFERED A FOOTBALL INJURY TO THE LOWER LEFT LUMBAR AREA OF HIS SPINE, SO AT FIRST HIS PARENTS THOUGHT THESE SYMPTOMS COULD BE RELATED. WHEN THE SYMPTOMS WERE NOT GETTING BETTER, DUKE'S PEDIATRICIAN REFERRED HIM TO INTEGRIS PEDIATRIC NEUROLOGIST, AMBER STOCCO, M.D. AFTER RUNNING NUMEROUS TESTS, SHE MADE THE FRIGHTENING DIAGNOSIS. HE HAD A VERY RARE DISEASE CALLED ANTI-NMDA RECEPTOR ENCEPHALITIS, COMMONLY REFERRED TO AS NMDA; A DISEASE OCCURRING WHEN ANTIBODIES PRODUCED BY THE BODY'S OWN IMMUNE SYSTEM ATTACK NMDA RECEPTORS IN THE BRAIN. ON TOP OF HIS NEUROLOGICAL ISSUES, HIS HEART RATE BEGAN TO RISE AND HE BEGAN HAVING DIFFI GENERAL STATEMENT 4 PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS BAPTIST MEDICAL CENTER, OKLAHOMA CITY * ACES CANCER SUPPORT GROUP * ADJUNCT FACULTY FOR RESPIRATORY THERAPY/EMPLOYEE PARTICIPATION * AIDS WALK * ALZHEIMER'S SUPPORT GROUP * AMERICAN CANCER SOCIETY * ANGEL FLIGHT/EMPLOYEE PARTICIPATION * ANNUAL SOCIAL/WORK CONFERENCE * AUTISM SUPPORT GROUP * BACK TO SCHOOL SCREENINGS * BAGCRAFT HEALTH FAIR * BAYER ONCOLOGY SUPER COLON EVENT * BLOOD DRIVE * BLOOD PRESSURE SCREENINGS * CANCER CONNECTIONS NEWSLETTER * CANCER TUMOR REGISTRY * CAREGIVER GRIEF PROGRAM * CELEBRATION OF LIFE * CENTRAL OKLAHOMA TURNING POINT/EMPLOYEE PARTICIPATION * CIT OFFICER TRAINING * COALITION OF ADVOCATES EVENTS * COMMUNITY CANCER SCREENINGS * DAY OF DANCE * DIABETES EDUCATION CLASSES * DONATION TO MERCY FOUNDATION FOR BREAST CANCER SURVIVORS * DOWNSTREAM HEALTH FAIR * EMERGENCY MEDICAL SERVICES FOR AREA SPORTING AND COMMUNITY EVENTS * EMOTIONAL WELLNESS CENTER/EMPLOYEE PARTICIPATION * FAMILY BUILDERS OF OKLAHOMA/EMPLOYEE PARTICIPATION * FIGHTING ADDICTION THROUGH EDUCATION/EMPLOYEE PARTICIPATION * FIREFIGHTER CARDIOVASCULAR SCREENINGS * FIT PANEL DISCUSSION/EMPLOYEE PARTICIPATION * GREAT PLAINS GRADUATION/MEETING SPACE PROVIDED * GRIEF SUPPORT GROUPS * HEALTH ALLIANCE FOR THE UNINSURED/EMPLOYEE PARTICIPATION * HEARTSCAN DONATIONS * HIGH RISK GENETICS * HOSPICE WEBINARS * INFANT CRISIS SERVICES/EMPLOYEE PARTICIPATION * MOBILE MEALS INTEGRIS BAPTIST REGIONAL HEALTH CENTER, MIAMI * CITY OF MIAMI HEALTH FAIR * INDIGO SKY HEALTH FAIR * HOPKINS MANUFACTURING HEALTH FAIR * J&M FARMS HEALTH FAIR * LUNCH AND LEARN PRESENTATIONS * MEALS ON WHEELS * MEDICAL STUDENTS * MIAMI PUBLIC SCHOOLS HEALTH FAIR * MILITARY FAMILY LISTENING CONFERENCE * MULTI-DISCIPLINARY CANCER CLINICS/MEETING SPACE PROVIDED * NATIONAL ALLIANCE ON MENTAL HEALTH * NATIONAL PREVENTION NETWORK CONFERENCE * NURSING STUDENT ROTATIONS * OCCUPATIONAL THERAPY STUDENT ROTATIONS * OK HEALTH SCIENCES CENTER/EMPLOYEE PARTICIPATION * OKLAHOMA BLOOD INSTITUTE BOARD/EMPLOYEE PARTICIPATION * OKLAHOMA HEALTH CARE AUTHORITY/EMPLOYEE PARTICIPATION * OKLAHOMA HEALTH IMPROVEMENT COMMITTEE/EMPLOYEE PARTICIPATION * OKLAHOMA PSYCHIATRIC HOSPITAL ASSOCIATION/EMPLOYEE PARTICIPATION * OKLAHOMA STATE BOARD OF HEALTH/EMPLOYEE PARTICIPATION * ORGAN DONATION EDUCATION * OTTAWA COUNTY SENIOR FAIR * OUT OF THE DARKNESS SUICIDE PREVENTION * PARAMEDIC STUDENT ROTATIONS * PHARMACEUTICAL ASSISTANCE PROGRAM * PHYSICAL THERAPY INTERNSHIP * PHYSICAL THERAPY STUDENT ROTATIONS * POSITIVE DIRECTIONS MENTORING PROGRAM * PRESENTATIONS BY CARDIOLOGISTS * PROMISE TRIAL * RADIOLOGY STUDENT ROTATIONS * REGIONAL FOOD BANK DRIVE * REHAB STUDENT ROTATIONS * RESPIRATORY STUDENT ROTATIONS * SOUTHWESTERN UNIVERSITY PRACTICUM PROGRAM/EMPLOYEE PARTICIPATION * SPECIALIZED OUTPATIENT SERVICES BOARD/EMPLOYEE PARTICIPATION * SPEECH PATHOLOGY INTERNSHIPS * SUNBEAM FAMILY SERVICES/EMPLOYEE