2024-05-15T18:04:38-05:00 2023-06-30 135565207 KPMG LLP 210 PARK AVENUE SUITE 2650 OKLAHOMA CITY OK 73102 990 2022-07-01 731192765 INTEGRIS AMBULATORY CARE CORP INTE 4059496026 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 MICHAEL L WEED CFO 4059496026 2024-05-15 1 MICHAEL WEED XXX-XX-XXXX 0 ZELJKO POPOVIC P01795951 4052396411 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SEE SCHEDULE O MICHAEL L WEED 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 265759798 0 5418 X WWW.INTEGRISOK.COM X 1983 OK TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 16 14 116 268 0 0 5688360 2726270 244012500 261597738 421303 733805 0 701985 250122163 265759798 0 0 0 0 189282804 211457911 0 0 0 72882070 76447672 262164874 287905583 -12042711 -22145785 503937353 219591282 571281236 308568677 -67343883 -88977395 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 268562595 261313714 INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS INCLUDED IN THE INTEGRIS HEALTH SYSTEM. IACC PROVIDED CHARITY CARE AT COST OF $9,346,697 USING A COST TO CHARGE RATIO METHOD OF CALCULATION. IACC ALSO PROVIDED CARE FOR PATIENTS WHO DID NOT PAY AND MUST BE WRITTEN OFF AS BAD DEBT COST OF $5,647,498, BASED ON A COST TO CHARGE RATIO METHOD OF CALCULATION. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT, SEE THE COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O. 268562595 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 X 0 0 116 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 OK X DONNA WALLACE 4059512744 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 PETER B DELANEY DIRECTOR 1.00 1.00 X 0 23080 0 NICO GOMEZ DIRECTOR 1.00 1.00 X 0 23680 0 NEAL HOGAN PHD DIRECTOR 1.00 1.00 X 0 23250 0 KARLA MARSHALL DIRECTOR 1.00 1.00 X 0 22750 0 FRANK MERRICK DIRECTOR 1.00 1.00 X 0 23430 0 JOEY SAGER DIRECTOR 1.00 1.00 X 0 22330 0 GEORGIANNE SNOWDEN MD DIRECTOR 1.00 1.00 X 0 22750 0 DAVID THOMPSON DIRECTOR 1.00 1.00 X 0 23000 0 CHRISTOPHER TURNER DIRECTOR 1.00 1.00 X 0 29930 0 LINDA VYTLACIL PHD DIRECTOR 1.00 1.00 X 0 22150 0 MARK WERNER MD DIRECTOR & CHAIRMAN 1.00 1.00 X X 0 21730 0 JIM COUCH DIRECTOR 1.00 1.00 X 0 23430 0 SAM COMBS DIRECTOR 1.00 1.00 X 0 23430 0 SHERRI LANCE DIRECTOR 1.00 1.00 X 0 22500 0 TIMOTHY PEHRSON DIRECTOR & PRESIDENT/CEO 1.00 39.00 X X 0 2539008 286936 BRENT HUBBARD DIRECTOR 1.00 1.00 X 0 648949 93267 MARSHALL SNIPES DIRECTOR - PART YEAR 1.00 1.00 X 0 0 0 DOUGLAS M SMITH PART YEAR CFO 1.00 39.00 X 0 907662 130539 MICHAEL WEED PART YEAR CFO 1.00 39.00 X 0 394260 60017 SUNNIE GLOVER VP PHYSICIAN ENTERPRISE 40.00 0.00 X 433987 0 61245 JEFFREY CRUZAN PRES PHYSICIAN ENTERPRISE 40.00 0.00 X 722015 0 100241 JEREMY T PHELPS PHYSICIAN 40.00 0.00 X 1709617 0 25565 ASHISH MASIH PHYSICIAN 40.00 0.00 X 1266474 0 21131 SCOTT SHADFAR PHYSICIAN 40.00 0.00 X 1245896 0 21069 MUZAFFAR HUSSAIN PHYSICIAN 40.00 0.00 X 1218835 0 28657 CHRISTOPHER LENTZ PHYSICIAN 40.00 0.00 X 1162585 0 21904 KATHERINE ANN MANSALIS FORMER VP & CHIEF MEDICAL OFFICER 0.00 40.00 X 0 577603 20701 7759409 5394922 871272 19 1 1 0 CORE CLINICAL PARTNERS LLC 3330 CUMBERLAND BLVD 500 ATLANTA GA 30339 MEDICAL SERVICE 15677953 WALTHER CONSTRUCTION INC PO BOX 720893 OKLAHOMA CITY OK 73172 CONSTRUCTION SERVICES 7658374 HTA OKLAHOMA CITY LLC 16435 N SCOTTSDALE RD STE 230 SCOTTSDALE AZ 85254 PROPERTY RENTAL 1017819 HR ACQUISITION I CORP 3310 WEST END AVE STE 700 NASHVILLE TN 37203 PROPERTY RENTAL 773732 DIAGNOSTIC LAB OF OKLAHOMA 225 NE 97TH STREET OKLAHOMA CITY OK 73114 LABORATORY SERVICES 627673 47 2726270 2726270 NET PATIENT REVENUE 621990 235925061 235925061 INCOME FROM JOINT VENTURES 621990 19862619 19862619 QUALITY INCENTIVES 900099 5358633 5358633 EMP WELLNESS SCREENINGS 900099 22821 22821 428604 144580 284024 261597738 675085 675085 58720 0 58720 58720 58720 MISCELLANEOUS INCOME 900099 701985 701985 701985 265759798 261313714 0 1719814 1317488 1317488 179257197 179257197 4205097 4205097 15810749 15810749 10867380 10867380 19342988 19342988 142190 142190 3844012 3844012 34085 34085 12481051 12481051 12274275 12274275 510043 510043 449904 449904 816101 816101 2328292 2328292 3551370 3551370 PURCHASED SERVICES 19095255 19095255 DUES & MEMBERSHIPS 379414 379414 BANK FEES 370944 370944 LICENSES/PERMITS 295416 295416 532332 532332 287905583 268562595 19342988 0 13986 10650 3330 3507 296591576 5237907 11474379 110382 71524 38745 83595 57552928 29356556 20323268 28196372 140416457 -97397931 10861864 257386459 2864626 2864626 21238740 23134573 503937353 219591282 242974515 284876950 955779 0 327350942 23691727 571281236 308568677 X -67343883 -88977395 -67343883 -88977395 503937353 219591282 X -22145785 512273 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 70327 70327 16812834 5783564 11029270 2816317 2447244 369073 25088548 20958026 4130522 12764902 167722 12597180 28196372 INVESTMENT IN LAKESIDE 55458682 F INVESTMENT IN SW ORTHO 162909323 F INVESTMENT IN JV COMMUNITY -86290 F INVESTMENT IN DDSI 39104744 F 257386459 RIGHT-OF-USE ASSET 23134573 23134573 ST LEASE LIABILITY ASC 842 4193887 LT LEASE LIABILITY ASC 842 19497840 23691727 1 1 X 1 X 1 X 1 1 0 1 1 819742 819742 0.00280 17826122 9299167 8526955 0.02960 18645864 9299167 9346697 0.03240 10 182622 2086293 2086293 0.00720 1 6 4561 4561 0.00000 2939 2939 0.00000 1 17685 17685 0.00010 12 182628 2111478 2111478 0.00730 12 182628 20757342 9299167 11458175 0.03970 383 383 0.00000 1 330 512273 512273 0.00180 1 330 512656 512656 0.00180 1 5647498 3851432 3730898 120534 X 1 1 1 LAKESIDE WOMEN'S WOMEN'S HEALTH 0.75000 0.25000 2 MED PLAZA IMAGING RADIOLOGY IMAGING CENTER 0.50000 0.50000 3 SW AMB SURG CTR AMBULATORY SURGERY CTR. 0.25100 0.49900 4 COMM HOSP NORTH LLC HEALTH CARE 0.25500 0.49000 5 OK CTR ORTHPDIC & MLTI-SPCLTY SURG HEALTH CARE 0.50100 0.47170 6 INTEGRIS DDSI HEALTH CARE 0.50100 0.49900 5 1 LAKESIDE WOMEN'S HOSPITAL LLC - FACILITY GROUP A 11200 N PORTLAND OKLAHOMA CITY OK 73120 WWW.INTEGRISOK.COM 2339 X X X A 2 OK CTR ORTHPDIC & MLTI-SPCLTY SURG 8100 S WALKER OKLAHOMA CITY OK 73139 WWW.OCOMHOSPITAL.COM 2347 X X X B 3 COMMUNITY HOSPITAL LLC 3100 SW 89TH OKLAHOMA CITY OK 73189 COMMUNITYHOSPITALOKC.COM 2341 X C 4 TPG HOSPITAL LLC 9204 N MAY AVE OKLAHOMA CITY OK 73120 NWSURGICALOKC.COM 2329 X C 5 COMMUNITY HOSPITAL NORTH 9800 BROADWAY EXTENSION OKLAHOMA CITY OK 73114 WWW.HPILLC.ORG 2341 X C FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X X 1 21 1 SEE PART V, SECTION C 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 FACILITY REPORTING GROUP - B 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 150.000000000000 300.000000000000 X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 FACILITY REPORTING GROUP - C 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 150.000000000000 151.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION A: INTEGRIS AMBULATORY CARE CORP, (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IACC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: LAKESIDE WOMEN'S HOSPITAL LLC - FACILITY GROUP FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: EACH COMMUNITY HEALTH NEEDS ASSESSMENT AIMS TO ALIGN LOCAL PLANNING EFFORTS WITH ASSESSMENTS AND INTERVENTIONS CONDUCTED BY COUNTY HEALTH DEPARTMENTS. THIS PLANNING PROCESS REPRESENTS A COMMITMENT TO A MORE DELIBERATE APPROACH TO WORKING TOGETHER. CENTRAL OKLAHOMA HEALTH IMPACT TEAM MEMBER: PHIL MAYTUBBY, DEPUTY CHIEF EXECUTIVE OFFICER, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT IN CONDUCTING THE CHNA, THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY STAKEHOLDER MEETINGS, SECONDARY DATA RESEARCH, COMMUNITY SURVEYS, COMMUNITY CHATS AND INFORMATIONAL INTERVIEWS WITH COMMUNITY LEADERS. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINICS, CHURCHES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: FOUR NON-PROFIT HOSPITALS ENGAGED IN A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT: INTEGRIS HEALTH, MERCY HOSPITAL OKLAHOMA CITY, OU HEALTH, AND SSM HEALTH ST. ANTHONY. THIS ASSESSMENT EVALUATED THE HEALTH NEEDS OF OKLAHOMA COUNTY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: THE FOUR NON-PROFIT HOSPITALS ENGAGING IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT FOR OKLAHOMA COUNTY ALSO PARTNERED WITH THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENT TO ASSESS THE NEEDS OF THE COMMUNITY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES, AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS HEALTH SERVICE AREAS. THIS PROCESS LED TO THE IDENTIFICATION OF FOUR PRIORITY AREAS. ALTHOUGH THERE IS NO SINGLE FACTOR THAT PREDICTS A HEALTH OUTCOME, THE AREAS IDENTIFIED AS PRIORITY FOR OKLAHOMA COUNTY, BY THE HOSPITAL SYSTEMS AND COMMUNITY STAKEHOLDERS, INCLUDE: ACCESS TO EDUCATION, ACCESS TO MEANINGFUL EMPLOYMENT, ACCESS TO HEALTHY FOOD, AND ACCESS TO HEALTHCARE.THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS HEALTH THROUGH ADMINISTRATION OF THE DEVELOPED COMMUNITY HEALTH IMPROVEMENT PLAN AND WHICH, IF ANY OF THE REMAINING, WERE CURRENTLY BEING ADDRESSED THROUGH OTHER COMMUNITY RESOURCES AND/OR SERVICES. INTEGRIS HEALTH OPTED TO CONCENTRATE ON TWO OF THE FOUR PRIORITY AREAS IDENTIFIED IN EACH OF THE SERVICE AREAS- ACCESS TO HEALTHY FOOD AND ACCESS TO HEALTHCARE BELIEVING THAT A UNITED EFFORT WOULD ALLOW FOR A SHARING OF RESOURCES, PERSONNEL, PROGRAMS, ETC., AND ENSURE CONSISTENCY IN IMPLEMENTATION AND EVALUATION METHODS, THEREBY INCREASING POTENTIAL TO MORE EFFECTIVELY COMBAT THE ISSUES SYSTEM-WIDE. IN ADDITION TO THE TWO PRIORITY AREAS, TOBACCO USE WAS ALSO ADDED TO THE SYSTEM FOCUS AREAS TO CONTINUE TO ADDRESS THIS ISSUE IN ALL SERVICE AREAS. ACCESS TO HEALTHY FOOD IS BEING ADDRESSED BY THE FOLLOWING PROGRAM IMPLEMENTATION: INTEGRIS HEALTH I-CREW, FOOD BANK PROGRAMS, AND PARTNERSHIPS WITH LOCAL COALITIONS. THE INTEGRIS HEALTH I-CREW WILL ESTABLISH TWO PARTNERSHIP OPPORTUNITIES DIRECTLY TARGETING IMPROVING ACCESS TO HEALTHY FOOD. LAKESIDE WOMEN'S HOSPITAL WILL ALSO COORDINATE AT LEAST ONE FOOD DRIVE. IN ADDITION TO THE PROGRAMS MENTIONED, INTEGRIS HEALTH WILL SUPPORT LOCAL EFFORTS WITH COALITIONS WHO SUPPORT AND INCREASE ACCESS TO HEALTHY FOOD.ACCESS TO HEALTHCARE IS BEING ADDRESSED BY THE FOLLOWING PROGRAM IMPLEMENTATION: INTEGRIS HEALTH MOBILE CARE CLINIC AND PARTNERSHIPS WITH LOCAL COALITIONS. INTEGRIS HEALTH MOBILE CARE CLINIC SERVES 50 COMMUNITY MEMBERS. IN ADDITION, INTEGRIS HEALTH WILL SUPPORT LOCAL EFFORTS WITH COALITIONS WHO SUPPORT, PREVENT, AND EDUCATE ON INCREASING ACCESS TO CARE.TOBACCO USE PREVENTION IS BEING ADDRESSED BY THE FOLLOWING PROGRAM IMPLEMENTATION: OKLAHOMA TOBACCO HELPLINE REFERRALS, SOCIAL MEDIA CAMPAIGNS, AND PARTNERSHIPS WITH LOCAL COALITIONS. OKLAHOMA TOBACCO HELPLINE REFERRALS GOAL IS TO REFER 25 PERSONS FOR TOBACCO CESSATION SERVICES. INTEGRIS HEALTH WILL ESTABLISH TWO PARTNERSHIP OPPORTUNITIES FOR SOCIAL MEDIA CAMPAIGNS THAT SUPPORT AND PROMOTE TOBACCO USE PREVENTION. IN ADDITION TO THE PROGRAMS MENTIONED, INTEGRIS HEALTH WILL SUPPORT LOCAL EFFORTS WITH COALITIONS WHO SUPPORT, PREVENT, AND EDUCATE ON TOBACCO USE PREVENTION.IT WAS DETERMINED THAT THE REMAINING PRIORITY AREAS IDENTIFIED IN THE CHNA WERE ALREADY BEING ADDRESSED THROUGH LOCAL AGENCIES AND/OR COALITIONS AND PARTNERSHIP EFFORTS WITHIN THE COMMUNITY. AS SUCH, INTEGRIS HEALTH COMMITTED TO PROVIDE SUPPORT AND RESOURCES TO THE COMMUNITY PARTNERS TAKING THE LEAD ON THOSE PARTICULAR ISSUES. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 2: OK CTR ORTHPDIC & MLTI-SPCLTY SURG FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 6A: DESCRIPTION:THE HOSPITAL FACILITIES INCLUDED IN THE JOINT CHNA ARE AS FOLLOWS:- COMMUNITY HOSPITAL NORTH- COMMUNITY HOSPITAL SOUTH- COMMUNITY HOSPITAL NORTHWEST SURGICAL- INTEGRIS COMMUNITY HOSPITAL - MOORE- INTEGRIS COMMUNITY HOSPITAL - DEL CITY- INTEGRIS COMMUNITY HOSPITAL - OKC WEST- INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING- OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM) PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 3: COMMUNITY HOSPITAL, LLC, - FACILITY 4: TPG HOSPITAL, LLC, - FACILITY 5: COMMUNITY HOSPITAL NORTH FACILITY REPORTING GROUP - C PART V, SECTION B, LINE 6A: DESCRIPTION:THE HOSPITAL FACILITIES INCLUDED IN THE JOINT CHNA ARE AS FOLLOWS:- COMMUNITY HOSPITAL NORTH- COMMUNITY HOSPITAL SOUTH- COMMUNITY HOSPITAL NORTHWEST SURGICAL- INTEGRIS COMMUNITY HOSPITAL - MOORE- INTEGRIS COMMUNITY HOSPITAL - DEL CITY- INTEGRIS COMMUNITY HOSPITAL - OKC WEST- INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING- OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM) PART V, SECTION B, LINE 7A, 7B, AND LINE 10A: REPORTING GROUP A:HTTPS://INTEGRISHEALTH.ORG/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTSREPORTING GROUP B:HTTPS://OCOMHOSPITAL.COM/WP-CONTENT/UPLOADS/2023/05/INTEGRIS-HEALTH-OKLAHOMA-COUNTYCHNA-2022-FINAL-2-24-2022.PDFHTTPS://COMMUNITYHOSPITALOKC.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://OCOMHOSPITAL.COM/WP-CONTENT/UPLOADS/2023/04/OCOM-CHIP-FY-2023-2025.PDFREPORTING GROUP C:HTTPS://COMMUNITYHOSPITALOKC.