TY 2013 Form 990

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	12,581	12,581
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	278,464	278,464
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	84,035,595	84,035,595	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,457,311	3,457,311	0
9	Other employee benefits .......	5,407,324	5,407,324	0
10	Payroll taxes ...........	3,973,160	3,973,160	0
11	Fees for services (non-employees):
a	Management ......	94,427	94,427
b	Legal .........	9,837	0	9,837
c	Accounting ...........	50,906	0	50,906
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	8,018,640	52,636	7,966,004	0
12	Advertising and promotion ....	586,943	147,235	439,708
13	Office expenses .......	7,987,419	7,424,876	562,543
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	5,862,848	5,590,298	272,550
17	Travel ............	495,642	412,571	83,071
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	275,961	237,681	38,280
20	Interest ...........	41,344	0	41,344
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	1,628,657	1,599,807	28,850
23	Insurance ..............	1,601,688	1,620,884	-19,196
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PURCHASED SERVICES	12,496,105	8,085,876	4,410,229	0
b	RIF & RECRUITMENT	1,122,063	1,058,336	63,727	0
c	DUES & MEMBERSHIPS	248,377	238,796	9,581	0
d	SPECIAL FUNCTIONS	194,643	123	194,520	0
e	All other expenses	817,699	687,497	130,202
25	Total functional expenses. Add lines 1 through 24e	138,697,634	124,415,478	14,282,156	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	25,619	1	23,172
2	Savings and temporary cash investments .........	67,729,723	2	61,380
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	4,566,595	4	12,655,742
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	0	8	178,349
9	Prepaid expenses and deferred charges ..........	123,593	9	166,866
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	23,858,864
b	Less: accumulated depreciation .....	10b	14,439,215	5,544,745	10c	9,419,649
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	2,837,408	12	3,451,874
13	Investments—program-related. See Part IV, line 11 .....	23,619,050	13	24,285,509
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	31,680	15	916,577
16	Total assets. Add lines 1 through 15 (must equal line 34)......	104,478,413	16	51,159,118
	17	Accounts payable and accrued expenses .........	9,247,675	17	12,504,929
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	71,428,764	25	13,758
26	Total liabilities. Add lines 17 through 25.........	80,676,439	26	12,518,687
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	23,801,974	27	38,640,431
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	23,801,974	33	38,640,431
34	Total liabilities and net assets/fund balances ........	104,478,413	34	51,159,118


Name of organization INTEGRIS AMBULATORY CARE CORPORATION	Employer identification number 73-1192765
Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)


Name of organization INTEGRIS AMBULATORY CARE CORPORATION	Employer identification number 73-1192765
Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

	(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

		Amount
c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Description of property	(a) Cost or other basis (investment)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	70,327		70,327
b	Buildings ................	5,239,106	2,323,160	2,915,946
c	Leasehold improvements ............	1,920,925	1,252,371	668,554
d	Equipment ................	16,388,136	10,765,627	5,622,509
e	Other .................	240,370	98,057	142,313
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......	9,419,649

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) INVESTMENT IN LAKESIDE	17,156,247	F
(2) INVESTMENT IN FRESENIUS	544,827	F
(3) INVESTMENT IN ADVANCED	171,288	F
(4) INVESTMENT IN SW ORTHO	5,772,900	F
(5) INVESTMENT IN MEDICAL PLAZA	640,247	F




Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	24,285,509

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................	2e
3	Subtract line 2e from line 1.....................	3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................	4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................	2e
3	Subtract line 2e from line 1.....................	3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................	4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORPORATION

Employer identification number

73-1192765

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	214,983	214,983	0.160 %
b	Medicaid (from Worksheet 3, column a) ....	474,534	474,534	0.340 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	689,517	689,517	0.500 %
Other Benefits		2,789,964	2,789,964	2.010 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,789,964	2,789,964	2.010 %
f	Health professions education (from Worksheet 5) ..	3,328	3,328
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	10,976	10,976	0.010 %
j	Total. Other Benefits ..	2,804,268	2,804,268	2.020 %
k	Total. Add lines 7d and 7j .	3,493,785	3,493,785	2.520 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	367,530	367,530	0.260 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	367,530	367,530	0.260 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

5,084,554

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

254,228

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,698,496

Enter Medicare allowable costs of care relating to payments on line 5.....