PARTICIPATION * SURGERY STUDENT ROTATIONS * TORNADO DISASTER RELIEF * TURKEY TOSS * UNITED WAY PARTNER AGENCY FAIR/MEETING SPACE PROVIDED * US TOO PROSTATE CANCER SUPPORT GROUP * VEIN SCREENINGS * WELCH STATE BANK HEALTH FAIR * WELLNESS NOW/EMPLOYEE PARTICIPATION INTEGRIS BASS BAPTIST HEALTH CENTER, ENID * 4RKIDS EVENT * AMERICAN CANCER SOCIETY RELAY FOR LIFE * BE FIT KIDS BUZZ RUN * BREAST CANCER SUPPORT GROUP * CARDIAC PULMONARY SUPPORT GROUP * CDSA BOARD OF DIRECTORS/EMPLOYEE PARTICIPATION * CDSA CAPITAL CAMPAIGN PLEDGE * CHILD ADVOCACY COUNCIL/EMPLOYEE PARTICIPATION * CHOLESTEROL SCREENINGS * CITY SAFETY FAIR * CIVITAN CLUB/SPECIAL OLYMPICS * COMMUNITY HEALTH FAIR * DIABETES SUPPORT GROUP * ENID AMBUCS * ENID COMMUNITY CLINIC * ENID HIGHER EDUCATION COUNCIL/EMPLOYEE PARTICIPATION * FIBROMYALGIA SUPPORT GROUP * GALACTOSEMIA FOUNDATION EVENT * HEDGES SPEECH AND HEARING BOARD OF DIRECTORS/EMPLOYEE PARTICIPATION * IMPACT CONCUSSION TESTING * JUNIOR WELFARE LEAGUE/WARM YOUR HEART RUN * KETTERMAN NURSING SKILLS LAB * MAPP COALITION/EMPLOYEE PARTICIPATION * MARCH OF DIMES PARTICIPATION BY HOSPITAL * MENTAL HEALTH AWARENESS DAY * MOBILE MEALS * MS AWARENESS WALK * NW OKLAHOMA BLOOD INSTITUTE/EMPLOYEE PARTICIPATION * NW OSTEOPATHIC FOUNDATION CHARITY BALL * PARKINSON DISEASE SUPPORT GROUP * PROJECT SEARCH * REGIONAL FOOD BANK * SENIOR LIFE NETWORK * TOYS FOR TOTS * UNITED WAY * WALK THIS WAY INITIATIVE * YMCA BACK A YOUTH * YWCA DAYCARE MEALS INTEGRIS CANADIAN VALLEY HOSPITAL, YUKON * BACK TO SCHOOL IMMUNIZATIONS * CANADIAN VALLEY TECH CENTER/EMPLOYEE PARTICIPATION * CENTRAL ELEMENTARY DASH SPONSOR * CITY OF MUSTANG RALLY * COMMUNITY SUPPORT FOUNDATION * DIABETES SUPPORT GROUP * EL RENO CHAMBER OF COMMERCE * EPIDEMIOLOGISTS AND PERFECTIONISTS IN INFECTION CONTROL BOARD/EMPLOYEE PARTICIPATION * EVERY 15 MINUTES PROGRAM AT MUSTANG HIGH SCHOOL * FESTIVAL OF THE CHILD * HEALTHY LIFESTYLES AND SAFETY AT YUKON MIDDLE SCHOOL * LPN STUDENT ROTATIONS * MEDICAL SUPPLY DONATIONS * MUSTANG CHAMBER OF COMMERCE * NURSING STUDENT CLINICALS * OKC MEMORIAL MARATHON * OKLAHOMA BLOOD INSTITUTE/EMPLOYEE PARTICIPATION * PROJECT GRADUATION * RANCHWOOD ELEMENTARY JOG-A-THON * REALITY CHECK HIGH SCHOOL PROGRAM * REGIONAL FOOD BANK * RESPIRATORY STUDENT ROTATIONS * ROTARY CLUB EMPLOYEE PARTICIPATION * SALVATION ARMY KETTLE CAMPAIGN/EMPLOYEE PARTICIPATION * SCRUB TECH STUDENT ROTATIONS * STUDENT GOVERNING BOARD * TORNADO RELIEF IMMUNIZATIONS * UNITED WAY/EMPLOYEE PARTICIPATION * WILD FIRE RELIEF * YUKON CHAMBER OF COMMERCE * YUKON COMMUNITY EDUCATION ADVISORY COUNCIL/EMPLOYEE PARTICIPATION * YUKON MIDDLE SCHOOL HEALTH FAIR * YUKON SENIOR HEALTH AND FITNESS DAY * YUKON TRAILS TASK FORCE/EMPLOYEE PARTICIPATION INTEGRIS GROVE HOSPITAL * BLOOD DRIVES * BREAST CANCER AWARENESS LUNCHEON * CAMP BANDAGE * CHRISTIAN MEDICAL CENTER/DONATION * DELAWARE COUNTY HEALTH FAIR * FAIRLAND PUBLIC SCHOOLS SPORTS PHYSICALS * JAY DUATHALON * JAY SENIOR FAIR * JINGLE BELL 5K RUN * PRESENTATIONS TO COMMUNITY GROUPS * REC DAY WELLNESS FAIR * REGIONAL FOOD BANK DRIVE * ROTARY PARK DONATION * STUDENT GOVERNING BOARD * STUFF THE BUS * TODAY'S HEALTHY OUTLOOK NEWSLETTER * TOWNSEND CHILDREN'S FUND * TRI STATE YMCA AND GRAND LAKE YMCA/EMPLOYEE SUPPORT * TURKEY TOSS * YMCA HEALTH FAIRS INTEGRIS HEALTH EDMOND * BUTTERFIELD MEMORIAL FOUNDATION/EMPLOYEE PARTICIPATION * COLON CANCER AWARENESS TALK * DIABETES EDUCATION * EDMOND CHAMBER OF COMMERCE * LEADERSHIP EDMOND VOLUNTEER DAY/EMPLOYEE PARTICIPATION * LUNG DISEASE LUNCH AND LEARN * PREVENTION AND TREATMENT OF BROKEN HIPS * STROKE AWARENESS TALK * TURKEY TOSS * UCO ADVISORY BOARD/EMPLOYEE PARTICIPATION * UCO INTERNSHIP PRACTICUM PROGRAM/EMPLOYEE PARTICIPATION * UCO LEADERSHIP CLASS MEETING/SPACE PROVIDED * UCO POST CONFERENCE MEETING/SPACE PROVIDED * UCO TRANSITIONS CLASS MEETING/SPACE PROVIDED * UNDERSTANDING ALZHEIMER'S AND DEMENTIA PRESENTATION * WOMEN'S HEALTH FORUM * YOUTH LEADERSHIP EDMOND/MEETING SPACE PROVIDED INTEGRIS SOUTHWEST MEDICAL CENTER, OKLAHOMA CITY * ACES SUPPORT GROUP * AMERICAN HOSPITAL ASSOCIATION MEETING/SPACE PROVIDED * AMYOTROPHIC LATERAL SCLEROSIS SUPPORT GROUP * AUA STUDENT ROTATIONS * BLOOD PRESSURE SCREENINGS * BRAIN INJURY SUPPORT GROUP * BREAST CANCER AWARENESS DAY * CANCER TUMOR REGISTRY * CHAMBERS OF COMMERCE/EMPLOYEE PARTICIPATION * CROSSROADS MALL DEVELOPMENT/EMPLOYEE PARTICIPATION * GOV. FALLIN FEED OKLAHOMA FOOD DRIVE/MEETING SPACE PROVIDED * GREATER OKLAHOMA CITY HOSPITAL COUNCIL/MEETING SPACE PROVIDED * LIMB LOSS SUPPORT GROUP * LVAD SUPPORT GROUP * MEALS ON WHEELS * MUSCULAR DYSTROPHY ASSOCIATION/EMPLOYEE PARTICIPATION * OCCUPATIONAL THERAPY STUDENT ROTATIONS * OKLAHOMA BAPTIST UNIVERSITY CONFERENCE/MEETING SPACE PROVIDED * OKLAHOMA CITY COMMUNITY COLLEGE MEETING/SPACE PROVIDED * OKLAHOMA CITY POLICE PRESENTATION * OKLAHOMA CITY UNIVERSITY MEETING/SPACE PROVIDED * OKLAHOMA STATE STROKE SYSTEMS ADVISORY COMMITTEE/EMPLOYEE PARTICIPATION * OKLAHOMA STATE STROKE SYSTEMS ADVISORY COMMITTEE/MEETING SPACE PROVIDED * PHYSICAL THERAPY STUDENT ROTATIONS * POSITIVE DIRECTIONS MENTORING PROGRAM * RADIATION THERAPY STUDENT ROTATIONS * RECREATION THERAPY STUDENT INTERN * REDLANDS COMMUNITY COLLEGE MEETING/SPACE PROVIDED * REGIONAL FOOD BANK DRIVE * RESPIRATORY STUDENT ROTATIONS * ROTARY CLUB/EMPLOYEE PARTICIPATION * RX FOR STROKE CLASSES * SPEECH PATHOLOGY STUDENT ROTATIONS * SPINAL CORD INJURY SUPPORT GROUP * STATEWIDE STROKE CONFERENCE * STROKE SUPPORT GROUP * SURGICAL SCRUB * VO-TECH STUDENT ROTATIONS * THINK FIRST HEAD/INJURY EDUCATION * TURKEY TOSS INTEGRIS NETWORK OWNED FACILITIES INTEGRIS BAPTIST MEDICAL CENTER - OKLAHOMA CITY INTEGRIS BAPTIST REGIONAL HEALTH CENTER - MIAMI INTEGRIS BASS BAPTIST HEALTH CENTER - ENID INTEGRIS BASS MEADOWLAKE - ENID INTEGRIS CANADIAN VALLEY HOSPITAL - YUKON INTEGRIS CANCER INSTITUTE - OKLAHOMA CITY INTEGRIS GROVE HOSPITAL - GROVE INTEGRIS HEALTH EDMOND - EDMOND INTEGRIS MENTAL HEALTH CENTER - SPENCER INTEGRIS NORTHWEST SPECIALTY HOSPITAL (LTACH) - ENID INTEGRIS SOUTHWEST MEDICAL CENTER - OKLAHOMA CITY LAKESIDE WOMEN'S H GENERAL STATEMENT 5 PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED I ON YOUR HEALTH I ON YOUR HEALTH IS AN ONLINE EDUCATIONAL TOOL DESIGNED TO HELP THE COMMUNITY REMEMBER TO MAKE GOOD HEALTH CHOICES EVERY DAY. ONLINE SUBSCRIBERS HAVE ACCESS TO OUR HEALTH EXPERTS IN A CONVENIENT FORMAT ALONG WITH DAILY HEALTH TIPS, EASY TO READ ARTICLES, AND HEALTHY RECIPES YOU CAN TRY AT HOME. THE SITE FEATURES A WEEKLY SHORT VIDEO WITH EDUCATIONAL HEALTH INFORMATION ABOUT EXERCISE, HEALTHIER FOOD CHOICES, TIPS FOR IMPROVED MENTAL HEALTH AND MORE. THE NUMBER ONE CAUSE OF DEATH IN OKLAHOMA IS HEART DISEASE; OBESITY IN OUR STATE HAS NEARLY QUADRUPLED IN JUST 25 YEARS; AND, WE ARE RANKED AMONG THE HIGHEST IN THE COUNTRY FOR MENTAL ILLNESSES. INTEGRIS WANTS TO WORK WITH THE COMMUNITY TO REVERSE THESE NEGATIVE TRENDS. AT INTEGRIS, WE CARE ABOUT ALL OKLAHOMANS. WE WANT EVERYONE TO LIVE LONG, HAPPY LIVES. IONYOURHEALTH.COM INTEGRIS GROVE HOSPITAL SIXTY-SEVEN YEAR OLD BILL GOLDNER IS TOUGH AS NAILS. HIS FAMILY SAYS HE HAS ALWAYS HAD A HIGH TOLERANCE FOR