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://OCOMHOSPITAL.COM/WP-CONTENT/UPLOADS/2023/05/INTEGRIS-HEALTH-OKLAHOMA-COUNTYCHNA- 2022-FINAL-2-24-2022.PDFHTTPS://COMMUNITYHOSPITALOKC.COM/APPLICATION/FILES/3816/8243/9641/HPI_CH_AND_NWSH_CHIP_FY_2023_-_2025.PDF PART V, SECTION B, LINES 16A, 16B, AND 16C REPORTING GROUP AHTTPS://INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCEREPORTING GROUP BHTTPS://OCOMHOSPITAL.COM/FINANCIAL-ASSISTANCE-POLICY-2/REPORTING GROUP C:HTTPS://NWSURGICALOKC.COM/PATIENTS/ACCOUNT-ASSISTANCE REPORTING GROUP B: PART V, SECTION B, LINE 5 OCOM HAS BEEN IN EXISTENCE SINCE 2002 AND IS COMPRISED OF TWO SURGICAL HOSPITALS, ONE OUTPATIENT PHYSICAL THERAPY LOCATION AND THREE OFF-SITE IMAGING CENTERS. ALL OF THE FACILITIES SERVICE OKLAHOMA CITY, IN OKLAHOMA COUNTY, OKLAHOMA.OCOM PRIDES ITSELF IN PROVIDING FIRST-CLASS SURGICAL SERVICES FOR THE LOCAL COMMUNITY IN A SAFE, COMFORTABLE, AND WELCOMING ENVIRONMENT; ONE IN WHICH HOSPITAL STAFF WOULD BE HAPPY TO TREAT THEIR OWN FAMILIES. OCOM STRIVES TO CREATE THE SURGICAL STANDARD ALL PHYSICIANS WANT FOR THEIR PATIENTS. OCOM EMPLOYS 224 TEAM MEMBERS INCLUDING FULLTIME, PART-TIME AND PRN WITH APPROXIMATELY 60 PHYSICIAN PROVIDERS.OCOM'S SOUTH HOSPITAL LOCATION INCLUDES NINE INPATIENT ROOMS, SIX OPERATING ROOMS, AND ONE ENDOSCOPIC/PAIN MANAGEMENT PROCEDURE ROOM. OCOM'S NORTH LOCATION INCLUDES THREE OPERATING ROOMS AND DOES NOT HAVE INPATIENT ROOMS. HOSPITAL OCOM'S STATE-OF-THE-ART EQUIPMENT ALLOWS SURGEONS TO PERFORM A VARIETY OF SURGICAL PROCEDURES IN THE SPECIALTY AREAS OF DENTISTRY, GENERAL SURGERY, GASTROENTEROLOGY (GI), GYNECOLOGY, IMAGING, OPTHALMALOGY, ORTHOPAEDIC, PAIN MANAGEMENT, PHYSICAL THERAPY, PLASTIC SURGERY, PODIATRY AND UROLOGY.OCOM HOLDS A TJC CERTIFICATE OF DISTINCTION FOR TOTAL HIP AND TOTAL KNEE PROGRAMS, IS A CMS FIVE-STAR RATED FACILITY, AND IS THE RECIPIENT OF THE PRESS GANEY GUARDIAN OF EXCELLENCE AND HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARDS.OKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA AND IS THE LARGEST COUNTY IN OKLAHOMA IN TERMS OF POPULATION. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434.OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONS THROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLIC TRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY.ACCORDING TO THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT 2021 DATA, THE MEDIAN AGE IN OKLAHOMA COUNTY WAS 34.5 YEARS, WHICH IS SLIGHTLY YOUNGER THAN THE STATE OF OKLAHOMA AT 36.4 YEARS. THE PERCENT LIVING IN POVERTY IN OKLAHOMA COUNTY IS 16.7% WHICH IS SLIGHTLY LOWER THAN THE STATE AT 16.0%. IN 2018, THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY OF $52,855 WAS SLIGHTLY HIGHER THAN THE STATE OF $51,424. BOTH LAGGED BEHIND THE NATIONAL MEDIUM INCOME OF $60,293. OKLAHOMA COUNTY RESIDENTS RECEIVED SLIGHTLY MORE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE RATE IN 2018 (13.3% VS. 13.1%.) THE RACIAL/ETHNIC BREAKOUT OF OKLAHOMA COUNTY WAS 56.0% WHITE, 14.8% BLACK OR AFRICAN AMERICAN, 17.4% HISPANIC OR LATINO, 6.7% AMERICAN INDIAN OR ALASKA NATIVE, AND 4.7% ASIAN AND PACIFIC ISLANDER.AMONG OKLAHOMA RESIDENTS 18 AND OLDER, 30% OF PERSONS HELD A BACHELOR'S DEGREE OR HIGHER AS OF 2019. ON SEPTEMBER 30, 2021, NEW UNEMPLOYMENT NUMBERS WERE RELEASED FROM THE U.S. BUREAU OF LABOR STATISTICS SHOWING OKLAHOMA CITY RANKS FIRST FOR METROPOLITAN COMMUNITIES WITH A 2010 CENSUS POPULATION OF ONE MILLION OR MORE. OKLAHOMA CITY HAD AN UNEMPLOYMENT RATE OF ONLY 2.6% AND IS THE LOWEST RATE SINCE 2019. THE PERCENT OF UNINSURED ADULTS (AGE 18-64), IN OKLAHOMA COUNTY, ACCORDING TO DATA FROM THE 2021 U.S. CENSUS BUREAU, WAS CONSISTENT WITH THE STATE RATE OF 16.8%. ACCORDING TO THE OKLAHOMA HEALTH CARE AUTHORITY FAST FACTS, JANUARY 2021, THERE WERE A TOTAL OF 200,287 PERSONS ENROLLED IN MEDICAID IN OKLAHOMA COUNTY AND 946,412 PERSONS ENROLLED IN MEDICAID IN THE STATE OF OKLAHOMA DURING THE SAME PERIOD. AS OF FEBRUARY 2021, THERE WERE 92,632 PERSONS IN OKLAHOMA COUNTY AND 572,942 PERSONS IN THE STATE OF OKLAHOMA ENROLLED IN MEDICARE ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, MEDICARE ENROLLMENT DASHBOARD. BETWEEN 2015 AND 2019, THE AVERAGE NUMBER OF PERSON PER HOUSEHOLD IN OKLAHOMA COUNTY WAS 2.56 WHICH WAS SLIGHTLY LOWER THAN THE STATE AT 2.58.DURING THE SAME PERIOD, THE PERCENT OF PERSONS, 5 YEARS OR OLDER, IN OKLAHOMA COUNTY WHO SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME WAS 17.4% COMPARED TO THE STATE RATE OF 10.5%. IN 2020, ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS FOR OKLAHOMA COUNTY, ACCESS TO A PRIMARY CARE PHYSICIAN, PEOPLE PER ONE PROVIDER, WAS 1,170 COMPARED TO THE STATE OF OKLAHOMA WHICH WAS 1,620 PEOPLE PER ONE PROVIDER. ACCESS TO DENTISTS AND MENTAL HEALTH IN OKLAHOMA COUNTY, PEOPLE PER ONE PROVIDER, ACCORDING TO THE SAME SOURCE, WAS 980 AND 150, RESPECTIVELY AND 1640 AND 250, PEOPLE PER ONE PROVIDER FOR THE STATE OF OKLAHOMA. BETWEEN 2015-2017, THE AVERAGE LIFE EXPECTANCY IN OKLAHOMA COUNTY IS 74.9 YEARS WHEREAS THE AVERAGE IN THE U.S. IS 78.8 YEARS.BETWEEN 2016-2018, CARDIOVASCULAR DISEASE WAS THE LEADING CAUSE OF DEATH IN OKLAHOMA COUNTY. AT 337.7 DEATHS PER 100,000, MALES HAD 100 MORE DEATHS PER 100,000 COMPARED TO FEMALES WITH A RATE OF 235.9 DEATHS PER 100,000. CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN OKLAHOMA CITY-COUNTY BETWEEN 2016-2018, THE AGE-ADJUSTED MORTALITY RATE IN OKLAHOMA COUNTY WAS 188.0 PER 100,000 DEATHS, ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS BUT 27.6 DEATHS PER 100,000 GREATER THAN THE NATIONAL CANCER DEATH RATE. OKLAHOMA COUNTY HAD HIGHER DIABETES MORTALITY BETWEEN 2016-2018 COMPARED TO THE STATE AND NATIONAL RATES. THE OVERALL AGE-ADJUSTED DIABETES MORTALITY RATE IN THE COUNTY WAS 34.6 DEATHS PER 100,000. OKLAHOMA IS THE NINTH MOST OBESE STATE IN THE NATION, OKLAHOMA'S OBESITY RATE AS OF 2021 WAS AT 36.4%. THE SUICIDE RATES IN OKLAHOMA COUNTY AND THE STATE OF OKLAHOMA WERE HIGHER THAN THE NATIONAL AVERAGE BETWEEN 2016-2018. THE AGE-ADJUSTED SUICIDE RATE IN OKLAHOMA COUNTY WAS 18 DEATHS PER 100,000 PEOPLE.A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. THIS CHNA INCLUDED INTEGRIS HEALTH SYSTEM AND THEIR JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI SPECIALTY SURGERY. THE CHNA UTILIZES RELEVANT HEALTH DATA TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA. ALL OF THE JOINT VENTURE HOSPITALS LIE WITHIN OKLHOMA COUNTY, EXCEPT FOR ONE SMALL CAMPUS OF THE INTEGRIS COMMUNITY HOSPITALS (MOORE), WHICH LIES ON THE NORTHERN EDGE OF CLEVELAND COUNTY. THE GOAL OF THIS REPORT IS TO PROVIDE RESIDENTS WITH A DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THEIR COMMUNITY AND TO HELP GUIDE THE HOSPITALS IN THEIR COMMUNITY BENEFIT PLANNING EFFORTS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED NEEDS. COMMUNITY INPUT WAS RECEIVED DURING STAKEHOLDER MEETINGS, COMMUNITY SURVEYS COLLECTED DURING APRIL 2021-JULY 2021 AND ONLINE CHATS WHICH WERE CONDUCTED FROM MAY 23, 2021 - JUNE 30, 2021.INTERVIEWS WERE CONDUCTED WITH PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS.INDIVIDUALS PROVIDING INPUT INCLUDED MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS AND INDIVIDUALS WHO WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. REPORTING GROUP B: PART V, SECTION B, LINE 11 INTEGRIS HEALTH COLLABORATED WITH LOCAL COMMUNITY PARTNERS ON THE CHNA AND EVALUATED AND SYNTHESIZED PRIMARY AND SECONDARY DATA TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS IN OKLAHOMA AND CLEVELAND COUNTY. THROUGHOUT THE NEEDS PROCESS, FOCUS WAS GIVEN TO THE INTERCONNECTEDNESS OF SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY.UPON REVIEW AND ANALYSIS OF ALL QUANTITATIVE AND QUALITATIVE FEEDBACK AND DATA, THE MOST RECENTLY CONDUCTED CHNA FOCUSED ON THE SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY. SOCIAL DETERMINATES OF HEALTH (SDOH) ARE THE CONDITIONS IN WHICH PEOPLE ARE BORN, GROW, LIVE, WORK AND AGE THAT SHAPE HEALTH. SDOH ARE PRIMARY DRIVERS OF HEALTH DISPARITIES AND INCLUDE SIGNIFICANT FACTORS LIKE ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, HEALTH CARE ACCESS AND QUALITY, NEIGHBORHOOD AND THE BUILT ENVIRONMENT AND SOCIAL AND COMMUNITY CONTEXT. THIS CHNA PROCESS WAS DESIGNED TO USE DATA TO IDENTIFY THOSE WHO MAY NOT BE THRIVING.INTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PROCESS LED TO THE IDENTIFICATION OF FOUR PRIORITY AREAS BASED ON CURRENT SYSTEM WIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO.THE FOLLOWING FOUR PRIORITIZED NEEDS WERE DETERMINED:- ACCESS TO EDUCATION- ACCESS TO MEANINGFUL EMPLOYMENT- ACCESS TO HEALTHY FOOD- ACCESS TO HEALTHCAREINTEGRIS HEALTH CHOSE TO FOCUS ON ALL OF THE IDENTIFIED PRIORITY ISSUES.* WHILE TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE. AMONG YOUTH, AS OF 2019, 30.8% OF OKLAHOMA HIGH SCHOOLERS REPORTED CURRENT USE OF ANY TOBACCO PRODUCT. THE STATE OF OKLAHOMA, WITH THE EXPANSION OF ELECTRONIC CIGARETTES AND VAPES, NICOTINE DEPENDENCY CONTINUES TO BE A WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS. INTEGRIS HEALTH TRACKS REFERRALS MADE TO THE OKLAHOMA TOBACCO HELPLINE AND REPORTS ARE MADE AVAILABLE QUARTERLY. INTEGRIS HEALTH PROVIDED 2,617 REFERRALS IN FY 2020 AND 2,002 REFERRALS IN FY 2021.EACH HOSPITAL THEN DEVELOPED AN INDIVIDUAL IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN IN A SEPARATE DOCUMENT TO ADDRESS THE NEEDS IDENTIFIED BASED ON THEIR INTERNAL PRIORITIES AND RESOURCES.ACCESS TO EDUCATIONEDUCATION AND HEALTH HAVE ALWAYS BEEN CONNECTED, BUT NEVER AS GREATLY AS THEY CURRENTLY ARE. AMERICANS WITH LESS EDUCATION ARE DYING EARLIER THAN THEIR PEERS. WHILE THE RELATIONSHIP BETWEEN HEALTH AND EDUCATION IS A COMPLEX ONE, IT IS CLOSELY TIED TO A PERSON'S INCOME, SKILLS, AND OPPORTUNITIES THEY HAVE TO LEAD HEALTHY LIVES WITHIN THEIR COMMUNITIES. WHILE EDUCATION, BOTH FORMAL AND INFORMAL, CAN CREATE OPPORTUNITIES FOR BETTER HEALTH, POOR HEALTH, ON THE OTHER HAND, CAN PUT EDUCATION AT RISK.THE CHNA COMMUNITY SURVEY REVEALED MONEY WAS A MAJOR STRESS FACTOR FOR NEARLY ONE IN FIVE RESPONDENTS. WHILE 35% OF THE RESPONDENTS FELT FINANCIALLY SECURE IN MEETING THEIR FAMILY'S NEEDS, ALMOST 30% OF RESPONDENTS REPORTED THEY LIVED PAYCHECK TO PAYCHECK. WHEN ASKED ABOUT BARRIERS TO ACCESS EDUCATION, RESPONDENTS NOTED FINANCIAL CHALLENGES, AND THAT THERE WERE FEW OR NO RESOURCES AT HIGH SCHOOLS TO HELP STUDENTS GO TO AND PAY FOR COLLEGE. COMMUNITY CHAT PARTICIPANTS NOTED THAT HIGHER EDUCATION IN MORE RURAL PARTS OF OKLAHOMA WAS SIMPLY NOT SOUGHT AFTER AND WAS LINKED TO BEING A GENERATIONAL DECISION BASED ON WHETHER THEIR PARENTS WENT TO COLLEGE. HOWEVER, RESPONDENTS FELT THAT EVERYONE SHOULD HAVE THE OPPORTUNITY TO GO TO COLLEGE AND HAVE ACCESS TO NECESSARY RESOURCES. THE RESOURCES IDENTIFIED INCLUDED THINGS SUCH AS CHILDCARE, FINANCES, HEALTHCARE RESOURCES, AND MORE EDUCATIONAL SUPPORT. REPORTING GROUP B: PART V, SECTION B, LINE 11 CONTINUED ACCESS TO MEANINGFUL EMPLOYMENTONE COMPONENT OF A THRIVING COMMUNITY IS THE AVAILABILITY OF QUALITY EMPLOYMENT OPPORTUNITIES. WHILE THE MAJORITY OF OKLAHOMA COUNTY RESPONDENTS SURVEYED WERE EMPLOYED FULL-TIME (53%), THE PERCENTAGES VARIED DRAMATICALLY BASED ON EDUCATION LEVEL. SIXTY-FIVE PERCENT OF OKLAHOMA COUNTY RESIDENTS WITH A COLLEGE DEGREE WERE EMPLOYED FULL-TIME COMPARED TO ONLY 28% WITH LESS THAN A HIGH SCHOOL DEGREE. RESPONDENTS ALSO NOTED THAT THE THINGS THAT MADE IT DIFFICULT TO WORK WERE THEIR HEALTH OR THE HEALTH OF A FAMILY MEMBER. THIS IMPORTANT FINDING SHOWED THE DIRECT IMPACT OF POOR HEALTH ON ACCESS TO EMPLOYMENT. COMMUNITY CHAT PARTICIPANTS NOTED THE NEED TO HAVE QUALITY JOBS AND JOBS THAT WERE MEANINGFUL AND FULFILLING. THE QUALITATIVE ANALYSIS TEAM FOUND FREQUENT ALIGNMENT BETWEEN A PERSON'S EMPLOYMENT STATUS AND JOB-SPECIFIC, WORK-RELATED RESOURCES AS WELL AS THE ABILITY TO ACHIEVE A HEALTHY WORK-LIFE BALANCE. MENTORSHIP WAS ALSO FREQUENTLY MENTIONED IN THE CONTEXT OF EMPLOYMENT. HAVING A JOB WHICH INCLUDED THE SUPPORT OF A MENTOR AS WELL AS A CLEAR CAREER LADDER COULD INCREASE EMPLOYEE RETENTION. COMMUNITY CHAT PARTICIPANTS ALSO FEQUENTLY BROUGHT UP INCOME WITH RESPECT TO WORKRELATED RESOURCES, EMPLOYMENT STATUS, AND FINANCIAL BARRIERS AS IT IS NATURALLY A MAJOR DETERMINATE AS TO WHETHER A PERSON SEEKS EMPLOYMENT. WHILE THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY IS SLIGHTLY HIGHER THAN THE STATE ($52,855 VS $51,424) IT VARIES WIDELY BY RACE/ETHNICITY. MANY DISCUSSED HAVING FINANCIAL BARRIERS DUE TO THEIR INCOME, WAS MAKING IT DIFFICULT TO HAVE A GOOD QUALITY WORK-LIFE BALANCE.ACCESS TO HEALTHY FOODA HEALTHY DIET CAN PROTECT AGAINST MANY CHRONIC NONCOMMUNICABLE DISEASES, SUCH AS HEART DISEASE, DIABETES, AND CANCER. THESE CONDITIONS ARE AMONG THE DEADLIEST IN OKLAHOMA COUNTY AND DISPROPORTIONATELY AFFECT RESIDENTS IN CERTAIN ZIP CODES AND BY RACE/ETHNICITY. THE MAJORITY OF COMMUNITY SURVEY RESPONDENTS (54%), SAID THEY COULD ALWAYS GET HEALTHY FOOD FOR THEIR FAMILY, BUT THIS VARIED BY RACE, ETHNICITY, AND EDUCATION LEVEL. THE MOST FREQUENT RESPONSE (64%) COMMUNITY MEMBERS NOTED AS A BARRIER TO ACCESSING HEALTHY FOODS WAS THE COST OF HEALTHY FOOD IN THE COMMUNITY. NEARLY ONE IN FOUR FELT