1,825,804

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-127,308

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1LAKESIDE WOMEN'S	WOMEN'S HEALTH	75.000 %	25.000 %
2ADVANCED IMAGING LLC	RADIOLOGY IMAGING CENTER	50.000 %	50.000 %
3MED PLAZA IMAGING	RADIOLOGY IMAGING CENTER	50.000 %	50.000 %
4SW AMB SURGERY CTR	AMBULATORY SURGERY CENTER	19.000 %	58.000 %
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number
1	OKLAHOMA CENTER FOR ORTHOPAEDIC & 330 SOUTHWEST 80TH STREET OKLAHOMA CITY,OK73139 WWW.INTEGRISOK.COM 2347	X	X	X
2	LAKESIDE WOMEN'S HOSPITAL LLC 11200 N PORTLAND OKLAHOMA CITY,OK73120 WWW.INTEGRISOK.COM 2339	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	OKLAHOMA CENTER FOR ORTHOPAEDIC &
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	LAKESIDE WOMEN'S HOSPITAL LLC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
SUPPLEMENTAL INFORMATION 1	SCHEDULE H, PART V: 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 BELOW.
SUPPLEMENTAL INFORMATION 2	PART V, SECTION B, LINE 3: PUBLIC HEALTH EXPERTISE WAS UTILIZED WITH EACH FACILITY USING THE OKLAHOMA STATE DEPARTMENT OF HEALTH'S TURNING POINT CONSULTANT. EACH CONSULTANT GAVE THEIR INPUT BASED ON COUNTY DATA AND GAVE THEIR APPROVAL OF THE CHOSEN INDICATORS. THEY ALSO SIGNED IN APPROVAL OF THE OVERALL STRATEGIC PLAN. EACH CONSULTANT HELPED THE INDIVIDUAL COALITIONS PRIORITIZE THEIR COUNTY'S NEEDS BASED ON SEVERAL FACTORS. PUBLIC HEALTH EXPERTS INCLUDED: CENTRAL OKLAHOMA TURNING POINT WELLNESS CHAIR: KEITH KLESZYNSKI IN CONDUCTING THE CHNA, THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SURVEYS, LISTENING SESSIONS, FOCUS GROUPS, AND LOCAL DATA COLLECTION. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINIC, CHURCHES, HEALTH DEPARTMENT, HUMAN SERVICES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES.
SUPPLEMENTAL INFORMATION 3	PART V, SECTION B, LINE 4: THE FACILITIES LISTED IN THE METRO AREA USED THE SAME SURVEY, BUT SOME CONTENTS OF THE PLANS WERE CHANGED DUE TO SOME DEMOGRAPHIC ASPECTS OF THE COMMUNITIES (IE LARGE HISPANIC POPULATION, HIGHER SOCIO ECONOMIC FACTORS, ETC). THOSE FACILITIES INCLUDED: INTEGRIS HEALTH EDMOND, INTEGRIS BAPTIST MEDICAL CENTER, LAKESIDE WOMEN'S HOSPITAL, OKLAHOMA CENTER OF ORTHOPEDIC MULTI-SPECIALTY SURGERY, INTEGRIS SOUTHWEST MEDICAL CENTER, AND INTEGRIS CANADIAN VALLEY