PAIN. SO WHEN HE STARTED HAVING PAIN THAT RADIATED ACROSS HIS SHOULDERS AND EVENTUALLY DOWN HIS ARM, HE DIDN'T THINK IT WAS SIGNIFICANT ENOUGH TO SEEK TREATMENT. UNTIL THE PAIN INTENSIFIED AND HE BECAME SHORT OF BREATH. ON JUNE 25, GOLDNER DROVE HIMSELF TO INTEGRIS GROVE HOSPITAL. UPON ARRIVAL, HE TOLD THE REGISTRATION CLERK THAT HE WAS HAVING CHEST PAIN AND THERE WAS AN IMMEDIATE FLURRY OF ACTIVITY AS HE WAS WHISKED BACK INTO THE EMERGENCY ROOM. GOLDNER ADMITS HE WAS A LITTLE SELF-CONSCIOUS AND EMBARRASSED BY ALL THE ATTENTION HE WAS GETTING BECAUSE HE HAD NO IDEA AT THE TIME THAT HE WAS ON THE VERGE OF HAVING A HEART ATTACK. IT WAS DISCOVERED IN THE CATH LAB, THAT GOLDNER HAD AT LEAST TWO MAJOR BLOCKAGES IN HIS HEART. THE RIGHT CORONARY ARTERY WAS 90 PERCENT BLOCKED WHILE THE POSTERIOR DESCENDING ARTERY WAS 98 PERCENT CLOSED. HE NEEDED A TOTAL OF FOUR STENTS TO CORRECT THE PROBLEM, A PROCEDURE THAT WAS DONE RIGHT THERE IN GROVE. GOLDNER'S WIFE, LINDA, ARRIVED AT THE HOSPITAL APPROXIMATELY AN HOUR AND A HALF AFTER HER HUSBAND. SHE HAD BEEN IN TULSA THAT DAY AND GOT THERE AS QUICKLY AS SHE COULD. "WHILE DRIVING BACK TO GROVE FROM TULSA, I WAS REFLECTING ON OUR 44 YEARS TOGETHER. FEAR WAS IN MY HEART," REMEMBERS MRS. GOLDNER. "BUT THE MINUTE I ARRIVED AT INTEGRIS GROVE HOSPITAL, IT WAS AMAZING. I WAS SURROUNDED WITH LOVE AND COMPASSION BY PEOPLE WHO REALLY CARED." MR. GOLDNER SAID DR. JAMES CHAPMAN AND THE ENTIRE STAFF AT INTEGRIS GROVE HOSPITAL TREATED HIM LIKE FAMILY. "THEY MAKE YOU FEEL LIKE YOU ARE THE ONLY PERSON ON THE PLANET, WHEN I KNOW THE HOSPITAL WAS FULL OF OTHER PATIENTS WITH NEEDS EQUAL TO OR GREATER THAN MINE. THEY LITERALLY SAVED MY LIFE." INTEGRIS HEALTH EDMOND FIFTY-ONE-YEAR-OLD CURTIS SMITH OF EDMOND HAD NOT BEEN FEELING WELL. HIS WIFE, CHERYL, WHO WAS AN INTENSIVE CARE NURSE FOR MANY YEARS, THOUGHT HE MUST HAVE HAD SOME SORT OF VIRAL INFECTION. BUT AFTER A WEEKEND OF NOT BEING ABLE TO GET OUT OF BED AND CONTINUOUS NAUSEA AND VOMITING, SHE DECIDED TO CALL 911. SMITH WAS TAKEN TO THE EMERGENCY ROOM AT INTEGRIS HEALTH EDMOND ON SUNDAY, JUNE 14. THERE, HE BECAME COMATOSE AND HIS BLOOD PRESSURE PLUNGED DANGEROUSLY LOW. HE WAS GOING INTO SEPTIC SHOCK, A POTENTIALLY DEADLY CONDITION WHERE THE BODY STARTS TO SHUT ITSELF DOWN. SEPSIS KILLS MORE THAN 258,000 AMERICANS EACH YEAR. SMITH REQUIRED A VENTILATOR TO BREATHE, AND HE WAS HEAVILY SEDATED AND NEEDED DIALYSIS FOR HIS FAILING KIDNEYS. A FEEDING TUBE AND THE AMAZING DOCTORS AND NURSES AT INTEGRIS HEALTH EDMOND KEPT HIM ALIVE. "THE CARE EXPERIENCE AT INTEGRIS HEALTH EDMOND WAS IMPECCABLE," SAYS CHERYL. "BEING AN ICU NURSE I KNEW EXACTLY WHAT WAS GOING ON AND WHAT SHOULD BE DONE. THE CARE TEAM NEVER MISSED A BEAT." SMITH SLOWLY STARTED TO SHOW SIGNS OF IMPROVEMENT. HE WAS WEANED OFF THE LIFE-SAVING EQUIPMENT AND MANY OF THE MEDICATIONS. ONCE THE VENT WAS REMOVED, HIS SPEECH WAS SLURRED AND HE WAS OFTEN CONFUSED. THERE WERE OTHER SET-BACKS AS WELL, LIKE THE DEVELOPMENT OF C-DIFF IN HIS COLON AND AN INFLAMED GALL BLADDER, BUT THE FAMILY CREDITS THE HOSPITAL FOR LITERALLY BRINGING HIM BACK FROM THE BRINK OF DEATH. THIS FATHER OF THREE WOULD SPEND FATHER'S DAY AND THE FOURTH OF JULY IN THE INTENSIVE CARE UNIT, BEFORE BEING MOVED TO A LONG TERM CARE FACILITY AND EVENTUALLY JIM THORPE REHABILITATION AT INTEGRIS BAPTIST MEDICAL CENTER. AFTER A TOTAL OF 51 DAYS OF HOSPITALIZATION, SMITH RETURNED HOME ON AUG 4. TODAY, SMITH CONTINUES TO RECUPERATE. HE IS DEPENDENT ON A WALKER FOR STABILIZATION AND AT TIMES REVERTS BACK TO USING A WHEELCHAIR, BUT HE