THEY DID NOT HAVE THE TIME TO BUY OR PREPARE HEALTHY MEALS. FOOD ACCESS INFRASTRUCTURE IN THE COMMUNITY, WHICH INCLUDED TRANSPORTATION AND SCHEDULING, WAS ALSO A BARRIER TO CLAIMING ACCESS TO HEALTHY FOOD. WHILE THE DEFINITION OF HEALTHY FOOD INCLUDED GROCERY STORES, COMMUNITY GARDENS, AND PRESENCE OF HEALTHY FOOD, AS THE ANALYSIS OF COMMUNITY CHATS CONTINUED, IT BECAME APPARENT THAT CHOICE OF FOOD WAS JUST AS CRITICAL FOR FOOD ACCESS AS WAS THE PRESENCE OF QUALITY FOODS. ADDITIONALLY, WHILE SOME PEOPLE WERE ABLE TO ACCESS HEALTHY FOODS, THEY LACKED THE NUTRITIONAL EDUCATION TO KNOW WHAT TO EAT OR HOW TO COOK HEALTHY FOODS. IT WAS ALSO NOTED THAT MANY PEOPLE LACKED THE INCOME TO PURCHASE HEALTHY FOODS BECAUSE OFTENTIMES HEALTHY, FRESH FOODS ARE MORE EXPENSIVE. ACCESS TO HEALTHCAREAS HEALTHCARE ORGANIZATIONS, IT IS IMPORTANT THAT EACH HOSPITAL CONTINUE TO BE ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF INSURANCE STATUS, RACE, SOCIOECONOMIC STATUS, AND OTHER FACTORS. ACCESS TO AFFORDABLE AND QUALITY HEALTHCARE WERE COMMON MESSAGES HEARD FROM COMMUNITY MEMBERS. RESPONDENTS REPORTED THE MOST DIFFICULT TYPE OF HEALTH SERVICES TO GET FOR THEIR HOUSEHOLD WERE DENTAL HEALTH SERVICES, PARTICULARLY AMONG HISPANICS. HEALTHCARE ACCESS IS A MAJOR CHALLENGE IN RACIAL MINORITY COMMUNITIES IN OKLAHOMA COUNTY DUE TO BARRIERS WHICH INCLUDE PERCEIVED FINANCIAL BARRIERS, TRANSPORTATION BARRIERS, SCHEDULING CHALLENGES, AND CULTURAL BARRIERS. AS NOTED ABOVE, ALTHOUGH TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA COUNTY IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE. THE STATE OF OKLAHOMA CONTINUES TO HAVE A GRADE OF "F" IN HEART DISEASE DEATHS AND A GRADE OF "D" IN LUNG CANCER INCIDENCE. WITH THE EXPANSION OF ELECTRONIC CIGARETTES AND VAPES, NICOTINE DEPENDENCY CONTINUES TO BE A WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS.SIGNIFICANT COMMUNITY HEALTH NEEDS ADDRESSED BY OCOMINTEGRIS HEALTH WORKED WITH OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY, LLC (OCOM) TO DEVELOP AN IMPLEMENTATION STRATEGY TO PRIORITIZE AND ADDRESS NEEDS OF OCOM'S COMMUNITY, ENTITLED "COMMUNITY HEALTH IMPROVEMENT PLAN FOR FISCAL YEARS 2023, 2024, AND 2025." THE OCOM CHIP ADDRESSES THE FOLLOWING PRIORITY ISSUES OF OCOM:- ACCESS TO HEALTHY FOOD- OBESITY- TOBACCOPRIORITY NEED #1: ACCESS TO HEALTHY FOODOCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY ORGANIZING MULTIPLE FOOD DRIVES IN ITS COMMUNITY, IN PARTNERSHIP WITH A REGIONAL FOOD BANK AND COMMUNITY DIETICIANS. IN ADDITION, OCOM SUPPORTED FOOD BANKS AND PANTRIES IN ITS COMMUNITY THROUGH DONATIONS, AND BY ENCOURAGING ITS HOSPITAL STAFF TO VOLUNTEER THEIR TIME AT LOCAL FOOD BANKS AND PANTRIES.PRIORITY NEED #2: OBESITYOCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY PROVIDING PEDIATRIC HEALTHY LIVING EDUCATION, ADULT HEALTH LIVING EDUCATION, AND HEALTHY LIVING RESOURCES. FOR INSTANCE, OCOM PROVIDED EACH PEDIATRIC PATIENT WITH RESOURCES ON HEALTHY EATING EDUCATION, INCLUDED TSET EDUCATIONAL MATERIALS TO ALL PATIENTS IN DISCHARGE PACKETS, AND COMMUNICATED WITH STAFF ON HOW TO ADDRESS HEALTHY LIVING CHALLENGES WITH PATIENTS. OCOM ALSO PARTNERED WITH COMMUNITY CENTERS, SCHOOLS, POLICE DEPARTMENTS, FITNESS CENTERS, CAREER TECH CENTERS, QUALITY IMPROVEMENT ORGANIZATIONS, CHURCHES, LIBRARIES, CHRONIC DISEASE PREVENTION ORGANIZATIONS, AND SUPPORT GROUPS TO PROVIDE HEALTHY LIVING RESOURCES AND EDUCATION TO ITS COMMUNITY.PRIORITY NEED #3: TOBACCOOCOM ADDRESSED THIS NEED DURING THE TAX YEAR BY MAINTAINING A TOBACCO-FREE POLICY ON ITS CAMPUS, PROVIDING TSET EDUCATIONAL MATERIALS IN ALL PATIENT WAITING AREAS, AND OFFERING TSET EDUCATION AND OTHER SMOKING CESSATION RESOURCES TO PATIENTS WHO USE TOBACCO. IT DEVELOPED THESE RESOURCES IN PARTNERSHIP WITH YOUTH AND FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE, THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENT, AND LYNN INSTITUTES' NORTHEAST OKLAHOMA CITY COLLABORATIVE.SIGNIFICANT COMMUNITY HEALTH NEEDS NOT ADDRESSED BY OCOMOCOM CHOSE NOT TO FOCUS ON SOME OF THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, IN PARTICULAR ACCESS TO CARE, MENTAL HEALTH, EMPLOYMENT, HOUSING, HEALTH EDUCATION AND PROMOTION, TRANSPORTATION, AND POVERTY, AND SAFETY, BECAUSE INTEGRIS HEALTH, WHICH SERVES OKLAHOMA COUNTY, WAS ALREADY TAKING ACTIONS TO ADDRESS ALL OF THESE COMMUNITY NEEDS. ADDITIONALLY, OCOM LACKED THE RESOURCES AND SOME OF THE EXPERTISE TO FOCUS ON THESE NEEDS. REPORTING GROUP C: PART V, SECTION B, LINE 5 HEALTH VENTURES IS A PARTNERSHIP FORMED IN FY2019 BETWEEN IACC, AN OKLAHOMA NOT FOR PROFIT CORPORATION THAT IS TAX-EXEMPT UNDER SECTION 501(C)(3) AND USP OKLAHOMA, INC. (USP), AN UNRELATED OKLAHOMA FOR PROFIT CORPORATION FOR THE PURPOSE OF ACQUIRING OWNERSHIP IN OR DEVELOPLING FREESTANDING AMBULATORY SURGERY HOSPITALS. ON NOVEMBER 1, 2018, HEALTH VENTURES ACQUIRED 51% OF HPI HOLDINGS, LLC (HPI). HPI OWNS A 100% INTEREST IN COMMUNITY HOSPITAL, LLC AND TPG HOSPITAL, LLC. THIS JOINT VENTURE OPERATED THE COMMUNITY HOSPITAL AND TPG HOSPITAL FACILITIES DURING THE TAX YEAR. THE JOINT VENTURE IS A PARTNERSHIP FOR WHICH A FORM 1065 IS FILED. HOWEVER, WHEN HPI WAS ACQUIRED BY HEALTH VENTURES, COMMUNITY HOSPITAL AND TPG HOSPITAL BECAME SUBJECT TO THE 501(R) PROVISIONS.OKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434.OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONSTHROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLICTRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY.ACCORDING TO THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT 2021 DATA, THE MEDIAN AGE IN OKLAHOMA COUNTY WAS 34.5 YEARS, WHICH IS SLIGHTLY YOUNGER THAN THE STATE OF OKLAHOMA AT 36.4 YEARS. THE PERCENT LIVING IN POVERTY IN OKLAHOMA COUNTY IS 16.7% WHICH IS SLIGHTLY LOWER THAN THE STATE AT 16.0%. IN 2018, THE MEDIAN HOUSEHOLD INCOME IN OKLAHOMA COUNTY OF $52,855 WAS SLIGHTLY HIGHER THAN THE STATE OF $51,424. BOTH LAGGED BEHIND THE NATIONAL MEDIUM INCOME OF $60,293. OKLAHOMA COUNTY RESIDENTS RECEIVED SLIGHTLY MORE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE RATE IN 2018 (13.3% VS. 13.1%.) THE RACIAL/ETHNIC BREAKOUT OF OKLAHOMA COUNTY WAS 56.0% WHITE, 14.8% BLACK OR AFRICAN AMERICAN, 17.4% HISPANIC OR LATINO, 6.7% AMERICAN INDIAN OR ALASKA NATIVE, AND 4.7% ASIAN AND PACIFIC ISLANDER.AMONG OKLAHOMA RESIDENTS 18 AND OLDER, 30% OF PERSONS HELD A BACHELOR'S DEGREE OR HIGHER AS OF 2019. ON SEPTEMBER 30, 2021, NEW UNEMPLOYMENT NUMBERS WERE RELEASED FROM THE U.S. BUREAU OF LABOR STATISTICS SHOWING OKLAHOMA CITY RANKS FIRST FOR METROPOLITAN COMMUNITIES WITH A 2010 CENSUS POPULATION OF ONE MILLION OR MORE. OKLAHOMA CITY HAD AN UNEMPLOYMENT RATE OF ONLY 2.6% AND IS THE LOWEST RATE SINCE 2019.THE PERCENT OF UNINSURED ADULTS (AGE 18-64), IN OKLAHOMA COUNTY, ACCORDING TO DATA FROM THE 2021 U.S. CENSUS BUREAU, WAS CONSISTENT WITH THE STATE RATE OF 16.8%. ACCORDING TO THE OKLAHOMA HEALTH CARE AUTHORITY FAST FACTS, JANUARY 2021, THERE WERE A TOTAL OF 200,287 PERSONS ENROLLED IN MEDICAID IN OKLAHOMA COUNTY AND 946,412 PERSONS ENROLLED IN MEDICAID IN THE STATE OF OKLAHOMA DURING THE SAME PERIOD. AS OF FEBRUARY 2021, THERE WERE 92,632 PERSONS IN OKLAHOMA COUNTY AND 572,942 PERSONS IN THE STATE OF OKLAHOMA ENROLLED IN MEDICARE ACCORDING TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, MEDICARE ENROLLMENT DASHBOARD. BETWEEN 2015 AND 2019, THE AVERAGE NUMBER OF PERSON PER HOUSEHOLD IN OKLAHOMA COUNTY WAS 2.56 WHICH WAS SLIGHTLY LOWER THAN THE STATE AT 2.58. DURING THE SAME PERIOD, THE PERCENT OF PERSONS, 5 YEARS OR OLDER, IN OKLAHOMA COUNTY WHO SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME WAS 17.4% COMPARED TO THE STATE RATE OF 10.5%. IN 2020, ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS FOR OKLAHOMA COUNTY, ACCESS TO A PRIMARY CARE PHYSICIAN, PEOPLE PER ONE PROVIDER, WAS 1,170 COMPARED TO THE STATE OF OKLAHOMA WHICH WAS 1,620 PEOPLE PER ONE PROVIDER. ACCESS TO DENTISTS AND MENTAL HEALTH IN OKLAHOMA COUNTY, PEOPLE PER ONE PROVIDER, ACCORDING TO THE SAME SOURCE, WAS 980 AND 150, RESPECTIVELY AND 1640 AND 250, PEOPLE PER ONE PROVIDER FOR THE STATE OF OKLAHOMA. BETWEEN 2015-2017, THE AVERAGE LIFE EXPECTANCY IN OKLAHOMA COUNTY IS 74.9 YEARS WHEREAS THE AVERAGE IN THE U.S. IS 78.8 YEARS.BETWEEN 2016-2018, CARDIOVASCULAR DISEASE WAS THE LEADING CAUSE OF DEATH IN OKLAHOMA COUNTY. AT 337.7 DEATHS PER 100,000, MALES HAD 100 MORE DEATHS PER 100,000 COMPARED TO FEMALES WITH A RATE OF 235.9 DEATHS PER 100,000. CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN OKLAHOMA CITY-COUNTY BETWEEN 2016-2018, THE AGE-ADJUSTED MORTALITY RATE IN OKLAHOMA COUNTY WAS 188.0 PER 100,000 DEATHS, ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS, REPORTING GROUP C: PART V, SECTION B, LINE 5 CONTINUED ONLY SLIGHTLY HIGHER THAN THE STATE RATE OF 177.8 PER 100,000 DEATHS BUT 27.6 DEATHS PER 100,000 GREATER THAN THE NATIONAL CANCER DEATH RATE. OKLAHOMA COUNTY HAD HIGHER DIABETES MORTALITY BETWEEN 2016-2018 COMPARED TO THE STATE AND NATIONAL RATES. THE OVERALL AGE-ADJUSTED DIABETES MORTALITY RATE IN THE COUNTY WAS 34.6 DEATHS PER 100,000. OKLAHOMA IS THE NINTH MOST OBESE STATE IN THE NATION, OKLAHOMA'S OBESITY RATE AS OF 2021 WAS AT 36.4%. THE SUICIDE RATES IN OKLAHOMA COUNTY AND THE STATE OF OKLAHOMA WERE HIGHER THAN THE NATIONAL AVERAGE BETWEEN 2016-2018. THE AGE-ADJUSTED SUICIDE RATE IN OKLAHOMA COUNTY WAS 18 DEATHS PER 100,000 PEOPLE.A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. THIS CHNA INCLUDED INTEGRIS HEALTH SYSTEM AND INCLUDES THE JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI SPECIALTY SURGERY THE CHNA UTILIZES RELEVANT HEALTH DATA TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA. ALL OF THE JOINT VENTURE HOSPITALS LIE WITHIN OKLHOMA COUNTY, EXCEPT FOR ONE SMALL CAMPUS OF THE INTEGRIS COMMUNITY HOSPITALS (MOORE), WHICH LIES ON THE NORTHERN EDGE OF CLEVELAND COUNTY. THE GOAL OF THIS REPORT IS TO PROVIDE RESIDENTS WITH A DEEPER UNDERSTANDING OF THE HEALTH NEEDS IN THEIR COMMUNITY AND TO HELP GUIDE THE HOSPITALS IN THEIR COMMUNITY BENEFIT PLANNING EFFORTS AND THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED NEEDS. COMMUNITY INPUT WAS RECEIVED DURING STAKEHOLDER MEETINGS, COMMUNITY SURVEYS COLLECTED DURING APRIL 2021-JULY 2021 AND ONLINE CHATS WHICH WERE CONDUCTED FROM MAY 23, 2021 - JUNE 30, 2021.THE AFFORDABLE CARE ACT (ACA) REQUIRES 501(C)(3), TAX-EXEMPT HOSPITALS TO CONDUCT A CHNA AT LEAST ONCE EVERY THREE TAX YEARS AND TO ADOPT A STRATEGIC IMPLEMENTATION PLAN FOR ADDRESSING IDENTIFIED NEEDS. HPI AND ITS COLLABORATORS LAST CONDUCTED A CHNA IN ITS 2021 TAX YEAR. REPORTING GROUP C: PART V, SECTION B, LINE 11 THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED A NUMBER OF SIGNIFICANT NEEDS IN THE OKLAHOMA COUNTY COMMUNITY SERVED BY HPI AND THE OTHER COLLABORATORS FACILITIES, WHICH WERE DETERMINED BY EVALUATING AND SYNTHESIZING PRIMARY AND SECONDARY DATA TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS IN OKLAHOMA AND CLEVELAND COUNTY.UPON REVIEW AND ANALYSIS OF ALL QUANTITATIVE AND QUALITATIVE FEEDBACK AND SURVEYS THE FOLLOWING SIGNIFICANT NEEDS FOR OKLAHOMA COUNTY WERE IDENTIFIED:- EMPLOYMENT- FOOD INSECURITY- HOUSING- HEALTH EDUCATION AND PROMOTION- ACCESS TO HEALTHCARE- OBESITY- MENTAL HEALTH - TRANSPORTATIONTHE ABOVE NEEDS SPAN THE AREAS DENOTED BELOW AND WERE OFTEN INTERRELATED. ALL ARE SOCIAL DETERMINATES OF HEALTH.SIGNFICANT COMMUNITY HEALTH NEEDS WERE THEN IDENTIFIED AND PRIORITIZED IN ALL OF THE FOLLOWING AREAS:- ECONOMIC STABILITY- NEIGHBORHOOD AND BUILT ENVIRONMENT- HEALTH AND HEALTHCARE- SOCIAL AND COMMUNITY CONTEXT - EDUCATIONINTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ISSUES WERE PRIORITIZED BASED ON CURRENT SYSTEM WIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO.THE IMPLEMENTATION PLAN FOR HPI, ENTITLED "FY 2022 COMMUNITY HEALTH IMPROVEMENT PLAN," SPECIFICALLY ADDRESSES THE FOLLOWING PRIORITY ISSUES:- ACCESS TO CARE- FOOD INSECURITY - TOBACCOHPI ADDRESSED THIS NEED DURING THE TAX YEAR BY PROVIDE RESOURCES AND HELP ENROLLING IN NEW MEDICAID EXPANSION. ALL CAMPUSES HAVE INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS. PROVIDE FREE HEALTH CLINIC SERVICE INFORMATION TO PATIENTS IN NEED.PRIORITY NEED #2: FOOD INSECURITYHPI ADDRESSED THIS NEED DURING THE TAX YEAR BY ORGANIZING FOOD DRIVE AND SUPPORTING FOOD BANK/PANTRIES FINANCIALLY THROUGH DONATIONS. ESTABLISH ONE FOOD DRIVE IN 2ND QUARTER (APRIL, MAY, AND JUNE 2022).PRIORITY NEED #3: TOBACCOHPI ADDRESSED THIS NEED DURING THE TAX YEAR BY HOSPITAL RESOURCES: EDUCATIONAL MATERIAL, REFERRAL SYSTEM, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT PARTNERSHIP AND WELLNESS INITIATIVES, EMPLOYEE ASSISTANCE PROGRAM, FINANCIAL SUPPORT, MOBILE ASSESSMENT TEAM AND SCREENING TOOL IN PARTNERSHIP WITH YOUTH AND FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE, AMERICAN FOUNDATION FOR SUICIDE PREVENTION, 211 REFERRAL SYSTEM, YWCA, OKLAHOMA CITY COUNTY HEALTH DEPARTMENT AND LIGHTHOUSE MEDICAL CLINIC. ALSO PROVIDING TSET EDUCATION TO ALL PATIENTS AND ENSURING SIGNAGE IS POSTED. SCHEDULE H, PART V, SECTION B, LINE 20D REPORTING GROUP B & C:NEITHER OCOM OR HPI MADE ANY PRESUMPTIVE ELIGIBILITY DETERMINATIONS. DURING THE TAX YEAR, ALL PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE APPLICATION AND A PLAIN LANGUAGE SUMMARY AT ADMISSION OR UPON REQUEST. ALL PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE DURING THE APPLICATION PERIOD, WHICH ENDS ON THE 240TH DAY AFTER OCOM MAILS OR ELECTRONICALLY PROVIDES THE INDIVIDUAL WITH THE FIRST BILLING STATEMENT. ONCE AN APPLICATION IS RECEIVED IT IS GIVEN TO A BUSINESS OFFICE REPRESENTATIVE TO REVIEW FOR PRE-APPROVAL PER FPL GUIDELINES IN THE FINANCIAL ASSISTANCE POLICY. IF PRE-APPROVED, AN ADJUSTMENT REQUEST IS THEN GIVEN TO THE CONTROLLER TO REVIEW FOR FIRST LEVEL APPROVAL. IF APPROVED FIRST LEVEL, THE FINANCIAL ASSISTANCE APPLICATION AND ADJUSTMENT REQUEST ARE SENT TO THE CEO FOR FINAL APPROVAL. THE PATIENT IS THEN NOTIFIED VIA CALL AND/OR LETTER THAT HIS OR HER APPLICATION HAS BEEN APPROVED. REPORTING GROUP B: PART V, SECTION B, LINE 5 CONTINUED STAKEHOLDER PARTICIPANTS INCLUDED:- ALLIANCE FOR ECONOMIC DEVELOPMENT OF OKLAHOMA CITY- AREAWIDE AGING AGENCY- BUTTERFIELD FOUNDATION- CENTENNIAL HEALTH- CITY COUNCILWOMAN, WARD 7- CITY OF OKLAHOMA CITY- COUNTY COMMISSIONER, DISTRICT 1- CROSSINGS COMMUNITY CLINIC- DENTISTS FOR THE DISABLED AND ELDERLY IN NEED OF TREATMENT (D-DENT)- EL LATINO NEWS- EMBARK OKC (TRANSPORTATION)- GOODWILL INDUSTRIES OF CENTRAL OKLAHOMA- GREATER OKLAHOMA CITY CHAMBER OF COMMERCE- GREATER OKC HISPANIC CHAMBER OF COMMERCE- HOMELESS ALLIANCE- HEALTH ALLIANCE FOR THE UNINSURED- HUNGER FREE OKLAHOMA- INASMUCH FOUNDATION- LANGSTON UNIVERSITY- LATINO COMMUNITY DEVELOPMENT AGENCY- LYNN INSTITUTE- METAFUND (CDFI)- METROTECH- MILLWOOD PUBLIC SCHOOLS- OKC BLACK EATS- OKLAHOMA CENTER FOR NONPROFITS- OKLAHOMA CHILDREN'S HOSPITAL AT OU HEALTH OKLAHOMA CITY BLACK CHAMBER OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT OKLAHOMA CITY INDIAN CLINIC OKLAHOMA CITY INNOVATION DISTRICT OKLAHOMA DENTAL FOUNDATION OKLAHOMA DEPARTMENT OF HUMAN SERVICES OKLAHOMA DEPARTMENT OF HUMAN SERVICES, AGING SERVICES OKLAHOMA HEALTH CARE AUTHORITY (MEDICAID) OKLAHOMA HOSPITAL ASSOCIATION OKLAHOMA STATE UNIVERSITY OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET) POTTS FAMILY FOUNDATION REGIONAL FOOD BANK RESTORE OKC ST. LUKE'S UNITED METHODIST CHURCH (MEALS ON WHEELS) STATE REPRESENTATIVE, DISTRICT 99 SUNBEAM FAMILY SERVICES UNITED WAY OF CENTRAL OKLAHOMA- UNIVERSITY OF OKLAHOMA COLLEGE OF NURSING- VARIETYCARE (FQHC)THE AFFORDABLE CARE ACT (ACA) REQUIRES 501(C)(3), TAX-EXEMPT HOSPITALS TO CONDUCT A CHNA AT LEAST ONCE EVERY THREE TAX YEARS AND TO ADOPT A STRATEGIC IMPLEMENTATION PLAN FOR ADDRESSING IDENTIFIED NEEDS. INTEGRIS HEALTH LAST CONDUCTED A CHNA DURING FISCAL YEAR 2022.THE OCOM BOARD OF DIRECTORS REVIEWED AND ADOPTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE IMPLEMENTATION PLAN ON JULY 25, 2022. 75 1 - INTEGRIS BASS SPECIALITIES GASTRO 707 S MONROE ENID OK 73701 SPECIALITY CLINIC 2 - INTEGRIS CANADIA VALLEY SPECIALITY CLINIC 1703 PROFESSIONAL CIRCLE SUITE 101 YUKON OK 73099 SPECIALITY CLINIC 3 - INTEGRIS DIABETES CLINIC 600 S MONROE ENID OK 73701 SPECIALITY CLINIC 4 - INTEGRIS EAR NOSE AND THROAT CLINIC YUKON 1608 PROFESSIONAL CIRCLE YUKON OK 73009 SPECIALITY CLINIC 5 - INTEGRIS HEALTH ANTICOAGULATION CLINIC 4221 S WESTERN SUITE 1045 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC 6 - INTEGRIS HEALTH BAPTIST WOUND CARE 5700 N PORTLAND SUITE 310 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 7 - INTEGRIS HEALTH MEDICAL GROUP PAIN MGT MOO 1401 SW 34TH SUTIE 200 MOORE OK 73160 SPECIALITY CLINIC 8 - INTEGRIS HEALTH MEDICAL GROUP BAPTIST 3330 NW 56TH ST SUITE 220 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC 9 - INTEGRIS HEALTH MEDICAL GROUP BAPTIST PULM 3366 NW EXPRESSWAY BLDG D SUITE 660 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 10 - INTEGRIS HEALTH MEDICAL GROUP BREAST SURGE 10900 HEFNER POINTE DR SUITE 505 OKLAHOMA CITY OK 73120 SPECIALITY CLINIC 11 - INTEGRIS HEALTH MEDICAL GROUP CENTRAL 3400 NW EXPRESSWAY BLDG C SUITE 500 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC 12 - INTEGRIS HEALTH MEDICAL GROUP CROSS TIMBER 2557 OLD TIMBERS DR EDMOND OK 73034 PRIMARY CARE CLINIC 13 - INTEGRIS HEALTH MEDICAL GROUP DEL CITY 4801 SE15TH SUITE 300 DEL CITY OK 73115 PRIMARY CARE CLINIC 14 - INTEGRIS HEALTH MEDICAL GROUP DERMATOLOGY 5915 W MEMORIAL ROAD SUITE300 OKLAHOMA CITY OK 73142 SPECIALITY CLINIC 15 - INTEGRIS HEALTH MEDICAL GROUP DOWNTOWN 117 PARK AVE OKLAHOMA CITY OK 73102 PRIMARY CARE CLINIC 16 - INTEGRIS HEALTH MEDICAL GROUP EDMOND RENAI 1700 RENAISSANCE BLV EDMOND OK 73013 PRIMARY CARE CLINIC 17 - INTEGRIS HEALTH MEDICAL GROUP ENDOCRINLOLO 5401 N PORTLAND AVE SUITE 410 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 18 - INTEGRIS HEALTH MEDICAL GROUP ENDOCRINOLOG 4112 S WESTERN AVE SUITE 4045 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC 19 - INTEGRIS HEALTH MEDICAL GROUP ENID 401 S 3RD STREET ENID OK 73701 PRIMARY CARE CLINIC 20 - INTEGRIS HEALTH MEDICAL GROUP ENT EDMOND 4509 INTEGRIS PARKWAY SUITE 200 EDMOND OK 73034 SPECIALITY CLINIC 21 - INTEGRIS HEALTH MEDICAL GROUP GARRIOTT 915 E GARRIOTT ROAD SUITE I ENID OK 73701 PRIMARY CARE CLINIC 22 - INTEGRIS HEALTH MEDICAL GROUP GASTROENTERO 5401 N PORTLAND AVE SUITE 540 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 23 - INTEGRIS HEALTH MEDICAL GROUP GENERAL SURG 620 S MADISON ST SUITE 108 ENID OK 73701 SPECIALITY CLINIC 24 - INTEGRIS HEALTH MEDICAL GROUP GREAT PLAINS 3625 NW 56TH SUITE 200 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC 25 - INTEGRIS HEALTH MEDICAL GROUP GROVE 601 E 13TH STREET SUITE H GROVE OK 74344 PRIMARY CARE CLINIC 26 - INTEGRIS HEALTH MEDICAL GROUP GROVE 601 E 13TH ST SUITE G GROVE OK 74344 PRIMARY CARE CLINIC 27 - INTEGRIS HEALTH MEDICAL GROUP HAND SURGERY 3366 NW EXPRESSWAY SUITE 700 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 28 - INTEGRIS HEALTH MEDICAL GROUP HAND SURGERY 5401 N PORTLAND AVE SUITE 600 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 29 - INTEGRIS HEALTH MEDICAL GROUP HEFNER POINT 11101 HEFNER POINTE DR SUITE 105 OKLAHOMA CITY OK 73120 PRIMARY CARE CLINIC 30 - INTEGRIS HEALTH MEDICAL GROUP HENNESSEY 500 N CHEROKEE ST HENNESSEY OK 73742 PRIMARY CARE CLINIC 31 - INTEGRIS HEALTH MEDICAL GROUP HINTON 1714 N BROADWAY BLVD HINTON OK 73047 PRIMARY CARE CLINIC 32 - INTEGRIS HEALTH MEDICAL GROUP INTERNAL MED 310 2ND AVE SW SUITE103 OKLAHOMA CITY OK 74354 PRIMARY CARE CLINIC 33 - INTEGRIS HEALTH MEDICAL GROUP INTERNAL MED 620 S MADISON SUITE 105 ENID OK 73701 PRIMARY CARE CLINIC 34 - INTEGRIS HEALTH MEDICAL GROUP INTERNAL MED 601 E 13TH SUTIE A GROVE OK 74344 PRIMARY CARE CLINIC 35 - INTEGRIS HEALTH MEDICAL GROUP LAKEPOINTE 10914 HEFNER POINTE DR SUITE 202 OKLAHOMA CITY OK 73120 PRIMARY CARE CLINIC 36 - INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE 203 MIAMI OK 74354 PRIMARY CARE CLINIC 37 - INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE 107 MIAMI OK 74354 PRIMARY CARE CLINIC 38 - INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE105 MIAMI OK 74354 PRIMARY CARE CLINIC 39 - INTEGRIS HEALTH MEDICAL GROUP MIAMI 310 2ND AVE SW SUITE 205 MIAMI OK 74354 PRIMARY CARE CLINIC 40 - INTEGRIS HEALTH MEDICAL GROUP MOORE 1401 SW 34TH SUITE 200 MOORE OK 73160 PRIMARY CARE CLINIC 41 - INTEGRIS HEALTH MEDICAL GROUP MULTISPECIAL 4509 INTEGRIS PARKWAY SUITE 300 EDMOND OK 73034 SPECIALITY CLINIC 42 - INTEGRIS HEALTH MEDICAL GROUP MUSTANG 2929 S MUSTANG ROAD YUKON OK 73099 PRIMARY CARE CLINIC 43 - INTEGRIS HEALTH MEDICAL GROUP NORMAN 700 24TH AVE NW NORMAN OK 73069 PRIMARY CARE CLINIC 44 - INTEGRIS HEALTH MEDICAL GROUP NORTH MACART 5720 W MEMORIAL RD OKLAHOMA CITY OK 73142 PRIMARY CARE CLINIC 45 - INTEGRIS HEALTH MEDICAL GROUP NW FAMILY ME 3330 NW 56TH ST SUITE 305 OKLAHOMA CITY OK 73112 PRIMARY CARE CLINIC 46 - INTEGRIS HEALTH MEDICAL GROUP NW FAMILY ME 620 S MADISON ENID OK 73701 PRIMARY CARE CLINIC 47 - INTEGRIS HEALTH MEDICAL GROUP PEDIATRICS 3330 NW 56TH SUITE 500 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 48 - INTEGRIS HEALTH MEDICAL GROUP PULMONARY SO 4221 S WESTERN AVE SUTIE 4005 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC 49 - INTEGRIS HEALTH MEDICAL GROUP RHEUMATOLOGY 3330 NW 56TH ST SUITE 305 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 50 - INTEGRIS HEALTH MEDICAL GROUP SOUTHWEST 4221 S WESTERN AVE SUITE3030 OKLAHOMA CITY OK 73109 PRIMARY CARE CLINIC 51 - INTEGRIS HEALTH MEDICAL GROUP SURREY HILLS 12200 ASHFORM DR YUKON OK 73099 PRIMARY CARE CLINIC 52 - INTEGRIS HEALTH MEDICAL GROUP WAYNOKA 1084 S NICKERSON ST WAYNOKA OK 73860 PRIMARY CARE CLINIC 53 - INTEGRIS HEALTH MEDICAL GROUP WEATHERFORD 211 N ILLINOIS STREET WEATHERFORD OK 73096 PRIMARY CARE CLINIC 54 - INTEGRIS HEALTH MEDICAL GROUP YUKON 1205 HEALTH CENTER PARKWAY SUITE 100 YUKON OK 73099 PRIMARY CARE CLINIC 55 - INTEGRIS HEALTH PULMONARY HYPERTENSION CEN 3400 NW EXPRESSWAY BLDG C SUITE 200 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 56 - INTEGRIS HEALTH WEIGHT LOSS CENTER 3433 NW 56TH BLDG ASUTE 909 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 57 - INTEGRIS MEDICAL GROUP COFFEE CREEK 2916 N KELLY AVE EDMOND OK 73003 PRIMARY CARE CLINIC 58 - INTEGRIS MEDICAL GROUP COLON AND RECTAL SU 3366 NW EXPRESSWAY BLDG D SUITE 800 OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 59 - INTEGRIS MEDICAL GROUP COUNCIL CROSSING 9417 N COUNCIL RD SUITE 200 OKLAHOMA CITY OK 73162 PRIMARY CARE CLINIC 60 - INTEGRIS MEDICAL GROUP GROVE 601 E 13TH ST SUITE C GROVE OK 74344 PRIMARY CARE CLINIC 61 - INTEGRIS MEDICAL GROUP NEWCASTLE 2191 NORTH MAIN ST SUITE E NEWCASTLE OK 73065 PRIMARY CARE CLINIC 62 - INTEGRIS MEDICAL GROUP ROSE CREEK 16400N MAY AVE EDMOND OK 73013 PRIMARY CARE CLINIC 63 - INTEGRIS MEDICAL GROUP UROLOGY 4200 DOUGLAS AVE SUITE 200 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC 64 - INTEGRIS PULMONOLOGY ASSC ENID 620S MADISON SUITE 209 ENID OK 73701 SPECIALITY CLINIC 65 - INTEGRIS WOUND CARE BAPTIST MEDICAL CENTER 3300 NW EXPRESSWAY THIRD FLOOR OKLAHOMA CITY OK 73112 SPECIALITY CLINIC 66 - INTEGRIS WOUND CARE CLINIC MIAMI 200 2ND AVE SW MIAMI OK 74354 SPECIALITY CLINIC 67 - INTEGRIS WOUND CARE EDMOND 4509 INTEGRIS PARKWAYSUITE 145 EDMOND OK 73034 SPECIALITY CLINIC 68 - INTEGRIS WOUND CARE SOUTHWEST 4221 S WESTERN SUITE 1030 OKLAHOMA CITY OK 73109 SPECIALITY CLINIC 69 - MEDICAL GROUP ENID N VAN BUREN 2821 N VAN BUREN ST ENID OK 73703 PRIMARY CARE CLINIC 70 - TROY AND DOLLIE SMITH WELLNESS CENTER 5911W MEMEORIAL OKLAHOMA CITY OK 73142 SPECIALITY CLINIC 71 - SOUTHWEST AMBULATORY SURGERY CENTER 8125 SOUTH WALKER OKLAHOMA CITY OK 73139 AMBULATORY SURGERY CENTER 72 - INTEGRIS HEALTH MEDICAL GROUP EDMOND EAS 4509 INTEGRIS PARKWAY SUITE 200 EDMOND OK 73034 PRIMARY CARE CLINIC 73 - INTEGRIS HEALTH MEDICAL GROUP SOUTHWESTWEST 1600 SW 119TH OKLAHOMA CITY OK 73170 PRIMARY CARE CLINIC 74 - INTEGRIS HEALTH MEDICAL GROUP RECONSTRUC 4509 INTEGRIS PARKWAY SUITE 350 EDMOND OK 73034 SPECIALITY CLINIC 75 - INTEGRIS HEALTH MEDICAL GROUP MEMORIAL W 5915W MEMORIAL ROAD SUITE 300 OKLAHOMA CITY OK 73142 PRIMARY CARE CLINIC PART I, LINE 6A: INTEGRIS HEALTH, INC., (EIN: 73-1192764), THE PARENT ORGANIZATION OF INTEGRIS AMBULATORY CARE CORPORATION, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS. PART III, LINE 2: AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS TO DUE IRH THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. PART III, LINE 3: IACC DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: IACC DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF INTEGRIS HEALTH, INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:A PORTFOLIO APPROACH BY MAJOR PAYOR CATEGORIES AND TYPES OF SERVICE WAS USED TO ESTIMATE THE HISTORICAL COLLECTIONS EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED AT LEAST QUARTERLY BASED ON ACTUAL COLLECTIONS EXPERIENCE.INTEGRIS HEALTH BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WAS USED. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE ASSESSED FIRST FOR ELIGIBILITY FOR CHARITY CARE OR RECORDED AS BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 REPORTING GROUP B:FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE:OCOM DOES NOT HAVE A STAND-ALONE AUDIT AND IS INCLUDED IN THE CONSOLIDATED FINANCIALS OF INTEGRIS AMBULATORY CARE CORP, WHICH DOES NOT SPECIFICALLY ADDRESS BAD DEBT. OCOM ACCOUNTS FOR BAD DEBT EXPENSE AS FOLLOWS:-75% OF ACCOUNTS RECEIVABLE NET OF THE CONTRACTUAL ALLOWANCE AGED 120 DAYS OR GREATER (EXCLUDING LEGAL LIABILITY), PLUS 25% OF ACCOUNTS RECEIVABLE NET OF THE CONTRACTUAL ALLOWANCE IN THE 90 DAY BUCKET. WE RESERVE 50% OF LEGAL LIABILITY OVER 120 DAYS. PART VI, LINE 2: REPORTING GROUP APART VI, LINE 2: NEEDS ASSESSMENT INTEGRIS HEALTH UTILIZES A VARIETY OF TOOLS TO DETERMINE THE HEALTH CARE NEEDS OF OUR COMMUNITIES. THESE INCLUDE PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES AND ORGANIZATIONS TO DETERMINE SPECIFIC TARGET MARKET NEEDS, PROGRAM SURVEYS AND COMMUNITY FOCUS GROUPS, PROGRAM EVALUATIONS FROM PARTICIPANTS IN OUR COMMUNITY HEALTH SCREENINGS, HEALTH EDUCATION AND SUPPORT GROUPS, THE COUNTY HEALTH RANKINGS REPORT AND THE OKLAHOMA STATE HEALTH DEPARTMENT'S "STATE OF THE STATE HEALTH REPORT."AFTER REVIEWING THESE MATERIALS FOR ISSUES CONCERNING ACCESS TO CARE, HEALTH EDUCATION NEEDS AND GAPS IN SERVICES IN OUR COMMUNITIES, INTEGRIS HEALTH DETERMINES HOW TO ADDRESS THESE ISSUES BY DEVELOPING PROGRAMS/SERVICES TO IMPLEMENT, INCLUDING, BUT NOT LIMITED TO, HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION AND WELLNESS PROGRAMS, SUPPORT GROUPS, AND ACCESS TO HEALTH CARE FACILITIES. INTEGRIS HEALTH UTILIZES OUR HEALTH SYSTEM RESOURCES, FACILITIES AND PERSONNEL FOR MANY OF THESE PROGRAMS, BUT ALSO PARTNERS WITH OUR COMMUNITIES AND DEVELOPS COLLABORATIONS WITH LOCAL NON-PROFIT AGENCIES, CIVIC ORGANIZATIONS, SCHOOLS, AND CHURCHES TO IMPROVE THE ISSUES IDENTIFIED.REPORTING GROUP BPART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITYTHE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT FOR OKLAHOMA CENTER FOR ORTHOPAEDIC AND MULTI-SPECIALTY SURGERY, LLC (OCOM) ARE PRESENTED AS A PRIORITIZED DESCRIPTION OF THOSE NEEDS.PART VI, LINE 2: NEEDS ASSESSMENT A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY FOUR NON-PROFIT HEALTH SYSTEMS AS ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. INTEGRIS HEALTH SYSTEM WAS ONE OF THE FOUR NON-PROFIT HEALTH SYSTEMS THAT CONDUCTED THIS CHNA. INTEGRIS HEALTH SYSTEM INCLUDES THEIR JOINT VENTURE HOSPITALS: HEALTHCARE PARTNERS (HIP), INTEGRIS COMMUNITY HOSPITALS, AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY BY INTEGRIS HEALTH DURING THE FISCAL YEAR ENDED JUNE 30, 2022.THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDED OCOM, WAS APPROVED AND ADOPTED BY OCOM'S BOARD OF DIRECTORS ON JULY 25, 2022. ADDITIONALLY, THE RELATED IMPLEMENTATION STRATEGY, OCOM PREPARED, REFERRED TO AS THEIR COMMUNITY HEALTH IMPROVEMENT PLAN OR CHIP, WAS ALSO APPROVED AND ADOPTED BY THEIR BOARD ON JULY 25, 2022.AS DISCUSSED IN SCHEDULE H, SECTION B, PART V ABOVE, A COMPREHENSIVE AND A COLLABORATIVE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR HEALTHCARE PARTNERS INVESTMENTS (HIP), INTEGRIS COMMUNITY HOSPITALS AND OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY BY INTEGRIS HEALTH DURING THE FISCAL YEAR ENDED JUNE 30, 2022. THE CHNA UTILIZES RELEVANT HEALTH DATA RECEIVED FROM THE HOSPITAL CHNA COLLABORATORS AND FROM OKLAHOMA COUNTY RESIDENTS OF ALL BACKGROUNDS, SOCIOECONOMIC STATUS, AND DEMOGRAPHICS TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF OKLAHOMA AND CLEVELAND COUNTIES IN THE STATE OF OKLAHOMA.INTEGRIS HEALTH THEN ANALYZED AND EVALUATED THE PRIMARY DATA AND THE SECONDARY PUBLIC HEALTH DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ISSUES WERE PRIORITIZED BASED ON CURRENT SYSTEMWIDE EFFORTS AT INTEGRIS HEALTH AND ALIGNED WITH THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) GOALS AND OBJECTIVES IN THE OKLAHOMA CITY METRO. FOCUS WAS ALSO GIVEN TO THE INTERCONNECTEDNESS OF SOCIAL DETERMINANTS AND HEALTH OUTCOMES IN OKLAHOMA COUNTY.THE FOLLOWING FOUR PRIORITIZED NEEDS WERE DETERMINED:- ACCESS TO EDUCATION- ACCESS TO MEANINGFUL EMPLOYMENT- ACCESS TO HEALTHY FOOD- ACCESS TO HEALTHCARETOBACCO *INTEGRIS HEALTH CHOSE TO FOCUS ON ALL OF THE IDENTIFIED PRIORITY ISSUES.* AS ALSO NOTED IN SCHEDULE H, SECTION B, PART V, WHILE TOBACCO WAS NOT SPECIFICALLY IDENTIFIED BY THE COMMUNITY AS A PRIORITY NEED, INTEGRIS HEALTH AND THEIR PARTNERS AGREE THAT IT IS A HEALTH ISSUE THAT SHOULD CONTINUE TO BE ADDRESSED. OKLAHOMA COUNTY IS STILL ABOVE THE NATIONAL AVERAGE FOR ADULTS WHO SMOKE AND NICOTINE DEPENDENCY CONTINUES TO BEA WIDESPREAD PUBLIC HEALTH CONCERN FOR OKLAHOMA COUNTY RESIDENTS.EACH HOSPITAL THEN DEVELOPED AN INDIVIDUAL CHIP IN A SEPARATE DOCUMENT TO ADDRESS THE NEEDS IDENTIFIED, BASED ON THEIR INTERNAL PRIORITIES AND RESOURCES.THE IMPLEMENTATION PLAN FOR OCOM SPECIFICALLY ADDRESSES THE FOLLOWING PRIORITY ISSUES:- ACCESS TO HEALTHY FOOD- OBESITY- TOBACCOIN ORDER TO ADDRESS EACH PRIORITIZED NEED, HOSPITAL RESOURCES WERE ALLOCATED AND COMMUNITY PARTNERSHIPS WERE IDENTIFIED TO ASSIST. SPECIFIC PROGRAMS WERE IMPLEMENTED WITH SUPPORTING ACTIVITIES AND YEARLY TARGET GOALS.REPORTING GROUP CPART VI, LINE 2: NEEDS ASSESSMENTHPI COLLABORATED WITH INTEGRIS HEALTH IN A JOINT CHNA.HTTPS://COMMUNITYHOSPITALOKC.COM/APPLICATION/FILES/2916/2826/6047/CHNA2021.PDFHTTPS://NWSURGICALOKC.COM/APPLICATION/FILES/6016/2826/5929/CHNA2021.PDFHTTPS://WWW.INTEGRISCOMMUNITYHOSPITAL.COM/INT-ASSETS/UPLOADS/FORMS/INTEGRIS-HEALTH-JOINT-CHNA_2020-2021.PDF PART VI, LINE 3: REPORTING GROUP APART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCEINTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES:*POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS.*A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS.*A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ON-LINE CHARITY APPLICATION.*A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL.FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.REPORTING GROUP BPART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCEOCOM PATIENTS WERE INFORMED AND EDUCATED OVER THE PHONE OR IN PERSON PRIOR TO MEDICAL SERVICES BEING PROVIDED ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. IF A PATIENT DECIDED TO APPLY FOR FINANCIAL ASSISTANCE AFTER THE MEDICAL SERVICES WERE PROVIDED, PATIENTS WERE FURTHER EDUCATED OVER THE PHONE OR IN PERSON ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY APPLICATION INSRUCTIONS WERE ALSO MADE AVAILABLE ONLINE WITH THE ABILITY TO BE PRINTED DIRECTLY FROM THE OCOM WEBSITE, WITHOUT CHARGE. PATIENTS COULD ALSO REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY APPLICATION INSTRUCTIONS FROM OCOM'S WEBSITE OR BY MAIL BY CALLING THE OCOM BUSINESS OFFICE.REPORTING GROUP CPART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCE HPI FACILITY PATIENTS WERE INFORMED AND EDUCATED ONLINE, BY TELEPHONE, BY MAIL, ON POSTED SIGNS AND PAPER COPIES OR BROCHURES LOCATED IN ALL REGISTRATION AREAS THROUGHOUT THE FACILITIES, IN PERSON, AND IN BILLING STATEMENTS ABOUT THE AVAILABILITY AND ELIGIBILITY OF FINANCIAL ASSISTANCE. REGISTRATION STAFF REFERS PATIENTS TO WEBSITE AND TO THE BILLING DEPARTMENT AS NEEDED OR REQUESTED. THEY PRINT OFF CHARITY APPLICATIONS AND ASSISTS PATIENTS IN COMPLETING. IF TRANSLATION IS NEEDED TO HELP COMPLETE FORMS A CALL IS MADE INTO THE LANGUAGE LINE FOR ASSISTANCE. IF FINANCIAL NEED IS DETERMINED WHEN PATIENT IS IN PERSON AT FACILITY, EXAMPLE LACK OF INSURANCE OR UNABLE TO PAY, PATIENT IS ASSISTED WITH APPLICATION AND/OR REFERRED TO BILLING TO ASSIST. SCHEDULING, FINANCIAL COUNSELOR, REGISTRATION, AND AUTHORIZATION DEPARTMENT, REFER PATIENTS IN NEED OF ASSISTANCE TO WEBSITE AND TO BILLING AS NEEDED. PART VI, LINE 4: REPORTING GROUP APART VI, LINE 4: COMMUNITY INFORMATION INTEGRIS HEALTH SYSTEM IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS, WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN'S CLINICS, MENTAL HEALTH FACILITIES, CANCER CENTERS, INDEPENDENT LIVING CENTERS, AND HOME HEALTH AGENCIES THROUGHOUT MOST OF THE STATE. ALL COUNTIES IN WHICH INTEGRIS HEALTH OPERATES INCLUDE ONE OR MORE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS LOCATED IN OKLAHOMA CITY, WHICH IS IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA.REPORTING GROUP BPART VI, LINE 4: COMMUNITY INFORMATIONOCOM IS LOCATED IN OKLAHOMA CITY WITH AN HOPD LOCATION (OCOM NORTH) IN NORTHWEST OKLAHOMA CITY AND THREE FREESTANDING IMAGING FACILITIES TO SERVICE OKLAHOMA CITY, IN OKLAHOMA COUNTY, OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. THE ECONOMY SPECIALIZES IN OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. OKLAHOMA COUNTY'S POPULATION IS GROWING ACROSS ALL RACIAL AND ETHNIC GROUPS. THERE WAS A 5.9% INCREASE IN TOTAL POPULATION FROM 2014-2019. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434. AS OF 2019, THE MEDIAN AGE FOR OKLAHOMA COUNTY WAS 34.6 YEARS WHILE THE MEDIAN AGE FOR THE STATE OF OKLAHOMA WAS 34.1 YEARS. AS OF 2018, APPROXIMATELY 16.7% OF THE PEOPLE IN OKLAHOMA COUNTY LIVED BELOW THE POVERTY LEVEL AND WERE NOT ALWAYS ABLE TO MEET THEIR BASIC NEEDS LIKE AFFORDABLE HOUSING, HEALTH CARE, HEALTHY FOOD, TRANSPORTATION, AND SOCIAL SERVICES (2018). THE MEDIAN HOUSEHOLD INCOME FOR OKLAHOMA COUNTY WAS $52,855 COMPARED TO $51,424 FOR THE STATE OF OKLAHOMA AND $60,293 FOR THE NATIONAL AVERAGE (2021 WELLNESS SCORE FROM 2018). THE MAJORITY OF RESIDENTS IN OKLAHOMA COUNTY IDENTIFY AS WHITE (56%). THE NEXT LARGEST RACES/ETHNICITIES IN OKLAHOMA COUNTY ARE HISPANIC/LATINO (17.4%), BLACK OR AFRICAN AMERICAN (14.8%), AMERICAN INDIAN/ALASKAN NATIVE (6.7%), AND ASIAN/PACIFIC ISLANDER (4.7%) OR SOME OTHER RACE (4.1%).THE OVERALL MORTALITY RATES IN OKLAHOMA CITY COUNTY FROM 2016-2018 WAS 932.6 DEATHS PER 100,000 PEOPLE. THAT WAS GREATER THAN THE NATIONAL RATE OF 728.9 AND THE STATE RATE OF 894.7 DEATHS PER 100,000. MORTALITY RATES WERE HIGHEST AMONG AMERICAN INDIANS. NON-HISPANICS HAD A HIGHER MORTALITY RATE THAN HISPANICS. THE ZIP CODES WITH THE HIGHEST MORTALITY RATES WERE 73007, 73141, AND 73102. AMONG OKLAHOMA COUNTY RESIDENTS, 30% HELD A BACHELOR'S DEGREE OR HIGHER IN 2019. SINCE THE COVID-19 PANDEMIC, THE EMPLOYMENT SITUATION IN OKLAHOMA HAS IMPROVED. ON SEPTEMBER 30, 2019, THE UNEMPLOYMENT RATE FOR OKLAHOMA CITY WAS 2.6%. ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, OKLAHOMA RANKED FIRST FOR METROPOLITAN CITIES WITH A CENSUS POPULATION OF GREATER THAN ONE MILLION OR MORE.REPORTING GROUP CPART VI, LINE 4: COMMUNITY INFORMATIONOKLAHOMA COUNTY IS IN THE CENTRAL PART OF OKLAHOMA. OKLAHOMA CITY IS THE COUNTY SEAT AND IS THE LARGEST CITY IN THE STATE. THERE ARE 20 CITIES AND SMALL TOWNS LOCATED IN THE COUNTY. (1) OKLAHOMA COUNTY EMPLOYS 379,291 PEOPLE. THE ECONOMY SPECIALIZES IN MINING, OIL, GAS, QUARRYING, EXTRACTION, MANAGEMENT OF COMPANIES AND ENTERPRISES, AND PUBLIC ADMINISTRATION. ACCORDING TO THE 2019 POPULATION ESTIMATES, THE POPULATION OF OKLAHOMA COUNTY WAS 797,434. (1) THE COUNTY OCCUPIES 708 SQUARE MILES. AS OF 2010 CENSUS, THERE WERE 1,013 PERSONS PER SQUARE MILE. (1) OKLAHOMA COUNTY HAS 14 HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS WITH 14 SATELLITE CLINICS, APPROXIMATELY 17 FREE COMMUNITY CLINICS, ONE TRIBAL CLINIC, A CITY-COUNTY HEALTH DEPARTMENT WITH MULTIPLE LOCATIONS THROUGHOUT THE COUNTY, AND A STATE HEALTH DEPARTMENT. PUBLIC TRANSPORTATION, TAXI SERVICES, TWO PUBLIC AND SEVERAL PRIVATE AIRPORTS, AND PARAMEDIC LEVEL AMBULANCE SERVICES ARE ALSO LOCATED WITHIN THE COUNTY. PART VI, LINE 5: REPORTING GROUP APART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHEVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS.IACC'S BOARD OF DIRECTORS IS APPOINTED BY INTEGRIS HEALTH, INC. INTEGRIS HEALTH, INC. IS GOVERNED BY A BOARD OF DIRECTORS SPECIFICALLY MADE UP OF MEN AND WOMEN WHO LIVE AND WORK IN THE COMMUNITY INCLUDING: LOCAL BUSINESS OWNERS, CIVIC LEADERS, COMMUNITY VOLUNTEERS, REPRESENTATIVES WORKING IN HIGHER EDUCATION, UTILITY COMPANIES, AND A VARIETY OF NON-PROFIT ORGANIZATIONS. PATIENT AND COMMUNITY ADVISORY GROUPS HAVE ALSO BEEN ESTABLISHED AT SEVERAL INTEGRIS FACILITIES ACROSS THE STATE. THESE GROUPS GIVE HOSPITAL LEADERS INPUT, SUGGESTIONS, AND FEEDBACK ON WAYS TO IMPROVE PROGRAMS, SERVICES, COMMUNITY NEEDS, AND PROCESS IMPROVEMENT IN CLINICAL AREAS.PROGRAMS ESTABLISHED TO MEET COMMUNITY NEEDS INCLUDE A FALLS PREVENTION PROGRAM FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES EDUCATIONS, AND STROKE LECTURES.ADVOCACY INITIATIVES FOR PROMOTING COMMUNITY-WIDE, STATE OR NATIONAL EFFORTS TO IMPROVE HEALTH OF THE POPULATION AND INCREASE ACCESS.INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA LIONS CLUB MOBILE HEALTH UNIT, THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE OKLAHOMA TURNING POINT PROGRAM TO INCREASE HEALTH SCREENING OPPORTUNITIES AND HEALTH ACCESS FOR PEOPLE LIVING IN RURAL, UNDERSERVED AREAS OF OKLAHOMA. THE PARTNERSHIP INCLUDES DONATION OF RESOURCES AND MONEY TO SPONSOR THE OPERATION OF THE LIONS MOBILE HEALTH UNIT WHICH TRAVELS AROUND THE STATE OFFERING FREE HEALTH SCREENINGS AND MEDICAL INFORMATION. THE OKLAHOMA STATE HEALTH DEPARTMENT AND THE OKLAHOMA TURNING POINT PROGRAM ASSIST WITH HEALTH SCREENINGS AND HELP WITH REFERRALS TO MEDICAL HOMES AND CLINICS FOR PEOPLE WITHOUT A PHYSICIAN AND FOR THOSE UNINSURED OR UNDERINSURED.INTEGRIS HEALTH HAS ESTABLISHED THE INTEGRIS HEALTH COMMUNITY GIVING FUND GRANT TARGETING THE THREE PRIORITIZED HEALTH AREAS. INTEGRIS HEALTH'S 2023-2025 COMMUNITY HEALTH PRIORITIES ARE ACCESS TO CARE (INCLUDING MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT), ACCESS TO HEALTHY FOOD, AND TOBACCO USE PREVENTION, THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING, AND TREATMENT STRATEGIES. EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS OR CREATE ACCESS TO COMPREHENSIVE MEDICAL CARE CONTINUE TO BE A PRIORITY OF THE COMMUNITY GIVING FUND. IN ORDER TO QUALIFY FOR GRANT FUNDING, THE PROGRAM OR SERVICE MUST ALIGN WITH ONE OR MORE OF FOLLOWING HEALTH PRIORITIES AND PROVIDE EVIDENCE-BASED DATA TO SUPPORT THE PROGRAM STRATEGIES (REPORTED QUARTERLY TO INTEGRIS HEALTH DURING THE GRANT YEAR):ACCESS TO CARE (INCLUDES MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT)- IMPROVE ACCESS TO MEDICAL CARE SERVICES, BEHAVIORAL HEALTH, OR SUBSTANCE USE TREATMENT. IMPROVE THE PREVENTION, DETECTION, TREATMENT AND/OR MANAGEMENT OF DEPRESSION, AND REDUCE THE SUICIDE RATES. ACCESS TO HEALTHY FOOD- IMPROVE ACCESS TO HEALTHY AND AFFORDABLE FOOD AND KNOWLEDGE OF HEALTHY FOOD AND LIFESTYLE CHOICES.TOBACCO USE- REDUCE VAPING, ELECTRONIC CIGS, TOBACCO USE AND SECONDHAND SMOKE EXPOSURE.INTEGRIS HEALTH PARTNERS WITH LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS HEALTH ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA.INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE HEALTH ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION.THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES AND REDUCING HEALTH CARE COSTS.INTEGRIS HEALTH COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS AND HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS HEALTH FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HEALTH HAS BEEN ABLE TO HELP SLOWLY IMPROVE THE ACCESS TO HEALTHCARE IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS.ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS.REPORTING GROUP BPART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHOCOM IS A MEMBER OF THE OHA, WHICH ADVOCATES FOR AFFORDABLE, HIGH-QUALITY CARE FOR THE STATE OF OKLAHOMA AND SUPPORTING RURAL HEALTH. OCOM CONTRACTS WITH RESEARCH INTERNATIONAL TO PERFORM IMAGING STUDIES FOR PATIENTS INVOLVED IN RESEARCH. OCOM HELD TWO FOOD DRIVES AND ONE CEREAL DRIVE THAT RECIEVED BOTH INTERNAL AND EXTERNAL DONATIONS. ADDITIONALLY, OCOM HAD A TEAM THAT VOLUNTEERED AT THE OKLAHOMA FOOD BANK TO PREPARE FOOD BASKETS AND MEALS TO HELP SUPPORT OKLAHOMA'S MOST VULNERABLE AND HUNGRY. OCOMALSO PARTICIPATED IN THE OKLAHOMA BLOOD INSTITUTE BLOOD DRIVE QUARTERLY DURING 2023. PART VI, LINE 6: REPORTING GROUP APART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES IACC IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990.REPORTING GROUP BPART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLESAS DESCRIBED ABOVE, OCOM WAS RESTRUCTURED EFFECTIVE NOVEMBER 1, 2018 WHEN A NEW JOINT VENTURE WAS FORMED BETWEEN INTEGRIS AND USP OK. WHEN THE NEW JOINT VENTURE WAS FORMED WITH INTEGRIS, OCOM BECAME SUBJECT TO THE 501(R) PROVISIONS.REPORTING GROUP CPART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMHPI IS A JOINT VENTURE FORMED BETWEEN INTEGRIS AND USP OK. WHEN THE NEW JOINT VENTURE WAS FORMED WITH INTEGRIS, HPI BECAME SUBJECT TO THE 501(R) PROVISIONS. SCHEDULE H, PART VI INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IACC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED ABOVE.IACC DOES NOT HAVE A DIRECTLY OWNED HOSPITAL FACILITY, BUT OWNS A MINORITY INTEREST IN FOUR HOSPITAL FACILITIES, OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM), THROUGH ITS INVESTMENT IN SOUTHWEST AMBULATORY SURGERY CENTER, LLC, COMMUNITY HOSPITAL AND TPG HOSPITAL (D/B/A NW SURGICAL HOSPITAL (HPI FACILITIES), THROUGH ITS INVESTMENT IN HPI AND LAKESIDE WOMEN'S HOSPITAL, LLC (LWH). THE ACTIVITY REPORTED ON SCHEDULE H, PARTS I-III INCLUDES THE ACTIVITY OF OCOM, HPI FACILITIES & LWH AS WELL AS THE DIRECT ACTIVITY OF IACC AND IACC'S PROPORTIONATE SHARE OF THE ACTIVITY OF THE NON-HOSPITAL JOINT VENTURES LISTED ON SCHEDULE H, PART V, SECTION D. SCHEDULE H, PART VI REPORTING GROUP APART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE PART I, LINE 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS.REPORTING GROUP BPART I, LINE 7:OCOM'S TOTAL EXPENSE INCLUDED IN PART IX, LINE 25, COLUMN (A) OF FORM 990 WAS $213,047,296, WHICH WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART III, LINE 8 REPORTING GROUP ATHE AMOUNTS REPORTED ON PART III, LINES 5 AND 6 REPRESENT INTEGRIS AMBULATORY CARE CORPORATION'S (IACC) PROPORTIONATE SHARE OF THE ALLOWABLE COSTS AND MEDICARE REIMBURSMENTS THAT ARE REPORTED ON OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY'S (OCOM) MEDICARE COST REPORT & LAKESIDE WOMEN'S HOSPITAL LLC (LWH) MEDICARE COST REPORT.COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.REPORTING GROUP BTHE COST TO CHARGE METHODOLOGY WAS USED IN ORDER TO CALCULATE THE MEDICARE ALLOWABLE COSTS RELATED TO PAYMENTS RECEIVED FROM MEDICARE. ANY RESULTING SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B REPORTING GROUP APATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES.ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED.IACC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT REPORTING GROUP BLAKESIDE WAS REQUIRED TO FILE, AND DID FILE, A COMMUNITY BENEFIT REPORT WITH THE STATE OF OKLAHOMA FOR THE FISCAL YEAR ENDED JUNE 30, 2023.REPORTING GROUP BOCOM WAS NOT REQUIRED TO FILE, AND DID NOT FILE, A COMMUNITY BENEFIT REPORT WITH THE STATE OF OKLAHOMA FOR THE FISCAL YEAR ENDED JUNE 30, 2023.REPORTING GROUP C:HPI WAS NOT REQUIRED TO FILE, AND DID NOT FILE, A COMMUNITY BENEFIT REPORT WITH THE STATE OF OKLAHOMA FOR THE FISCAL YEAR ENDED JUNE 30, 2023. 0 1 0 0 0 0 0 1 0 TIMOTHY PEHRSON DIRECTOR & PRESIDENT/CEO 0 1230472 0 1003444 0 305092 0 280336 0 6600 0 2825944 0 286003 JEREMY T PHELPS PHYSICIAN 588350 0 1115369 0 5898 0 19225 0 6340 0 1735182 0 0 0 ASHISH MASIH PHYSICIAN 763994 0 500020 0 2460 0 14791 0 6340 0 1287605 0 0 0 SCOTT SHADFAR PHYSICIAN 939694 0 304462 0 1740 0 19225 0 1844 0 1266965 0 0 0 MUZAFFAR HUSSAIN PHYSICIAN 676546 0 519229 0 23060 0 22125 0 6532 0 1247492 0 0 0 CHRISTOPHER LENTZ PHYSICIAN 644252 0 509672 0 8661 0 18500 0 3404 0 1184489 0 0 0 DOUGLAS M SMITH PART YEAR CFO 0 613208 0 149498 0 144956 0 123939 0 6600 0 1038201 0 131709 JEFFREY CRUZAN PRES PHYSICIAN ENTERPRISE 598354 0 106828 0 16833 0 95722 0 4519 0 822256 0 0 0 BRENT HUBBARD DIRECTOR 0 470133 0 150000 0 28816 0 89609 0 3658 0 742216 0 0 KATHERINE ANN MANSALIS FORMER VP & CHIEF MEDICAL OFFICER 0 432928 0 134967 0 9708 0 11201 0 9500 0 598304 0 0 SUNNIE GLOVER VP PHYSICIAN ENTERPRISE 361449 0 63184 0 9354 0 59400 0 1845 0 495232 0 0 0 MICHAEL WEED PART YEAR CFO 0 311224 0 72029 0 11007 0 53417 0 6600 0 454277 0 0 PART I, LINE 3 INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, IACC RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS OFFICERS. INTEGRIS UTILIZES A COMPENSATION COMMITEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION. PART I, LINE 4B THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT IN THE CURRENT REPORTING YEAR. MICHAEL WEED BRENT HUBBARD THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT DURING THE YEAR: TIMOTHY PEHRSON $286,003 DOUGLAS SMITH $131,709 PART I, LINE 7 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS) INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. IN THE SECOND PLAN, CERTAIN EMPLOYED PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION PURSUANT TO THEIR WRITTEN EMPLOYMENT AGREEMENTS. ALL INCENTIVE COMPENSATION IS SUBJECT TO A CAP AND DOES NOT EXCEED 50% OF THE PHYSICIAN'S TOTAL COMPENSATION. THERE ARE A VARIETY OF METHODS USED TO CALCULATE INCENTIVE COMPENSATION BASED ON THE PHYSICIAN'S PERSONAL PRODUCTION, RANGING FROM (I) A SPECIFIED PERCENTAGE OF NET INCOME LESS EXPENSES; (II) A SPECIFIED PERCENTAGE OF TOTAL COLLECTIONS LESS EXPENSES; (III) A SPECIFIED PERCENTAGE OF BASE SALARY BASED COMPLIANCE WITH CERTAIN QUALITY, PATIENT SATISFACTION, PRODUCTION AND FINANCIAL INDICATORS; (IV) A SPECIFIED PERCENTAGE OF BASE SALARY BASED ON COMPLIANCE WITH QUALITY, GUIDING VALUES, PATIENT SATISFACTION AND PRODUCTION CRITERIA; (V) A SPECIFIED PERCENTAGE OF FEE-BASED COLLECTIONS AND CAPITATION COLLECTIONS, IF APPLICABLE, IN EXCESS OF QUARTERLY SALARY; (VI) QUARTERLY BONUSES MEASURED BY RVUS THAT EXCEED A SPECIFIED TARGET PER QUARTER; AND (VII) PRO RATA SHARE OF ANNUAL INCENTIVE POOLS BASED ON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA. FORM 990, BOX C: DOING BUSINESS AS CHEST PAIN EMERGENCY CENTER PROHEALTH LABORATORY MEDICAL PLAZA IMAGING CENTER MERIDIAN OCCUPATIONAL HEALTH CENTER MERIDIAN PRIORITY OCCUPATIONAL HEALTH CENTER FAMILY PHYSICIANS OF OKLAHOMA CITY INTEGRIS HOMECARE PLUS SAMARITAN HOME INFUSION SAMARITAN HEALTH SERVICES INTEGRIS FAMILY CARE CENTER SOUTH PENN FAMILY MEDICINE CENTER SOUTH PENN FAMILY MEDICINE CLINIC INTEGRIS AMBULATORY CARE REHABILITATION SERVICES INTEGRIS FAMILY CARE CENTRAL BAPTIST COMMUNITY CLINIC INNER EAR RESEARCH TEAM INTEGRIS EXPRESS CARE INTEGRIS MEDICAL GROUP INTEGRIS JIM THORPE REHABILITATION INTEGRIS ADVANCED CARDIAC CARE INTEGRIS JIM THORPE OUTPATIENT REHABILITATION HEFNER POINTE INTEGRIS JIM THORPE REHABILITATION ENID INTEGRIS OCCUPATIONAL MEDICINE ENID INTEGRIS JIM THORPE REHABILITATION HOBBY LOBBY INTEGRIS MEDICAL GROUP OCCUPATIONAL MEDICINE INTEGRIS JIM THORPE REHABILITATION EARLYWINE PARK YMCA INTEGRIS JIM THORPE REHABILITATION MITCH PARK YMCA INTEGRIS MOBILE WELLNESS CLINIC INTEGRIS HEALTH URGENT CARE INTEGRIS JIM THORPE REHABILITATION BETHANY YMCA PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2022 A MESSAGE FROM OUR PRESIDENT AND CEO: INTEGRIS HEALTH IS OKLAHOMA'S LARGEST NOT-FOR-PROFIT HEALTH SYSTEM AND HAS CARED FOR OKLAHOMANS FOR MORE THAN 100 YEARS. OUR MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE ARE COMMITTED TO IMPROVING THE HEALTH OF THOSE IN OUR COMMUNITY. WE EXIST TO SERVE AND CARE FOR OUR FELLOW NEIGHBORS, WHICH EXTENDS BEYOND OUR HOSPITALS AND CLINICS. WE PARTNER WITH OTHER ORGANIZATIONS TO BRING MORE PROGRAMS INTO OUR COMMUNITIES, SUCH AS FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, HEALTH SUPPORT GROUPS, MENTORING PROGRAMS FOR AT-RISK YOUTH, ASSISTANCE FOR THE ELDERLY AND SERVING AS A LEADER DURING A PANDEMIC. I HOPE YOU ENJOY OUR 2022 COMMUNITY BENEFIT REPORT, WHICH HIGHLIGHTS IN GREATER DETAIL WAYS INTEGRIS HEALTH POSITIVELY IMPACTED OUR COMMUNITIES LAST YEAR. THATNK YOU FOR TRUSTING INTEGRIS HEALTH TO CARE FOR YOU AND YOUR FAMILY. WARMLY, TIMOTHY PEHRSON, PRESIDENT AND CEO MISSION: PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. VISION: THE MOST TRUSTED PARTNER FOR HEALTH. VALUES: ICARE-INTEGRITY. COMPASSION. ACCOUNTABILITY. RESPECT. EXCELLENCE. INTEGRIS HEALTH COMMUNITY BENEFIT HIGHLIGHTS SERVING OUR COMMUNITY INTEGRIS HEALTH'S MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS OKLAHOMA'S LARGEST NON-FOR-PROFIT COMMUNITY HEALTH SYSTEM, INTEGRIS HEALTH HAS LONG SERVED THIS MISSION THROUGH INNOVATIVE AND TRANSFORMATIVE COMMUNITY HEALTH PROGRAMS. WE LEARNED A LONG TIME AGO THAT WE CAN'T FULLY CARE FOR OUR COMMUNITY BY STAYING EXCLUSIVELY WITHIN THE WALLS OF OUR FACILITIES. THAT'S WHY "RETURNSHIP" IS SUCH AN IMPORTANT PART OF OUR PHILOSOPHY. WHAT IS RETURNSHIP? IT'S GIVING BACK PART OF OURSELVES TO THE COMMUNITIES WE SERVE. AT INTEGRIS HEALTH, THE PHYSICIANS, EMPLOYEES AND VOLUNTEERS TAKE THEIR EDUCATION AND SKILLS INTO THE COMMUNITY TO MAKE A DIFFERENCE IN THE LIVES OF FELLOW OKLAHOMANS. THEIR DEDICATION, COMBINED WITH OUR RESOURCES, HELPS ACCOMPLISH A VARIETY OF THINGS-FROM PROVIDING FREE CLINICAL SERVICES, SCREENINGS AND EDUCATION PROGRAMS TO PROVIDING GREATER ACCESS TO HEALTHY FOOD AND TOBACCO CESSATION SERVICES. WE ALSO REALIZE THAT THE HEALTH OF A COMMUNITY ISN'T JUST PHYSICAL AND MENTAL-IT'S ECONOMIC AND SPIRITUAL AS WELL. THAT'S WHY WE OFFER A MYRIAD OF PROGRAMS THAT ADDRESS ALL OF THESE IMPORTANT ISSUES. INTEGRIS HEALTH MOBILE CARE CLINIC NAME OF PROJECT: YUKON PUBLIC SCHOOLS HEALTH FAIR PROGRAM/PROJECT OVERVIEW: YUKON PUBLIC SCHOOLS (YPS) AND THE INTEGRIS HEALTH MOBILE CARE CLINIC TEAM UP EVERY YEAR TO COORDINATE THE YPS EMPLOYEE HEALTH FAIR. DURING THIS EVENT INTEGRIS HEALTH PROVIDES FREE HEALTH AND WELLNESS SCREENINGS TO HUNDREDS OF TEACHERS AND STAFF FROM ALL OF THE YUKON PUBLIC SCHOOLS. THE EVENT ALSO INVITES COMMUNITY ORGANIZATIONS FROM ALL OVER YUKON TO THE EVENT TO PROVIDE INFORMATION ON THEIR SERVICES. HIGHLIGHTS: JASON BRUNK, ASSISTANT SUPERINTENDENT OF HUMAN RESOURCES, SHARED THAT ONCE AGAIN THE HEALTH FAIR WAS VERY WELL RECEIVED. THE EVENT HAD MORE THAN 100 ATTENDEES THIS YEAR AND THERE ARE PLANS TO HAVE MORE AT NEXT YEAR'S EVENT. HE MENTIONED THAT THEY WILL BE WORKING ON SOME IDEAS TO INCORPORATE A PARTICIPATION COMPETITION BETWEEN BUILDINGS. JASON POINTED OUT A SUCCESS STORY FROM ONE OF HIS STAFF MEMBERS THAT ATTENDED THE HEALTH FAIR. JASON SAID THAT RIGHT AFTER THE EVENT, ONE OF HIS TEACHERS TOLD HIM THAT THANKS TO THE SCREENING PROVIDED BY INTEGRIS HEALTH MOBILE CARE CLINIC, SHE WAS ABLE TO FIND OUT THAT BOTH HER BLOOD PRESSURE AND CHOLESTEROL WERE AT AN ELEVATED LEVEL. ACCORDING TO JASON, SHE FOLLOWED UP WITH HER PRIMARY CARE PROVIDER THE NEXT DAY TO START TREATING THESE CONDITIONS THAT SHE WAS NOT AWARE OF. INTEGRIS HEALTH JAMES R. DANIEL STROKE CENTER NAME OF PROJECT: COMMUNITY STROKE EDUCATION PROGRAM/PROJECT OVERVIEW: UP TO 80 PERCENT OF STROKES ARE PREVENTABLE AND IT'S THE THING MOST LIKELY TO DISABLE YOU AND MAKE YOU DEPENDENT ON YOUR FAMILY FOR YOUR NEEDS. INTEGRIS HEALTH IS OKLAHOMA'S LEADING PROVIDER OF STROKE MEDICINE, SPECIALIZING IN PREVENTION, TREATMENT AND REHABILITATION WITH A COMMITMENT TO EXCELLENCE, INTEGRITY AND COMPASSION. STROKES