HOSPITAL. DUE TO THEIR CLOSE PROXIMITY AND GEOGRAPHIC LOCATION, INTEGRIS GROVE HOSPITAL AND INTEGRIS BAPTIST REGIONAL HEALTH CENTER USED THE SAME. INTEGRIS BASS BAPTIST HEALTH CENTER AND INTEGRIS NORTHWEST SPECIALTY HOSPITAL USED THE SAME SURVEY SINCE THEY SHARE THE SAME ZIP CODE. EACH FACILITY PLACED THE ASSESSMENT SURVEY ON THEIR WEB SITE'S HOME PAGE.
SUPPLEMENTAL INFORMATION 4	PART V, SECTION B, LINE 5D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS, AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL.
SUPPLEMENTAL INFORMATION 5	PART V, SECTION B, LINE 7: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS SERVICE AREAS. MANY OF THE NEEDS IDENTIFIED WERE COMMON WITHIN THE VARIOUS SERVICE AREAS, INCLUDING HEART DISEASE, DIABETES, TOBACCO USE, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE. OTHERS, HOWEVER, SUCH AS CHILD ABUSE AND TEEN PREGNANCY, WERE NOT AS PREDOMINANT. THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THESE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS TO DETERMINE WHICH NEEDS COULD MOST EFFECTIVELY BE IMPACTED BY INTEGRIS THROUGH ADMINISTRATION OF THE DEVELOPED CHIP AND WHICH, IF ANY OF THE REMAINING, WERE CURRENTLY BEING ADDRESSED THROUGH OTHER COMMUNITY RESOURCES AND/OR SERVICES. INTEGRIS OPTED TO CONCENTRATE ON THE SAME THREE FOCUS AREAS FOR THE CHIPS IN EACH OF THE SERVICE AREAS-HEART DISEASE, MENTAL HEALTH, AND OBESITY-BELIEVING THAT A UNITED EFFORT WOULD ALLOW FOR A SHARING OF RESOURCES, PERSONNEL, PROGRAMS, ETC. AND ENSURE CONSISTENCY IN IMPLEMENTATION AND EVALUATION METHODS, THEREBY INCREASING THE POTENTIAL TO MORE EFFECTIVELY COMBAT THE ISSUES SYSTEM-WIDE. OTHER COMMONLY IDENTIFIED NEEDS SUCH AS DIABETES, TOBACCO USE, AND SUBSTANCE ABUSE THAT ARE ASSOCIATED RISK FACTORS FOR THE PRIMARY FOCUS AREAS ARE ADDRESSED IN ONE OR MORE OF THOSE RESPECTIVE SECTIONS OF THE CHIP. IT WAS DETERMINED THAT THE REMAINING NEEDS THAT WERE HIGHLY PRIORITIZED WITHIN CERTAIN SERVICE AREAS WERE PREVIOUSLY IDENTIFIED AND ALREADY BEING ADDRESSED THROUGH LOCAL AGENCY AND/OR COALITION AND PARTNERSHIP EFFORTS WITHIN THE COMMUNITIES. AS SUCH, INTEGRIS COMMITTED TO PROVIDE SUPPORT AND RESOURCES TO THE COMMUNITY PARTNERS TAKING THE LEAD ON THOSE PARTICULAR ISSUES.
SUPPLEMENTAL INFORMATION 6	PART V, SECTION B, LINE 5A WWW.INTEGRISOK.COM/COMMUNITY-HEALTH-IMPROVEMENT