IS HOPEFUL THROUGH OUTPATIENT PHYSICAL THERAPY HE WILL EVENTUALLY REGAIN HIS STRENGTH AND MOBILITY. SMITH IS EXPECTED TO MAKE A FULL RECOVERY, THOUGH RIGHT NOW, HE FOCUSES ON ONE DAY AT A TIME. INTEGRIS SOUTHWEST MEDICAL CENTER IN A SPAN OF LESS THAN 10 DAYS, JASON WISDOM TRANSFORMED FROM A HEALTHY, PHYSICALLY ACTIVE MAN INTO A SERIOUSLY ILL PATIENT LYING PARALYZED AND UNABLE TO SPEAK IN A HOSPITAL BED. DOCTORS LEARNED WISDOM HAD CONTRACTED WEST NILE VIRUS - THE WORST CASE MANY OF THEM HAD EVER SEEN - AND HIS CONDITION DETERIORATED SO QUICKLY THEY WERE LEFT PUZZLED BY THE SEVERITY OF HIS ILLNESS. DESPITE HIS CONSCIENTIOUS EFFORTS TO ALWAYS WEAR BUG SPRAY, A MOSQUITO BITE SENT THE NORMAN RESIDENT'S HEALTH SPIRALING. WEST NILE VIRUS IS SPREAD BY INFECTED MOSQUITOES, AND ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, THE MAJORITY OF PEOPLE (70-80 PERCENT) WHO BECOME INFECTED WITH WEST NILE VIRUS DO NOT DEVELOP ANY SYMPTOMS. LESS THAN ONE PERCENT OF INFECTED PEOPLE DEVELOP THE SEVERITY OF SYMPTOMS WISDOM EXPERIENCED. WISDOM SPENT SIX WEEKS IN AN INTENSIVE CARE UNIT IN THE FALL OF 2013. A FEW WEEKS IN A LONG-TERM CARE FACILITY FOLLOWED BEFORE HE MOVED INTO JIM THORPE REHABILITATION AT INTEGRIS SOUTHWEST MEDICAL CENTER FOR THREE MONTHS. WISDOM STARTED FEELING LETHARGIC ON A SATURDAY AND ENDED UP IN THE EMERGENCY ROOM BY THE FOLLOWING THURSDAY IN OCTOBER 2013. DAYS LATER, HE WAS 90 PERCENT PARALYZED FROM HIS HEAD TO HIS TOES. HIS DIAPHRAGM AND LUNGS WERE SHUTTING DOWN AND HE HAD TROUBLE BREATHING. DOCTORS TOLD HIM THAT HIS CONDITION WOULD CONTINUE TO WORSEN BEFORE IT GOT BETTER. DOCTORS COULD ONLY TREAT HIS SYMPTOMS BECAUSE THERE IS NO CURE FOR WEST NILE VIRUS, AND THE RESULTS WERE EXCRUCIATING FOR WISDOM. AT TIMES HE FELT LIKE HE WAS ON FIRE AND EVENTUALLY HIS WEIGHT DECREASED FROM 220 POUNDS TO 160 POUNDS. WISDOM'S CONDITION WAS SO SEVERE THAT HE ENTERED THERAPY AT INTEGRIS JIM THORPE REHABILITATION ON A BREATHING MACHINE, UNABLE TO MOVE AT ALL. DURING MORE THAN THREE MONTHS AS AN INPATIENT AT INTEGRIS JIM THORPE REHABILITATION, WISDOM LEARNED HOW TO WALK AGAIN AND REGAINED THE USE OF HIS ARMS. IN THE SPRING OF 2014, WISDOM WAS FINALLY ABLE TO RETURN HOME TO HIS WIFE AND FOUR-YEAR-OLD DAUGHTER LAURA. HE CONTINUED OUTPATIENT REHABILITATION AND IMPROVED SO DRAMATICALLY THAT HE WAS ABLE TO WALK IN THE 10TH ANNUAL INTEGRIS JIM THORPE REHABILITATION COURAGE RUN IN OCTOBER 2014 - ALMOST EXACTLY ONE YEAR AFTER HE FIRST WENT TO THE EMERGENCY ROOM. LAKESIDE WOMEN'S HOSPITAL, INTEGRIS NETWORK IT WAS ON HER 51ST BIRTHDAY, THAT DEBRA HARDEMAN LEARNED SHE HAD BREAST CANCER. A WEEK BEFORE TAKING A VACATION WITH HER HUSBAND, HARDEMAN HAD A 3D MAMMOGRAM TO FURTHER INVESTIGATE A NEW MARKING ON HER BREAST. "ABOUT 6 TO 9 MONTHS BEFORE MY MAMMOGRAM, I HAD NOTICED WHAT I THOUGHT WAS A NEW STRETCH MARK ON MY BREAST. I HAVE MANY SO I REALLY DIDN'T THINK ANYTHING OF IT," ADMITS HARDEMAN. SUSAN CHAMBERS, M.D., HER GYNECOLOGIST AT LAKESIDE WOMEN'S HOSPITAL, GAVE HER THE NEWS. "COME TO FIND OUT, IT WASN'T A STRETCH MARK AT ALL. IT WAS A DIMPLING OF THE SKIN WHERE MY CANCER WAS DETECTED. YOU WOULD THINK AS A NURSE I WOULD HAVE KNOWN THE DIFFERENCE, BUT I DIDN'T." HARDEMAN UNDERWENT AN ULTRASOUND GUIDED BIOPSY AT THE INTEGRIS COMPREHENSIVE BREAST CENTER. DAVID BURGER, M.D., CONFIRMED THE DIAGNOSIS. IT WAS STAGE 1 INVASIVE DUCTAL CARCINOMA. HARDEMAN REMEMBERS DR. CHAMBERS TELLING HER THAT THEY WOULD "BEAT THIS TOGETHER." WITHIN TWO WEEKS OF THE OFFICIAL DIAGNOSIS HARDEMAN WAS SCHEDULED FOR SURGERY AT LAKESIDE WOMEN'S HOSPITAL. BREAST