HAPPEN EVERY 40 SECONDS IN THE U.S., AND WE WANT OUR COMMUNITIES TO KNOW WE ARE "STROKE READY." *THE GOALS FOR COMMUNITY STROKE EDUCATION ARE THE FOLLOWING: *RAISE AWARENESS ABOUT CONTROLLABLE RISK FACTORS. *LEARN HOW TO RESPOND QUICKLY TO STROKE SYMPTOMS. *REGAIN MAXIMUM ABILITIES WITH IMMEDIATE STROKE REHABILITATION INTERVENTIONS. HIGHLIGHTS: STROKE COMMUNITY EDUCATION PARTNERS WITH COMMUNITY ORGANIZATIONS RANGING FROM STUDENTS IN 3RD GRADE TO SENIORS AND FROM CHURCHES TO WELLNESS CLINICS AND HEALTH CLUBS.HUNDREDS OF PATRONS HAVE RECEIVED INTEGRIS HEALTH STROKE AWARENESS TRAINING DURING AND POST PANDEMIC. HOWEVER, "AT-RISK" POPULATIONS HAVE BEEN DIFFICULT TO REACH. DURING THE MAY 2022 "STROKE AWARENESS CAMPAIGN," A NEW PARTNERSHIP WITH BLACK COMMUNITIES PERMITTED A LARGE DISTRIBUTION OF STROKE EDUCATION FLYERS, "LIVE" STROKE AWARENESS PRESENTATIONS AND INFORMATIONAL BOOTH EXHIBITS. INTEGRIS HEALTH COMMUNITY CLINIC "IT'S BEEN WONDERFUL TO HAVE THESE SERVICE AT THE ICC. I WAS GIVEN EYE DROPS AND MY HEADACHES ARE GONE FOR GOOD. FOR YEARS I HAD HEADACHES AND AT WORK MY EYES WOULD GET IRRITATED AND TEARY WEARING THE EYE GEAR THAT I NEEDED. I DO NOT NEED EYEGLASSES YET, BUT IF IT EVER BECOMES NECESSARY, I KNOW I CAN GET HELP WITH THEM THROUGH THE ICC". OUR HEALTH CARE SYSTEM IN THE UNITED STATES CONTINUES TO CHANGE DUE TO AN AGING POPULATION, INCREASE IN CHRONIC DISEASES AND INCREASING COSTS FOR CARE. WHAT MANY ACROSS OUR COUNTRY ARE RECOGNIZING IS THE NEED OF TIMELY IDENTIFICATION OF HEALTH RISKS. FOLLOWING MEDICAID EXPANSION, INTEGRIS COMMUNITY CLINIC PATIENT POPULATION HAS CHANGED. THE PATIENTS SEEN AT THE CLINIC ARE IMMIGRANTS AND THOSE IN CONTINUED NEED FOR CHRONIC DISEASE MANAGEMENT WITHOUT ACCESS TO GOVERNMENT PROGRAMS. INTEGRIS HEALTH RECOGNIZES MANY VULNERABLE POPULATIONS DO NOT HAVE ACCESS TO CONSISTENT CARE, AND WE ARE COMMITTED TO BEING PART OF HEALTHCARE ACCESSIBILITY THROUGH THE INTEGRIS COMMUNITY CLINIC (ICC) PROVIDING THEM WITH CONSISTENT ACCESS TO MEDICAL CARE, EDUCATION, ASSISTANCE WITH RESOURCES AND THE ABILITY TO FOLLOW PATIENTS THROUGH A SECURE DATABASE IN ORDER TO SUPPORT OUR LONG-TERM GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. SINCE JANUARY 1993, INTEGRIS HEALTH OPENED THE ICC, A FREE MEDICAL CLINIC IN THE INNER CITY OF OKLAHOMA. THE CLINIC IS ALL-VOLUNTEER AND OFFERS FREE MEDICAL CARE TO LOW-INCOME, UNINSURED AND UNDERINSURED POPULATIONS. THE CLINIC OFFERS ADULT CARE OF CHRONIC DISEASES, ON-SITE PHARMACY, DIABETES EDUCATION CLASSES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES, VISION SERVICES AND FRESH PRODUCE DISTRIBUTION FOR FOOD INSECURE FAMILIES. NAME OF PROJECT: EYE CLINIC SERVICES/DEAN A MCGEE EYE INSTITUTE RESIDENTS PROGRAM/PROJECT OVERVIEW:ONCE A MONTH, DEAN A MCGEE'S OPHTHALMOLOGY RESIDENTS SEE PATIENTS AT THE ICC AND REFER PATIENTS TO DEAN A MCGEE EYE INSTITUTE FOR SURGERY OR TO LENS CRAFTERS FOR FREE EYEGLASSES WHEN NEEDED. HIGHLIGHTS: CATALINA SERRANO IS ONE OF THE ICC PATIENTS THAT HAS RECEIVED SERVICES: EYE EXAM, DIAGNOSTIC SCREENINGS AND THE PEACE OF MIND KNOWING THAT SHE'S BEEN TREATED BY THE BEST TEAM. NAME OF PROJECT: PATIENT CARE AND PRESCRIPTION ASSISTANCE PROGRAM/PROJECT OVERVIEW: THE INTEGRIS HEALTH COMMUNITY CLINIC SERVES UNINSURED AND UNDERINSURED PATIENTS ON MONDAYS. THE ICC IS A PRIMARY CARE CLINIC WITH FULL PRESCRIPTION ASSISTANCE TO THOSE IN MOST NEED. HIGHLIGHTS: NIBIA IGLESIAS HAS BENEFITTED THROUGH THE INTEGRIS HEALTH COMMUNITY CLINIC FOR TWO YEARS, RECEIVING MEDICAL CARE AND FREE PRESCRIPTIONS FOR HER DIABETES, ALLERGIES AND A RECENT CYST REMOVAL FROM HER NECK. NIBIA STATES "THANKS TO THE INTEGRIS HEALTH COMMUNITY CLINIC I AM IN A BETTER PLACE NOW. HERE THEY HAVE HELPED ME TO UNDERSTAND MY CONDITION AS A DIABETIC AND I'VE ADOPTED LIFE-CHANGING HABITS IN MY NUTRITION AND PHYSICAL ACTIVITY AFTER I ATTENDED THE NUTRITION AND DIABETES CLASS SERIES." PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED NAME OF PROJECT: PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY PROGRAM/PROJECT OVERVIEW: JIM THORPE REHABILITATION PROVIDES FREE CONSULTATIONS AND THERAPY SESSIONS TO INTEGRIS HEALTH COMMUNITY CLINIC PATIENTS AND REFERRED PATIENTS FROM OTHER FREE AND LOW-COST CLINICS. THERAPISTS VOLUNTEER THEIR TIME EVERY DAY THAT THE INTEGRIS HEALTH COMMUNITY CLINIC IS OPEN TO SEE PATIENTS. HIGHLIGHTS: MICHELLE, A KIDNEY TRANSPLANT RECIPIENT, EXPERIENCED SCIATICA NERVE PAIN AND WAS SEEN AS A WALK-IN PATIENT IN PT CLINIC AND WAS REFERRED FOR AN MRI AND FOLLOW-UP VISITS WITH HER PCP, WHICH RESULTED IN HER GOING BACK TO HER NORMAL ACTIVITIES IN A FEW DAYS. "I WILL ALWAYS BE GRATEFUL TO INTEGRIS HEALTH COMMUNITY CLINIC AND THERAPISTS. THEY HELPED ME TO GET TREATMENT WITHOUT DELAY AND SAVED ME FROM STAYING AT HOME WITH AN EXCRUCIATING PAIN FOR DAYS AND WITHOUT DIAGNOSTIC," SAID MICHELLE. "I KNOW I CAN GET HELP WITH THEM THROUGH THE INTEGRIS HEALTH COMMUNITY CLINIC." INTEGRIS HEALTH COMMUNITY GIVING FUND NAME OF PROJECT: YWCA ENID PROGRAM/PROJECT OVERVIEW: THE YWCA ENID HAS SERVED THE COMMUNITY FOR 101 YEARS, PROVIDING EMERGENCY SHELTER, FORENSIC EXAMS, COUNSELING, COURT ADVOCACY AND MORE TO THOSE ESCAPING INTIMATE PARTNERS VIOLENCE. WE EMPOWER SURVIVORS TO REBUILD THEIR LIVES FREE FROM SHAME, BLAME AND FUTURE VIOLENCE. THE INTEGRIS HEALTH COMMUNITY GIVING FUND HAS PROVIDED FUNDING FOR THE YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. THE SANE PROGRAM OFFERS FREE FORENSIC EXAMS TO ADULT VICTIMS OF SEXUAL ASSAULT AND DOMESTIC VIOLENCE IN A COMFORTABLE AND CONFIDENTIAL MEDICAL ROOM ON-SITE. THE SANE PROGRAM IS THE ONLY ADULT PROGRAM IN THE AREA. HIGHLIGHTS: THERE IS AN AVERAGE OF 45 TO 50 SANE EXAMS DONE EACH YEAR. SUPPORT SERVICES FOR VICTIMS ARE ALSO PROVIDED IF THEY CHOOSE TO FOREGO THE EXAM. THE YWCA PROVIDES SANE EXAMS FOR BOTH MEN AND WOMEN. EACH PERSON WILL HAVE A SEXUAL ASSAULT RESPONSE ADVOCATE (SARA) THERE, SO THEY DO NOT HAVE TO BE ALONE DURING THE EXAM OR THEIR TIME AT THE YWCA. YWCA HAS AN AGREEMENT WITH VANCE AIR FORCE BASE WHERE THE EXAMS ARE PROVIDED TO THE DEPARTMENT OF DEFENSE, AND THE BASE WILL SEND AN ADVOCATE TEAM MEMBER WITH THE VICTIM. COUNTNEY DENNIS, EXECUTIVE DIRECTOR, SAYS, "I THINK SANE IS THE MOST IMPORTANT PROGRAM WE PROVIDE. IF WE DID NOT PROVIDE THIS SERVICE, VICTIMS WOULD HAVE TO GET INTO A COP CAR TO WOODWARD OR STILLWATER FOR THE EXAMS. WE CAN PROVIDE SAFE, TRAUMA-INFORMED EXAMS FOR SEXUAL ASSAULT SURVIVORS RIGHT HERE IN OUR COMMUNITY." INTEGRIS HEALTH COMMUNITY GIVING FUND NAME OF PROJECT: BOYS & GIRLS CLUB OF OTTAWA COUNTY PROGRAM/PROJECT OVERVIEW: AS THE LEADING NONPROFIT OUT-OF-SCHOOL-TIME PROVIDER WITHIN THIS COMMUNITY, BOYS & GIRLS CLUBS OF OTTAWA COUNTY IS PART OF A NATIONAL MOVEMENT OF OTHER BOYS & GIRLS CLUBS. TOGETHER, WE STAND READY TO SOLVE GAPS IN HEALTHY EATING, PHYSICAL ACTIVITY AND GENERAL HEALTHY LIFESTYLE DEVELOPMENT. OUR GOAL IS TO PROVIDE ACCESS AND OPPORTUNITIES TO SUPPORT YOUTH IN THREE KEY WAYS: *MAKE HEALTHY FOOD CHOICES *PARTICIPATE IN DAILY PHYSICAL ACTIVITY *DEVELOP THE SKILLS AND DESIRE TO CREATE SUSTAINABLE, HEALTHY ROUTINES HIGHLIGHTS: THE CLUB HAS SEEN AND REPORTED 478 YOUTH THAT ARE COMPLETING AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY PER DAY WHILE ALSO PARTICIPATING IN EITHER OUR TRAIL PROGRAM OR HEALTHY HABITS. THEY HAVE ALSO BEEN ABLE TO TRAIN AN ADDITIONAL THREE STAFF MEMBERS ON HEALTHY HABITS PROGRAMMING AND 32 STAFF MEMBERS DURING THE SUMMER PROGRAM. SINCE THE START OF THE GRANT YEAR, THE CLUB IMPLEMENTED A CACFP FEEDING PROGRAM ACROSS THREE OF THE LOCATIONS, SERVING DINNER EACH EVENING. THE IMPLEMENTATION OF THE CACFP FEEDING PROGRAM WAS TRANSFORMATIONAL FOR THE CLUB KIDS AND COMMUNITY BECAUSE THE PROGRAM ENSURES KIDS LEAVE THE FACILITY WITH DINNER. EACH EVENING, THREE OF THE FIVE LOCATIONS SERVE DINNER TO ALL YOUTH. SO, BETWEEN THE SCHOOL DISTRICT AND THE BOYS & GIRLS CLUB THEY ARE ENSURING ALL YOUTH HAVE AT LEAST THREE MEALS PER DAY. OVERALL, THIS IS IMPROVING ACCESS TO HEALTHY AND AFFORDABLE FOOD OPTIONS FOR KIDS AND FAMILIES. INTEGRIS HEALTH MOBILE CARE CLINIC NAME OF PROJECT: ON THE ROAD TO HEALTH PROGRAM/PROJECT OVERVIEW: THE LYNN INSTITUTE'S "ON THE ROAD TO HEALTH" PROGRAM IS IN PARTNERSHIP WITH THE INTEGRIS HEALTH MOBILE CARE CLINIC. THE CLINIC HAS PARTNERED WITH THE LYNN INSTITUTE TO PROVIDE SUPPORT IN BOTH THE BIOMETRIC COLLECTION AND EDUCATION COMPONENTS OF THE PROGRAM. THE GOAL OF THE PROGRAM IS TO MOTIVATE AND CHANGE THE LIFESTYLE OF THE PARTICIPANTS TO LIVE HEALTHIER LIVES THROUGH AN EIGHT-WEEK SERIES OF IN-PERSON CLASSES WHERE PARTICIPANTS RECEIVE EDUCATION AND INFORMATION ABOUT NUTRITION, EXERCISE AND THE SCIENCE OF HOPE. HIGHLIGHTS: THROUGH THE MOBILE CARE CLINIC BIOMETRIC SCREENINGS, THE CLINIC TEAM WAS ABLE TO IDENTIFY ABNORMALITIES IN THE PARTICIPANTS' SCREENING VALUES AND ADDRESS THEM BY PROVIDING EDUCATION AND REFERRALS. DURING THE INITIAL BIOMETRIC COLLECTION FOR THE PROGRAM, THE CLINIC TEAM IDENTIFIED A FEMALE PARTICIPANT WITH AN A1C OF 14 (NORMAL IS BELOW 5.7). SHE WAS DETERMINED TO MAKE A HEALTHY CHANGE IN HER LIFE. SHE ATTENDED ALL THE PROGRAM SESSIONS AND LEARNED HOW AND WHY IT IS IT IMPORTANT TO TAKE HER MEDICINE AS INDICATED. DURING THE FINAL BIOMETRIC COLLECTION, HER A1C HAD DROPPED TO 7.2 (ALMOST HALF OF WHAT SHE HAD WHEN SHE STARTED THE PROGRAM). SHE WAS HAPPY WITH THE IMPROVEMENTS SHE HAD MADE AND STARTED TO MOTIVATE OTHERS IN THE PROGRAM TO KEEP ATTENDING AND PROGRESSING WITH THEIR GOALS. UNDERSTANDING HOSPITAL CHARGES CAN BE SOMETIMES CHALLENGING AT INTEGRIS HEALTH OUR GOAL IS TO DELIVER THE HIGHEST QUALITY CARE AT THE MOST REASONABLE PRICES THROUGH OUTSTANDING CUSTOMER SERVICE. WE PLEDGE TO BE TRANSPARENT IN OUR COST, QUALITY AND CUSTOMER SERVICE REPORTING. THESE DAYS PATIENTS ARE SHARING MORE IN THE COSTS OF THEIR OWN HEALTH CARE, THEREFORE INTEGRIS HEALTH BELIEVES YOU SHOULD HAVE ACCESS TO THE INFORMATION YOU NEED TO MAKE INFORMED HEALTH CARE CHOICES. OUR PRICING PHILOSOPHY IS THIS: INTEGRIS HEALTH SEEKS TO ESTABLISH PRICES THAT ARE FAIR TO PATIENTS AND PAYORS, REASONABLE IN THE MARKETS WE SERVE, CONSISTENT WITH OUR PEERS WHO PROVIDE SIMILAR SERVICES WHILE IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE ALSO BELIEVE IT IS IMPORTANT FOR YOU TO UNDERSTAND HOW EACH DOLLAR OF BILLED CHARGES IS SPENT AT INTEGRIS HEALTH. AS A NOT-FOR-PROFIT COMPANY, INTEGRIS HEALTH REINVESTS ANY BUDGET SURPLUS BACK INTO THE ORGANIZATION TO IMPROVE THE LEVEL OF SERVICES THAT IT PROVIDES TO THE COMMUNITY. WHILE YOUR HEALTH PLAN OR PERSONAL PREFERENCE MAY DICTATE WHERE YOU DECIDE TO RECEIVE CARE, COMPARING CHARGES BETWEEN LOCAL PROVIDERS FOR SIMILAR PROCEDURES, COMBINED WITH QUALITY DATA, MAY BETTER PROVIDE YOU WITH AN OVERALL PICTURE OF THE TOTAL VALUE YOU WILL RECEIVE AT THE HOSPITAL OF YOUR CHOICE. INTEGRIS HEALTH HOSPITAL BILLS DO NOT INCLUDE FEES FOR PHYSICIAN SERVICES. YOU MAY RECEIVE MORE THAN ONE BILL FOR YOUR HOSPITAL VISIT. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED WHERE DOES THE INTEGRIS DOLLAR GO? BILL CHARGED $1.00 *DISCOUNTS TAKEN BY MEDICARE, MEDICAID, MANAGED CARE COMPANIES AND OTHER INSURERS 0.59 *FREE SERVICE/CHARITY CARE 0.02 *BAD DEBT EXPENSE FROM PATIENTS NOT PAYING BILLS 0.04 *EMPLOYEE SALARIES 0.13 *EMPLOYEE HEALTH INSURANCE 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 0.05 *TELEPHONE, UTILITY AND RENTAL EXPENSES 0.01 *OTHER OPERATIONAL EXPENSES 0.03 TOTAL EXPENSES 0.96 *FUNDS AVAILABLE FOR NEW EQUIPMENT, CONSTRUCTION AND CLINICAL PROGRAM IMPROVEMENT 0.04 2022 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS HEALTH PROVIDED $108,551,020.29 IN COMMUNITY BENEFITS. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR COMMUNITY. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA - FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE AS REFLECTED IN THE PREVIOUS PAGES. OUR RETURNSHIP EFFORTS EQUALED $4,747,748.34. 