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	SOUTHWEST AMBULATORY SURGERY CENTER LLC 8125 SOUTH WALKER OKLAHOMA CITY,OK73139	AMBULATORY SURGERY CENTER
2	FRESENIUS INTEGRIS LLC 920 WINTER STREET WALTHAM,MA02451	DIALYSIS CENTER
3	MEDICAL PLAZA IMAGING CENTER 3330 NW 56TH OKLAHOMA CITY,OK73112	RADIOLOGY IMAGING CENTER
4	ADVANCED IMAGING LLC 3330 NW 56TH SUITE 206 OKLAHOMA CITY,OK73112	RADIOLOGY IMAGING CENTER
5
6
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SUPPLEMENTAL INFORMATION 1	SCHEDULE H, PART V: 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 BELOW.
SUPPLEMENTAL INFORMATION 2	PART V, SECTION B, LINE 3: PUBLIC HEALTH EXPERTISE WAS UTILIZED WITH EACH FACILITY USING THE OKLAHOMA STATE DEPARTMENT OF HEALTH'S TURNING POINT CONSULTANT. EACH CONSULTANT GAVE THEIR INPUT BASED ON COUNTY DATA AND GAVE THEIR APPROVAL OF THE CHOSEN INDICATORS. THEY ALSO SIGNED IN APPROVAL OF THE OVERALL STRATEGIC PLAN. EACH CONSULTANT HELPED THE INDIVIDUAL COALITIONS PRIORITIZE THEIR COUNTY'S NEEDS BASED ON SEVERAL FACTORS. PUBLIC HEALTH EXPERTS INCLUDED: CENTRAL OKLAHOMA TURNING POINT WELLNESS CHAIR: KEITH KLESZYNSKI IN CONDUCTING THE CHNA, THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SURVEYS, LISTENING SESSIONS, FOCUS GROUPS, AND LOCAL DATA COLLECTION. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINIC, CHURCHES, HEALTH DEPARTMENT, HUMAN SERVICES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES.
SUPPLEMENTAL INFORMATION 3	PART V, SECTION B, LINE 4: THE FACILITIES LISTED IN THE METRO AREA USED THE SAME SURVEY, BUT SOME CONTENTS OF THE PLANS WERE CHANGED DUE TO SOME DEMOGRAPHIC ASPECTS OF THE COMMUNITIES (IE LARGE HISPANIC POPULATION, HIGHER SOCIO ECONOMIC FACTORS, ETC). THOSE FACILITIES INCLUDED: INTEGRIS HEALTH EDMOND, INTEGRIS BAPTIST MEDICAL CENTER, LAKESIDE WOMEN'S HOSPITAL, OKLAHOMA CENTER OF ORTHOPEDIC MULTI-SPECIALTY SURGERY, INTEGRIS SOUTHWEST MEDICAL CENTER, AND INTEGRIS CANADIAN VALLEY HOSPITAL. DUE TO THEIR CLOSE PROXIMITY AND GEOGRAPHIC LOCATION, INTEGRIS GROVE HOSPITAL AND INTEGRIS BAPTIST REGIONAL HEALTH CENTER USED THE SAME. INTEGRIS BASS BAPTIST HEALTH CENTER AND INTEGRIS NORTHWEST SPECIALTY HOSPITAL USED THE SAME SURVEY SINCE THEY SHARE THE SAME ZIP CODE. EACH FACILITY PLACED THE ASSESSMENT SURVEY ON THEIR WEB SITE'S HOME PAGE.
SUPPLEMENTAL INFORMATION 4	PART V, SECTION B, LINE 5D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS, AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL.
SUPPLEMENTAL INFORMATION 5	PART V, SECTION B, LINE 7: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS SERVICE AREAS. MANY OF THE NEEDS IDENTIFIED WERE COMMON WITHIN THE VARIOUS SERVICE AREAS, INCLUDING HEART DISEASE, DIABETES, TOBACCO USE, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE. OTHERS, HOWEVER, SUCH AS CHILD ABUSE AND TEEN PREGNANCY, WERE NOT AS PREDOMINANT. THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THESE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS TO DETERMINE WHICH NEEDS COULD MOST EFFECTIVELY BE IMPACTED BY INTEGRIS THROUGH ADMINISTRATION OF THE DEVELOPED CHIP AND WHICH, IF ANY OF THE REMAINING, WERE CURRENTLY BEING ADDRESSED THROUGH OTHER COMMUNITY RESOURCES AND/OR SERVICES. INTEGRIS OPTED TO CONCENTRATE ON THE SAME THREE FOCUS AREAS FOR THE CHIPS IN EACH OF THE SERVICE AREAS-HEART DISEASE, MENTAL HEALTH, AND OBESITY-BELIEVING THAT A UNITED EFFORT WOULD ALLOW FOR A SHARING OF RESOURCES, PERSONNEL, PROGRAMS, ETC. AND ENSURE CONSISTENCY IN IMPLEMENTATION AND EVALUATION METHODS, THEREBY INCREASING THE POTENTIAL TO MORE EFFECTIVELY COMBAT THE ISSUES SYSTEM-WIDE. OTHER COMMONLY IDENTIFIED NEEDS SUCH AS DIABETES, TOBACCO USE, AND SUBSTANCE ABUSE THAT ARE ASSOCIATED RISK FACTORS FOR THE PRIMARY FOCUS AREAS ARE ADDRESSED IN ONE OR MORE OF THOSE RESPECTIVE SECTIONS OF THE CHIP. IT WAS DETERMINED THAT THE REMAINING NEEDS THAT WERE HIGHLY PRIORITIZED WITHIN CERTAIN SERVICE AREAS WERE PREVIOUSLY IDENTIFIED AND ALREADY BEING ADDRESSED THROUGH LOCAL AGENCY AND/OR COALITION AND PARTNERSHIP EFFORTS WITHIN THE COMMUNITIES. AS SUCH, INTEGRIS COMMITTED TO PROVIDE SUPPORT AND RESOURCES TO THE COMMUNITY PARTNERS TAKING THE LEAD ON THOSE PARTICULAR ISSUES.
SUPPLEMENTAL INFORMATION 6	PART V, SECTION B, LINE 5A WWW.INTEGRISOK.COM/COMMUNITY-HEALTH-IMPROVEMENT