SURGEON DENISE RABLE PERFORMED A COMPLETE RIGHT MASTECTOMY AND SENTINEL NODE BIOPSY. TEST RESULTS INDICATE THE CANCER WAS SUCCESSFULLY REMOVED AND NO DISEASED CELLS WERE FOUND IN THE SENTINEL NODES. PLASTIC SURGEON JAYESH PANCHAL BEGAN THE RECONSTRUCTION PROCESS. FOUR WEEKS POST-SURGERY, HARDEMAN HAD HER FIRST VISIT WITH ONCOLOGIST LARA THEOBALD, WHO SAW NO NEED FOR CHEMOTHERAPY. "I WAS ECSTATICALLY HAPPY," PROCLAIMS HARDEMAN. "I HAD AN ENTIRE TEAM OF INTEGRIS PHYSICIANS AND NURSES TAKING CARE OF ME. IT WAS BOTH AMAZING AND REASSURING TO WITNESS AND BENEFIT FROM SUCH A COORDINATED EFFORT." HARDEMAN IS ON A MEDICATION REGIME TO KEEP THE CANCER FROM RETURNING. SHE HAS RETURNED TO WORK AND IS HELPING CARE FOR AND COUNSEL PATIENTS NEWLY DIAGNOSED WITH BREAST CANCER. GENERAL STATEMENT 6 PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED WHEN OUR COMMUNITIES COME LOOKING FOR ANSWERS, WE STEP FORWARD IN SERVICE IN ITS MANY FORMS, THE ACT OF GIVING IS CALLED BY VARIOUS NAMES: CHARITY ... OUTREACH ... BENEVOLENCE ... GENEROSITY ... COMMUNITY BENEFIT ... AND MANY OTHER TERMS. AT INTEGRIS, WE PREFER TO CALL OUR GIVING SPIRIT 'RETURNSHIP' BECAUSE IT SIGNIFIES OUR RETURNING - OR GIVING BACK - THROUGH ACTIVITIES THAT RESPOND TO A SPECIFIC NEED IDENTIFIED WITHIN THE COMMUNITIES WE SERVE. 'RETURNSHIP' IS JUST ONE METHOD BY WHICH WE ATTEMPT TO QUANTIFY OUR ANNUAL IMPACT ON THE PEOPLE WE SERVE AND THE NEEDS FOR WHICH WE PROVIDE. AND THESE NEEDS ARE ONES IN WHICH INTEGRIS HAS RESPONDED TO IN A VARIETY OF POSITIVE AND TANGIBLE WAYS - STEPPING FORWARD WITH HEALTH-RELATED ASSISTANCE, THE CREATION OF NEW OUTREACH OPPORTUNITIES, OR RENEWED FINANCIAL AND VOLUNTEER SUPPORT FOR EXISTING PROGRAMS. REGARDLESS OF ITS NAME, THE ACT OF GIVING IS ALWAYS A BLESSING TO THOSE WHO RECEIVE THE GIFT - AND TO THOSE WHO HELP PROVIDE IT. 'RETURNSHIP' RELIES ON LEADERSHIP AND STEWARDSHIP THE INTEGRIS FAMILY OF SERVICES IS WIDE-RANGING AND ENCOMPASSES MANY FORMS: HOSPITALS, REHABILITATION CENTERS, PHYSICIAN CLINICS, MENTAL HEALTH FACILITIES, INDEPENDENT LIVING CENTERS AND HOME HEALTH AGENCIES LOCATED ACROSS THE STATE. THROUGH A CLEAR VISION AND DISCIPLINED LEADERSHIP, INTEGRIS HAS BEEN STRATEGICALLY POSITIONED ACROSS OKLAHOMA TO SERVE THE HEALTH NEEDS OF THOSE UNDERSERVED POPULATIONS WHO NEED US THE MOST. LEADERSHIP IS A VALUABLE COMMODITY IN ANY COMMUNITY. AND IT'S A QUALITY THAT INTEGRIS PEOPLE AND INSTITUTIONS OFFER BOTH FREQUENTLY AND GENEROUSLY. WHEN LEADERSHIP IS COMBINED WITH A STRONG SENSE OF STEWARDSHIP - THE WILLINGNESS TO SHARE OUR HUMAN AND MONETARY RESOURCES - THE BENEFITS OF SUCH QUALITIES ARE AS NUMEROUS AS THE BENEFICIARIES. WHERE DOES THE INTEGRIS DOLLAR GO? FISCAL YEAR 2015 BILLED CHARGE $1.00 EXPENSES *DISCOUNTS TAKEN BY MEDICARE, MEDICAID, MANAGED CARE COMPANIES AND OTHER INSURERS 0.68 *FREE SERVIE, CHARITY CARE 0.03 *BAD DEBT EXPENSE FROM PATIENTS NOT PAYING THEIR BILLS 0.02 *EMPLOYEE SALARIES 0.11 *EMPLOYEE HEALTH INSURANE EXPENSE 0.01 *EMPLOYEE RETIREMENT EXPENSE 0.01 *MEDICAL, SURGICAL AND DRUG SUPPLIES 0.05 *OTHER GENERAL SUPPLIES 0.01 *PURCHASED SERVICES FOR MAINTENANCE, LAB, AND OTHER SERVICES 0.03 *TELEPHONE, UTILITY AND RENTAL EXPENSES 0.01 *OTHER OPERATIONAL EXPENSES 0.02 TOTAL EXPENSES 0.98 FUNDS AVAILABLE FOR NEW EQUIPMENT, CONSTRUCTION AND CLINICAL PROGRAM IMPROVEMENT 0.02 PLEASE NOTE THAT INTEGRIS IS A NOT-FOR-PROFIT COMPANY AND AS SUCH IS REQUIRED TO REINVEST ANY BUDGET SURPLUS BACK INTO THE ORGANIZATION TO IMPROVE THE LEVEL OF SERVICES IT PROVIDES TO THE COMMUNITY. WHILE YOUR HEALTH PLAN OR PERSONAL