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 $116,032.00. UNCOMPENSATED SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS HEALTH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH-NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. INTEGRIS HEALTH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY CARE BY OFFERING FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. INTEGRIS HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED COST OF $34,901,770.58. BAD DEBT IN ADDITION, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $20,452,766.23 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO. MEDICAID SERVICES INTEGRIS HEALTH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. THIS INCLUDES THE ACTUAL UNPAID COST OF PROVIDING CARE TO MEDICAID PATIENTS AND REPRESENTS A SHORTFALL BETWEEN COST OF CARE AND PAYMENTS RECEIVED BY MEDICAID. INTEGRIS HEALTH PROVIDED MEDICAID SERVICES AT AN ESTIMATED COST OF $68,785,469.37. PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS 2022 AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB EVENT 32ND ANNUAL HISPANIC HEALTH FAIR CANCER SCREENINGS A CHANCE TO CHANGE ACHIEVERS UNDER 40 AWARD CEREMONY ACS HOPE LODGE TOPPING CEREMONY ACUPUNCTURE 101 ALZHEIMER'S ASSOCIATION ENID WALK TO END ALZ ALZHEIMER'S ASSOCIATION OKC WALK TO END ALZ AMBUCS MEETING AMERICAN CANCER SOCIETY BOARD MEETING AMERICAN CANCER SOCIETY CATTLE BARON TOURNAMENT AMERICAN CANCER SOCIETY CATTLE BARON'S NETWORKING AMERICAN CANCER SOCIETY CATTLEBARON'S BALL AMERICAN CANCER SOCIETY LUNG CANCER WEBINAR AMERICAN CANCER SOCIETY MEETING AMERICAN CANCER SOCIETY'S CATTLE BARRON BALL COMMUNITY AWARENESS E AMERICAN LUNG ASSOCIATION "FIGHT FOR AIR CLIMB" BOOTH AMERICAN LUNG ASSOCIATION 2022 PLANNING AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB PACKET PICKUP AMERICAN LUNG ASSOCIATION FIGHT FOR AIR CLIMB PLANNING MEETING ANNUAL OKLAHOMA SPORTS HALL OF FAME GOLF CLASSIC AUTRY TECH CENTER STRATEGIC PLANNING SESSION BENEFITS OF TEA CANCER SUPPORT GROUP IN SPANISH CANCERCHECK HISPANIC HEALTH FAIR CDSA WINE TOUR CELEBRATION OF LIFE, NATIONAL CANCER SURVIVORS DAY CHAMBER COMMUNITY DEVELOPMENT PARTNER- GOLD CHAMBER OF COMMERCE MEMBERSHIP CHAMPAGNE AND DIAMONDS COMMUNITY SPONSOR CHILI COOK OFF - UNITED WAY CITY RESCUE MISSION HEARTS OF HOPE CLINICAL HOURS NURSING/EMT/PARAMEDIC FY 22 COMMUNITY BENEFIT BUDGET FY 2021-22 COMMUNITY BENEFIT TRACKING COMMUNITY CLINIC FLU VACCINE DONATION COMMUNITY CLINICS BUDGET FY 2021-22 COMMUNITY HOURS FOR TIM PEHRSON, CEO, FY 2021-22 CRISTO REY ENTREPRENEUR DA ELDER ABUSE TEAM MEETING DEEP (DIABETES EMPOWERMENT EDUCATION PROGRAM) DIABETES EDUCATION AT ICC ECONOMIC DEVELOPMENT FOR TIM PEHRSON, CEO FOR FY 2021-22 EDMOND COMMUNITY HEALTH FAIR ENID CHAMBER OF COMMERCE ANNUAL MEETING ENID HIGH SCHOOL CAREER FAIR ENID HOPE SUMMIT ENID REGIONAL DEVELOPMENT ALLIANCE QUARTERLY MEETING ENID STAMPEDE/FAIRVIEW TRIATHLONS ENID STATE OF AFFAIRS MEETING ENID YOUNG PROFESSIONALS MEETING ESSENTIALS FOR SOMATIC MOVEMENT EVENING CELEBRATING OK HEALTHCARE HEROES - MARCH OF DIMES EXECUTIVE LEADERSHIP COUNCIL MEETING FACEBOOK LIVE INFORMATION SESSIONS IN SPANISH FIGHT FOR AIR CLIMB COMMITTEE MEETING FY 23 COMMUNITY BENEFIT HOURS - CLINICAL PROGRAMS GREAT LAND RUN- BRONZE SPONSOR GROCERY STORE TOUR HEALTH ALLIANCE FOR THE UNINSURED HEALTH BY CHOCOLATE HEALTHY LIVING, LIVESTRONG AT THE YMCA HEDGES SPEECH AND HEARING SILENT MOVIE HES 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 HES 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 HES 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 HISPANIC HEALTH FAIR HISPANIC RADIO, TELEVISION AND NEWSPAPER HOSPICE CIRCLE OF LOVE BENEFIT CLAY SHOOT HOSPICE CIRCLE OF LOVE MINT JULEP JUBILEE IBBHC CHIP MEETING IBBHC COMMUNITY EDUCATION STROKE AWARENESS IBBHC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS I-CREW ENID WELCOME TABLE IHBMC COMMUNITY EDUCATION STROKE AWARENESS IHBMC FY22 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS, AND FELLOWS IHBMC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHBMC NURSING, AUA, SURGICAL TECH AND PARAMEDIC STUDENT CLINICALS IHBMC OT AND OTA 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 IHBMC OT AND OTA 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 IHBMC PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING STUDENTS IHBMC PRECEPTORSHIP FOR ADVANCED DEGREE NURSING STUDENTS IHCVH COMMUNITY EDUCATION STROKE AWARENESS IHCVH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHCVH NURSING, AUA, SURGICAL TECH AND PARAMEDIC CLINICAL STUDENTS IHE COMMUNITY EDUCATION STROKE AWARENESS IHE NURSES, AUA, SURGICAL TECH AND PARAMEDIC CLINICAL STUDENTS IHGH FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHMH FY22 STUDENT, REDISENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHSMC COMMUNITY EDUCATION STROKE AWARENESS IHSMC FY22 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS, AND FELLOWS IHSMC FY22 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS IHSMC NURSES, AUA, SURGICAL TECH, PARAMEDIC CLINICAL STUDENTS IHSMC OT AND OTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 IHSMC OT AND OTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 IHSMC PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING STUDENTS IHSMC PRECEPTORSHIP FOR ADVANCED DEGREE NURSING STUDENTS IN-KIND DONATION FOR SPACE FOR MDA CLINIC IN-KIND DONATION OF STAFF FOR MDA CLINIC INTEGRIS COMMUNITY CLINIC INTEGRIS MOBILE CARE CLINIC INTEGRIS PHARMACEUTICAL ASSISTANCE PROGRAM FY 2021-22 ITN CENTRAL OKLAHOMA PROGRAMMATIC SUPPORT JOHN ADAMS-CITY OF OKC/ MAPS 3 SR WELLNESS GROUND BREAKING JOHN ADAMS-OBI AUDIT COMMITTEE MEETING JOHN ADAMS-OBI BOARD MEETING JOHN ADAMS-OKLAHOMA BOARD INSTITUTE (OBI) "VIRTUAL" BOARD MEETING JOHN ADAMS-SOUTH CHAMBER EXECUTIVE COMMITTEE MEETING JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE AT 8700 S. PENN JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE AT ENERGY FC JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE MEETING JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE COMMITTEE-ARMSTRONG BANK JOHN ADAMS-SOUTH OKC CHAMBER EXECUTIVE MEETING AT EARLYWINE YMCA JOHN ADAMS-SOUTH OKLAHOMA CITY CHAMBER BOARD MEETING JOY IN JULY JWL CHARITY GALA - TABLE SPONSOR LEADERSHIP GREATER ENID LEADERSHIP GREATER ENID GAMES COMMITTEE LEADERSHIP GREATER ENID GOLF TOURNAMENT LEADERSHIP GREATER ENID IBBHC HOST TOUR LEADERSHIP GREATER ENID ORIENTATION LEADERSHIP GREATER ENID PLANNING MEETING LEUKEMIA & LYMPHOMA SOCIETY - LIGHT THE NIGHT MEETING LEUKEMIA & LYMPHOMA SOCIETY'S LIGHT THE NIGHT T-SHIRT BOOTH LGE GOLF TOURNAMENT BRONZE SPONSOR LIGHT THE NIGHT EVENT LOAVES AND FISHES BOARD MEETING LOCAL HEALTHCARE WORKERS: A VIEW FROM THEIR EYES LYNN INSTITUTE LEGACY LUNCHEON PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED MAKE A WISH OKLAHOMA MARCH OF DIMES MEALS DONATED TO LOCAL CHURCH MEALS ON WHEELS FY 2021-22 MEDICAL STUDENT FAMILY MEDICINE ROTATION 21-22 MEDITATION MEETING WITH ATTORNEY GENERAL JOHN O'CONNER MEETING WITH GOVERNOR KEVIN STITT MEETING WITH ST. MARY'S COO MERIDIAN TECHNOLOGY STUDENTS MINDFULNESS MINDFULNESS MEDITATION MINI HEALTH FAIRS MOBILE MEALS MONTHLY LECTURES IN SPANISH MY HEALTH/OK SHINE UPDATE W/DR. KENDRICK ZOOM CALL NON-REIMBURSED IRB FEES FY 2022 (JUL 2021-JUN 2022) NUTRITION CLASS SERIES IN SPANISH OHA ADVOCACY DAY OHA CONVENTION OHA EXECUTIVE ONBOARDING MEETING OHA FEDERAL VACCINE MANDATE ZOOM CALL OHA MEMBER UPDATE ZOOM CALL OHA NW REGION CEOS AND CFOS MEDICAID PRESENTATION ZOOM CALL OHA OPEN CEREMONIES OHA PUBLIC RELATIONS AND MARKETING SOCIETY SESSION OK MEN COUNT GOLF TOURNAMENT OK PROJECT WOMAN SPONSORSHIP OKC CHAMBER "STATE OF THE CITY" OKC LIGHT THE NIGHT EXECUTIVE COMMITTEE BREAKFAST OKEENE HOSPITAL SITE VISIT OKLAHOMA BLOOD INSTITUTE BLOOD DRIVE AT INTEGRIS BASS BAPTIST HEAL OKLAHOMA CARING FOUNDATION CHAMPIONS OF HEALTH OKLAHOMA HOSPITAL ASSOCIATION OKLAHOMA NURSES ASSOCIATION OSSM BOARD OF TRUSTEES MEETING OSSM FOUNDATION BOARD MEETING OSSM TEACHER TOUR OSTEOPATHIC FOUNDATION CHARITY BALL TITLE SPONSOR PACIFIC ISLANDER HEALTH CLINIC PROJECT 31 MEETING PROJECT 31 PAINT THE TOWN PINK PROJECT 66 EDMOND-RESOURCE FAIR PROJECT WOMAN MEETING PT 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 PT 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 PT AND PTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 PT AND PTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 REMERGE LUNCHEON RESOURCE ROOM ROSE STATE COLLEGE STUDENTS ROTARY MEETING- GUEST SPEAKER SCOTT ANTHONY-EDMOND YMCA COUNCIL MEETING SEATED SOMATICS SHA COMMUNITY CLINIC SHATTUCK HOSPITAL SITE VISIT SLP 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 SLP 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 SLP 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30 2022 SLP 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2021 STANLEY HUPFELD ACADEMY BUDGET FY 2021-22 STITCHING FOR SANITY STRATEGY TEAM COMMUNITY VOLUNTEER EFFORT TENACIOUSLY TEAL SPONSORSHIP THE CHRIST TREE SPONSORSHIP- TITLE SPONSORSHIP TRINITY AT EDGMERE SCHOOL, PUBERTY PRESENTATION TURKEY DONATION TO LOAVES AND FISHES UCO COMMUNITY & PUBLIC HEALTH INTERNSHIPS UCO FAIR BOOTH UNITED WAY ANNUAL MEETING SPONSOR UNITED WAY CAMPAIGN COORDINATOR'S LUNCHEON HOSTED BY IBBHC UNITED WAY CHILI COOKOFF UNITED WAY GOLF TOURNAMENT UNITED WAY LUNCHEON UNITED WAY MEETING RECRUITING / DEVELOPING WORKFORCE UNITED WAY OF CENTRAL OKLAHOMA 100TH ANNIVERSARY UNITED WAY OF CENTRAL OKLAHOMA ANNUAL CORPORATE GIFT UNITED WAY OF CENTRAL OKLAHOMA SNOWFLAKE GALA 2022 UNITED WAY TEAMS MEETING VANCE SPOUSE'S CLUB CHARITY AUCTION YMCA GOLF TOURNAMENT YODA NIDRA EXPERIENCE YOGA HEALING THROUGH MOVEMENT/SAFER AT HOME YOGA YUKON CHAMBER OF COMMERCE 2021-2022 YUKON CITY COUNCIL MEETING YUKON PUBLIC SCHOOLS REALITY CHECK 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. FORM 990, PART VI, SECTION A, LINE 1A THE HOSPITAL ADVISORY BOARD FULFILLS THE NECESSARY GOVERNANCE AUTHORITY FOR MEDICAL STAFF MEMBERSHIP AND QUALITY OF CARE OVERSIGHT AS REQUIRED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES CONDITIONS OF PARTICIPATION. FORM 990, PART VI, SECTION A, LINE 2 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE FOLLOWING OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS OFFICERS, DIRECTORS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM: DOUGLAS M. SMITH TIMOTHY PEHRSON FORM 990, PART VI, SECTION A, LINE 6 INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS AMBULATORY CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS AMBULATORY CARE CORPORATION. AS SUCH IT HAS THE POWER (1) TO ELECT THE DIRECTORS OF THE CORPORATION AND TO REMOVE THE ENTIRE BOARD OF DIRECTORS OR ANY INDIVIDUAL DIRECTOR AT ANY TIME WITH OR WITHOUT CAUSE, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, AND (3) TO VOTE ON ALL MATTERS WHERE THE AUTHORIZATION OR APPROVAL OF THE SOLE MEMBER IS REQUIRED BY THE CERTIFICATE OF INCORPORATION, THE BYLAWS OR STATE LAW. FORM 990, PART VI, SECTION A, LINE 7B PLEASE SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION A, LINE 7A. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE SYSTEM HAS A SINGLE AUDIT COMPLIANCE COMMITTEE WHICH OVERSEES THE CONSOLIDATED FINANCIAL STATEMENT AUDIT AS WELL AS THE FILING OF FEDERAL AND STATE TAX FORMS. THE SYSTEM ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. A DRAFT FORM 990 IS PROVIDED TO THE SYSTEM VICE PRESIDENT, FINANCE FOR REVIEW. A FINAL FORM 990 IS GIVEN TO THE SYSTEM CHIEF FINANCIAL OFFICER FOR REVIEW, APPROVAL, AND SIGNATURE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, AS WELL AS TO THE SYSTEM'S AUDIT/COMPLIANCE COMMITTEE, FOR REVIEW PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS, AND REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST POLICIES DURING LEADERSHIP TRAINING. LEGAL SERVICES REVIEWS ALL CONTRACTS FOR CONFLICTS OF INTEREST. INTERNAL AUDIT CONDUCTS AUDITS FOR POSSIBLE CONFLICTS OF INTEREST BASED ON THEIR ANNUAL RISK ASSESSMENT. CORPORATE COMPLIANCE INCLUDES ASSESSMENTS FOR CONFLICTS OF INTEREST IN ITS ANNUAL WORK PLAN AND CONDUCTS SPECIALIZED TRAINING FOR HIGH RISK AREAS. THE GOVERANCE COMMITTEE, A COMMITTEE OF THE INTEGRIS HEALTH BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF INTEGRIS AND A DISQUALIFIED PERSON. FORM 990, PART VI, SECTION B, LINE 15B PART VI: QUESTION 15B - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). COMPENSATION FOR VICE PRESIDENTS IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE INTEGRIS HEALTH BOARD OF DIRECTORS AND ULTIMATELY THE FULL BOARD OF DIRECTORS. THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REFLECTS A REVIEW OF THE COMPARABILITY DATA, THE EXECUTIVE PERFORMANCE REVIEWS AND THE DECISION-MAKING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION. FORM 990, PART XI, LINE 9: INCOME FROM SUBSIDIARY - FOUNDATION 100% 512,273. CARAVAN HEALTH ACO 34 LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 300865115 ACO DE IACC INTEGRIS HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731192764 HEALTH CARE OK 501(C)(3) LINE 12A, I N/A 0 INTEGRIS HOSPICE INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731369586 HEALTH CARE OK 501(C)(3) LINE 10 IH 0 INTEGRIS BAPTIST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731034824 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS RURAL HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731444504 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS SOUTHWEST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731089149 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HEALTH FOUNDATION INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731047338 FUNDRAISING OK 501(C)(3) LINE 7 IH 0 WESTERN VILLAGE ACADEMY INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731588764 SCHOOL OK 501(C)(3) LINE 2 IACC 1 INTEGRIS HEALTH EDMOND INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 451027361 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS MENTAL HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 730738716 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HEALTH ALLSET URGENT CARE LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 923075963 HEALTH CARE OK 501(C)(3) IACC 0 BMPA LTD 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731228665 MED. 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