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
INTEGRIS AMBULATORY CARE CORPORATION

Employer identification number
73-1192765

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) HERITAGE HALL SCHOLARSHIP	1	12,581

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
SUPPLEMENTAL INFORMATION 1	SCHEDULE I, PART I, LINE 2 HERITAGE HALL SCHOLARSHIPS - STUDENTS FROM WESTERN VILLAGE ACADEMY ARE SELECTED FOR A MULTI-YEAR SCHOLARSHIP TO HERITAGE HALL. ACADEMIC EXCELLENCE AND EXEMPLARY CHARACTER ARE THE DETERMINING FACTORS WHEN SELECTED BY THE WESTERN VILLAGE ACADEMY BOARD.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORPORATION

Employer identification number

73-1192765

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)C BRUCE LAWRENCEDIRECTOR	(i) (ii)	0 910,895	0 2,086	0 23,687	0 49,827	0 14,528	0 1,001,023	0 0
(2)WENTZ MILLERASST.TREASURER/VP/DIRECTOR	(i) (ii)	0 453,867	0 0	0 20,485	0 71,432	0 12,893	0 558,677	0 0
(3)BETH PAUCHNIKDIRECTOR/SECRETARY	(i) (ii)	0 399,604	0 0	0 13,483	0 71,629	0 12,675	0 497,391	0 0
(4)JOHN S CHAFFINPHYSICIAN	(i) (ii)	1,195,726 0	480 0	17,572 0	25,500 0	19,591 0	1,258,869 0	0 0
(5)C CRAIG ELKINSPHYSICIAN	(i) (ii)	1,197,861 0	480 0	3,193 0	10,565 0	19,772 0	1,231,871 0	0 0
(6)BRIAN V GEISTERPHYSICIAN	(i) (ii)	952,655 0	96,430 0	3,612 0	15,300 0	14,253 0	1,082,250 0	0 0
(7)ROMEO MANDANASPHYSICIAN	(i) (ii)	902,000 0	90,380 0	3,058 0	7,650 0	19,454 0	1,022,542 0	0 0
(8)IMRAN S VIRKPHYSICIAN	(i) (ii)	768,608 0	1,134,476 0	2,083 0	7,650 0	8,773 0	1,921,590 0	0 0
(9)STANLEY F HUPFELDFORMER OFFICER & DIRECTOR	(i) (ii)	0 36,273	0 9,108	0 10,465	0 6,486	0 5,508	0 67,840	0 0
(10)JEFFREY CRUZANCLINIC PHYSICIAN/MEDICAL DIR.	(i) (ii)	411,944 0	126,988 0	4,233 0	10,200 0	16,115 0	569,480 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SUPPLEMENTAL INFORMATION 1	SCHEDULE J, 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 COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION.
SUPPLEMENTAL INFORMATION 2	SCHEDULE J, PART I, LINE 4B 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 NONQUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT DURING THE YEAR. C. BRUCE LAWRENCE WENTZ MILLER BETH PAUCHNIK
SUPPLEMENTAL INFORMATION 3	SCHEDULE J, PART I, LINE 7 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. IN THE SECOND PLAN, CERTAIN EMPLOYED PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION PURSUANT TO THEIR WRITTEN EMPLOYMENT AGREEMENTS. ALL INCENTIVE COMPENSATION IS SUBJECT TO A CAP AND DOES NOT EXCEED 50% OF THE PHYSICIAN'S TOTAL COMPENSATION. THERE ARE A VARIETY OF METHODS USED TO CALCULATE INCENTIVE COMPENSATION BASED ON THE PHYSICIAN'S PERSONAL PRODUCTION, RANGING FROM (I) A SPECIFIED PERCENTAGE OF NET INCOME LESS EXPENSES; (II) A SPECIFIED PERCENTAGE OF TOTAL COLLECTIONS LESS EXPENSES; (III) A SPECIFIED PERCENTAGE OF BASE SALARY BASED COMPLIANCE WITH CERTAIN QUALITY, PATIENT SATISFACTION, PRODUCTION AND FINANCIAL INDICATORS; (IV) A SPECIFIED PERCENTAGE OF BASE SALARY BASED ON COMPLIANCE WITH QUALITY, GUIDING VALUES, PATIENT SATISFACTION AND PRODUCTRION CRITERIA; (V) A SPECIFIED PERCENTAGE OF FEE-BASED COLLECTIONS AND CAPITATION COLLECTIONS, IF APPLICABLE, IN EXCESS OF QUARTERLY SALARY; (VI) QUARTERLY BONUSES MEASURED BY RVUS THAT EXCEED A SPECIFIED TARGET PER QUARTER; AND (VII) PRO RATA SHARE OF ANNUAL INCENTIVE POOLS BASED UPON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORPORATION

Employer identification number

73-1192765

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SEE PART V				No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SUPPLEMENTAL INFORMATION 1

SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF INTERESTED PERSON: DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $235,094 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO (A) NAME OF INTERESTED PERSON: INTEGRIS PROHEALTH, INC. (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $140,288 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO (A) NAME OF INTERESTED PERSON: INTEGRIS HEALTH PARTNERS, LLC (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $175,999 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO

SUPPLEMENTAL INFORMATION 2

SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS THE FILING ORGANIZATION AND THE INTERESTED PERSON ARE BOTH AFFILIATES WITHIN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. THERE ARE OVERLAPPING BOARD MEMBERS, OFFICERS, AND MANAGEMENT THROUGHOUT THE SYSTEM. ALL OF THE AFFILIATED ENTITIES WITHIN THE SYSTEM ARE EITHER DIRECTLY OR INDIRECTLY 100% CONTROLLED BY THE PARENT ENTITY, INTEGRIS HEALTH, INC., OR IF THERE IS THIRD PARTY OWNERSHIP IN ANY AFFILIATED ENTITY, THOSE THIRD PARTY OWNERS ARE NOT OFFICERS, DIRECTORS, OR KEY EMPLOYEES OF THE FILING ORGANIZATION. THE TRANSACTIONS REPORTED ON SCHEDULE L, PART IV CONSIST OF ROUTINE TRANSACTIONS WITHIN THE ACTIVITY OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE TRANSACTIONS INCLUDE EXPENSE REIMBURSEMENTS, LEASING OF FACILITIES, PURCHASE OF SERVICES, EQUITY CONTRIBUTIONS AND DISTRIBUTIONS, AND OTHER INTERCOMPANY TRANSFERS.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets

Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Information about Schedule N (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
INTEGRIS AMBULATORY CARE CORPORATION

Employer identification number
73-1192765

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed. Click to see attachment

1(a)Description of asset(s) distributed or transaction expenses paid	(b)Date of distribution	(c)Fair market value of asset(s) distributed or amount of transaction expenses	(d)Method of determining FMV for asset(s) distributed or transaction expenses	(e)EIN of recipient	(f)Name and address of recipient	(g)IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .

Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2013)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III . . . . . . . . . . .

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .

If "Yes," did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .

Did the organization discharge or pay all of its liabilities in accordance with state laws? . . . . . . . . . . . . . . . . .

Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .

Did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws? .

If "Yes" to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No," explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
REIMBURSEMENT OF EXPENSES	156,770,901	COST	73-1192764	INTEGRIS HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLAHOMA CITY,OK73112	501(C)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .

Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

Schedule N(Form 990 or 990-EZ) (2013)

Schedule N (Form 990 or 990-EZ) (2013)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference

Explanation

SUPPLEMENTAL INFORMATION 1

SCHEDULE N, PART II, LINE 2A AND 2B INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS A MEMBER OF INTEGRIS HEALTH (INTEGRIS), AN INTEGRATED HEALTHCARE SYSTEM. IACC IS REIMBURSING INTEGRIS FOR EXPENSES RELATED TO MANAGEMENT, HOUSEKEEPING, UTILITIES, SECURITY AND OTHER INTEGRATED SERVICES PROVIDED BY INTEGRIS. THE FOLLOWING INDIVIDUALS WERE OFFICERS, DIRECTORS, OR EMPLOYEES OF BOTH ORGANIZATIONS AT THE TIME OF THE TRANSACTIONS: C. BRUCE LAWRENCE WENTZ MILLER BETH PAUCHNIK DAVID R. HADLEY

Schedule N (Form 990 or 990-EZ) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORPORATION

Employer identification number

73-1192765

Return Reference	Explanation
GENERAL STATEMENT 1	FORM 990, BOX C: DOING BUSINESS AS CHEST PAIN EMERGENCY CENTER MEDICAL PLAZA IMAGING CENTER MEDICAL PLAZA SURGERY CENTER PROHEALTH LABORATORY MERIDIAN OCCUPATIONAL HEALTH CENTER MERIDIAN PRIORITY OCCUPATIONAL HEALTH CENTER FAMILY PHYSICIANS OF OKLAHOMA CITY PACER FITNESS CENTER INTEGRIS HOMECARE PLUS SAMARITAN HEALTH SERVICES INTEGRIS FAMILY CARE CENTER SOUTH PENN FAMILY MEDICINE CENTER SOUTH PENN FAMILY MEDICINE CLINIC SAMARITAN HOME INFUSION INTEGRIS AMBULATORY CARE REHABILITATION SERVICES SAMARITAN HOME BASED SERVICES BAPTIST COMMUNITY CLINIC HELP INTEGRIS COCHLEAR IMPLANT CLINIC INNER EAR RESEARCH TEAM INTEGRIS MEDICAL GROUP
GENERAL STATEMENT 2	PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS INCLUDED IN THE INTEGRIS HEALTH SYSTEM. IACC PROVIDED $6,395,181 UNPAID BILLED CHARGES FOR UNCOMPENSATED CARE DURING THE YEAR. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT SEE THE ATTACHED COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O BEGINNING WITH STATEMENT 3 THROUGH 6.
GENERAL STATEMENT 3	PART III, LINE 4A: COMMUNITY BENEFIT REPORT LOOKING BACK AT 2014 AS I REFLECT ON 2014 - I FIND MYSELF PROUD OF THE COLLECTIVE ACCOMPLISHMENTS OF INTEGRIS. ALREADY OKLAHOMA'S LARGEST HEALTH CARE SYSTEM, OUR STRONG GROWTH CONTINUED LAST YEAR WITH NEW PROVIDER FACILITIES OPENING IN OKLAHOMA CITY, MOORE, ENID AND VINITA. EXPANSIONS ARE UNDERWAY IN EDMOND AND YUKON WITH EVEN MORE LOCATIONS PLANNED THIS YEAR. INTEGRIS CONTINUES TO INVEST MILLIONS TO HELP ENSURE OUR FACILITIES AND TECHNOLOGY OFFERINGS ARE STATE-OF-THE-ART. WE EMPLOY - AND CONTINUALLY RECRUIT - THE FINEST PHYSICIANS, CLINICIANS AND OTHER PROFESSIONALS TO EXPAND OUR CARE CONTINUUM TO MEET OUR CUSTOMERS' NEEDS. HUNDREDS OF THOUSANDS OF OKLAHOMANS ARE HEALTHIER TODAY, THANKS TO THE EXCELLENT CARE INTEGRIS PROVIDES, AND WE ARE WORKING EVERY DAY TO MAKE ACCESS TO INTEGRIS CARE EVEN EASIER. FRANKLY, IT IS IMPOSSIBLE TO LIST ALL THE ACCOMPLISHMENTS; HOWEVER, 2014 WAS A YEAR OF STRONG SUCCESSES FOR INTEGRIS AS AN ORGANIZATION. OUR GAINS HAVE BEEN STRATEGIC AND REFLECT OUR DELIBERATE FOCUS ON SERVICE, CLINICAL, OPERATIONAL AND TEAM EXCELLENCE AND OUR CONTINUED MOMENTUM TOWARD ONE INTEGRIS. THESE ARE A FEW HIGHLIGHTS DURING THE PAST YEAR FOR WHICH I AM MOST PROUD. * ACHIEVEMENT OF THE OKLAHOMA QUALITY AWARD AT THE HIGHEST LEVEL: EXCELLENCE * THE STRONG AND CONSISTENTLY UPWARD TREND OF OUR HCAHPS AND PATIENT SATISFACTION SCORES * DISTINCTIONS SUCH AS US NEWS & WORLD REPORT #1 HOSPITAL, CONSUMER RESEARCH CORPORATION'S CONSUMER CHOICE WINNER, HEALTHGRADES TOP PERFORMER, BECKER'S TOP 100, WOMEN'S CHOICE AWARD WINNER AND PRESS GANEY GUARDIAN AWARDS * LEADING PRACTICES DESIGNATION FOR