PREFERENCE MAY DICTATE WHERE YOU DECIDE TO GO TO RECEIVE CARE, COMPARING CHARGES BETWEEN LOCAL PROVIDERS FOR SIMILAR PROCEDURES, COMBINED WITH QUALITY DATA, MAY PROVIDE YOU WITH A BETTER OVERALL PICTURE OF THE TOTAL VALUE YOU WILL RECEIVE AT THE HOSPITAL OF YOUR CHOICE. PLEASE REMEMBER THAT CHARGE AND QUALITY DATA ARE JUST TWO FACTORS THAT SHOULD GO INTO HEALTH CARE DECISION MAKING. NO SINGLE MEASURE IS INDICATIVE OF A HOSPITAL'S OVERALL PERFORMANCE. BE SURE TO GATHER INFORMATION, DISCUSS IT WITH YOUR DOCTOR AND FEEL FREE TO CALL THE HOSPITAL TO ASK QUESTIONS. A HOSPITAL'S REPUTATION IN THE COMMUNITY, LEVEL OF PATIENT SATISFACTION AND OTHER FACTORS SHOULD ALSO BE CONSIDERED IN YOUR FINAL SELECTION PROCESS. INTEGRIS PROVIDED $53,457,847 IN COMMUNITY BENEFITS INCLUDING THE COST OF BAD DEBT. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR COMMUNITY. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA - FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE AS REFLECTED IN THE PREVIOUS PAGES. OUR RETURNSHIP EFFORTS EQUALED $5,320,995 COMMUNITY BUILDING COMMUNITY BUILDING IS ANOTHER VITAL WAY WE GIVE BACK. THESE EFFORTS ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. SOME OF OUR ACTIVITIES IN COMMUNITY BUILDING ARE PHYSICAL IMPROVEMENTS IN HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL ENHANCEMENTS AND ADVOCACY FOR ADVANCEMENTS IN COMMUNITY HEALTH. OUR COMMUNITY BUILDING EFFORTS EQUALED $396,491 UNCOMPENSATED SERVICES AND MEDICAID SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIOS. INTEGRIS ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. INTEGRIS PROVIDED CHARITY CARE AND MEDICAID SERVICES AT AN ESTIMATED COST OF $28,438,627 BAD DEBT IN ADDITION, INTEGRIS INCURRED BAD DEBT WITH AN ESTIMATED COST OF $19,301,734 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO. GENERAL STATEMENT 7 PART V: QUESTION 1A - INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, PAYS ALL VENDORS FOR SERVICES PROVIDED TO ALL ENTITIES WITHIN THE SYSTEM. ACCORDINGLY, COMPENSATION PAID TO INDEPENDENT CONTRACTORS IS REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS OF INTEGRIS HEALTH, INC., EIN 73-1192764. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX, AS APPROPRIATE. PART V: QUESTION 2A - THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC.,EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE FILING ORGANIZATION DURING THE 2014 TAX YEAR. GENERAL STATEMENT 8 PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTION 2 RELATED PARTIES TYPE OF RELATIONSHIP --------------- -------------------- JOEY SAGER AND BUSINESS AND ALVIN BATES JOEY SAGER AND BUSINESS STEPHEN MERRILL ROBERT KELLOGG AND BUSINESS DAVID WHITLOCK 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 9 PART 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 10 PART 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 11 PART 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 12 PART 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 13 PART 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 14 PART VII: SECTION B. INDEPENDENT CONTRACTORS DIAGNOSTIC LABORATORY REFERENCE LAB $17,863,126 OF OKLAHOMA, LLC 225 N.E. 97TH STREET OKLA. CITY, OK 73114 INTELISTAFF OF OKLAHOMA CONTRACT STAFFING $ 7,427,514 HEALTHCARE LLC P.O. BOX 202996 DALLAS, TX 75320-1300 LIFESHARE TRANSPLANT DONOR ORGAN ACQUISITION $ 5,348,515 4705 N.W. EXPRESSWAY OKLA. CITY, OK 73132 INTEGRIS CARDIOVASCULAR PHYSICIANS $ 1,597,788 PHYSICIANS, LLC 3545 N.W. 58TH, SUITE 450 OKLA. CITY, OK 73112 NORTHWEST ANESTHESIA ANESTHESIA SERVICES $ 1,344,483 P.O. BOX 26168 OKLA. CITY, OK 73126 GENERAL STATEMENT 15 PART XI: RECONCILIATION OF NET ASSETS, LINE 9 EQUITY TRANSFER TO INTEGRIS HEALTH, INC. ($80,500,000) ------------- TOTAL ($80,500,000) ============= GREAT PLAINS MEDICAL FOUNDATION 5300 N INDEPENDENCE AVE STE 130 OKLAHOMA CITY OK 73112 731457016 MED.RES.PROG. OK 1856862 -17180261 IBMC INTEGRIS AMBULATORY CARE CORPORATION 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731192765 HEALTH CARE OK 501(C)(3) LINE 3 IH false INTEGRIS HOSPICE INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731369586 HEALTH CARE OK 501(C)(3) LINE 9 IH false INTEGRIS HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731192764 HEALTH CARE OK 501(C)(3) LINE 11 -I NA false INTEGRIS RURAL HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731444504 HEALTH CARE OK 501(C)(3) LINE 3 IH false INTEGRIS SOUTHWEST MEDICAL CENTER INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731089149 HEALTH CARE OK 501(C)(3) LINE 3 IH false INTEGRIS HEALTH FOUNDATION INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731047338 FUNDRAISING OK 501(C)(3) LINE 7 IH true WESTERN VILLAGE ACADEMY INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731588764 SCHOOL OK 501(C)(3) LINE 2 IACC false INTEGRIS HEALTH EDMOND INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 451027361 HEALTH CARE OK 501(C)(3) LINE 3 IH false INTEGRIS MENTAL HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 730738716 HEALTH CARE OK 501(C)(3) LINE 3 IH false BMPA LTD 73-1228665 OKLAHOMA CITY OK 73112 OKLAHOMA CITY OK 73112 MED. OFFICE BLDG. OK NA N/A false false QC-III 20-8723857 OKLAHOMA CITY OK 73112 OKLAHOMA CITY OK 73112 MEDICAL OK IBMC RELATED -5522 97203 false 0 true 0.60684 DIAGNOSTIC LAB 73-1560760 LYNDHURST NJ 07071 LYNDHURST NJ 07071 CLINICAL LAB NJ NA RELATED 13551666 11919418 false 3434021 true 0.49000 MPI CENTER 73-1283942 OKLAHOMA CITY OK 73112 OKLAHOMA CITY OK 73112 MEDICAL OK NA N/A false false HILLCRESTINTEGRIS HEALTH LLC OKLAHOMA CITY OK 73112 OKLAHOMA CITY OK 73112 DORMANT OK NA N/A false false LAKESIDE HOSPITAL 73-1493662 OKLAHOMA CITY OK 73112 OKLAHOMA CITY OK 73112 MEDICAL OK NA N/A false false INTEGRIS PROHEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731046179 RETAIL PHARMACY OK NA C Corp false THE STANLEY F HUPFELD CHAR REMAIN TRUST 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 266238051 FINANCIAL OK NA Trust true QUALITY ALLIANCE ASSURANCE CO PO BOX 10027 GRAND CAYMAN CJ KYI-1001 981060671 INSURANCE CJ NA C Corp false BAPTIST HEALTH SYSTEM INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731477468 DORMANT OK NA C Corp false ONE CARE INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 DORMANT OK NA C Corp false VADOVATIONS INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 270821922 HEALTH CARE OK NA C Corp false INTEGRIS HEALTH PARTNERS LLC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 453482852 HEALTH CARE OK NA C Corp false INTEGRIS CARDIOVASCULAR PHYSICIANS LLC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 452867352 HEALTH CARE OK NA C Corp false false true true false false false false false false true true true true false false true true true true INTEGRIS HEALTH FOUNDATION INC c 190996 CASH INTEGRIS HEALTH FOUNDATION INC c 792787 FMV INTEGRIS HEALTH FOUNDATION INC p 71466 COST INTEGRIS HEALTH FOUNDATION INC b 153200 CASH SUPPLEMENTAL INFORMATION 1 SCHEDULE R, PART III UNRELATED BUSINESS INCOME FOR DIAGNOSTIC LABORATORY OF OKLAHOMA WAS CALCULATED FOLLOWING THE APPROACH ALLOWED BY PLR XXX-XX-XXXX.