OUR HOSPITALS, FAMILY CARE CLINICS, FACILITY CAFETERIAS - EVEN THE OKLAHOMA CITY PUBLIC CHARTER SCHOOL, STANLEY HUPFELD ACADEMY, THAT INTEGRIS OPERATES - ALL RECOGNIZED AND DESIGNATED AS OFFICIAL OKLAHOMA CERTIFIED HEALTHY LOCATIONS * RECORD-SETTING UNITED WAY AND THE INTEGRIS FOUNDATION'S YOU&I CAMPAIGNS AS I REFLECT BACK, I BECOME SO ENERGIZED BY OUR SUCCESSES OF 2014 - AND THE OPPORTUNITIES WE HAVE CREATED FOR OURSELVES - THAT I BEGIN TO FOCUS ON THE EVEN MORE EXCITING POSSIBILITIES FOR 2015: WORKING TOGETHER WITH OUR EMPLOYEES TO MAKE IT OUR MOST SUCCESSFUL YEAR EVER! SINCERELY, BRUCE LAWRENCE PRESIDENT AND CEO, INTEGRIS HEALTH COMMUNITY OUTREACH SERVICE TO THE COMMUNITY IS THE FOUNDATION ON WHICH INTEGRIS IS BUILT; OUR FOCUS AND OUR REASON FOR BEING. THAT'S PRECISELY WHY THE INTEGRIS COMMUNITY WELLNESS DEPARTMENT WAS ESTABLISHED IN 1992. RESEARCH SHOWS THAT OKLAHOMANS ARE DYING AT A RATE 22 PERCENT HIGHER THAN THE NATIONAL AVERAGE. IN ORDER TO ADDRESS THESE HEALTH RELATED CONCERNS, OUR OUTREACH PROGRAMS INCLUDE FREE CLINICS, HEALTH SCREENINGS, EDUCATIONAL SEMINARS AND A WIDE RANGE OF OTHER PROGRAMS. ADOPT-A-FAMILY LAUNCHED IN 1992, INTEGRIS HEALTH'S ADOPT-A-FAMILY INITIATIVE IDENTIFIES FAMILIES AND INDIVIDUALS WITHIN OUR COMMUNITY WHO MAY NOT RECEIVE GIFTS DURING THE HOLIDAY SEASON. EMPLOYEES, VOLUNTEERS AND DEPARTMENTS JOIN TOGETHER IN THE SPIRIT OF GIVING AND ADOPT RECIPIENTS WHO HAVE BEEN SELECTED FROM SEVERAL ELEMENTARY SCHOOLS, SENIOR CENTERS AND CHURCHES AS WELL AS PATIENTS AT THE INTEGRIS MENTAL HEALTH FACILITIES IN SPENCER AND ENID. ON AVERAGE, ADOPT-A-FAMILY SPONSORS MORE THAN 100 FAMILIES, SENIOR CITIZENS AND CHILDREN ANNUALLY. FOR MORE INFORMATION, CALL 405-717-9870. CHANGING YOUR WEIGHS THIS EIGHT-WEEK WEIGHT LOSS PROGRAM WAS DEVELOPED AND IS TAUGHT BY HEALTH PROFESSIONALS. AS THE NAME IMPLIES, THE PROGRAM FOCUSES ON LOSING WEIGHT THROUGH LIFESTYLE CHANGES. THIS PROGRAM IS EDUCATIONAL IN NATURE AND INCLUDES PRACTICAL TIPS FOR CHOOSING A CALORIE BALANCED STYLE OF EATING IN CONJUNCTION WITH INCREASING PHYSICAL ACTIVITY. SPECIAL EMPHASIS IS PLACED ON SETTING REALISTIC GOALS, AND ADOPTING LIFESTYLE HABITS THAT REDUCE HEALTH RISKS. CHANGING YOUR WEIGHS IS A NO-NONSENSE APPROACH TO LIFE-LONG WEIGHT MANAGEMENT. FOR MORE INFORMATION, CALL 405-717-9875. COUCH TO 5K THIS IS AN EIGHT-WEEK PROGRAM DESIGNED TO GET PARTICIPANTS OFF THE COUCH. THE PROGRAM BEGINS SLOWLY SO THAT PEOPLE IN ALL FITNESS LEVELS ARE ABLE TO ADAPT GRADUALLY. THE CULMINATION OF THE PROGRAM IS EITHER WALKING OR RUNNING YOUR FIRST 5K! FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277. I-CREW INTEGRIS - CARING AND RESPONDING IN EVERY WAY THE INTEGRIS CREW ALLOWS US TO TAP INTO THE VAST EMPLOYEE RESOURCES ACROSS OUR ORGANIZATION. ALL INTEGRIS EMPLOYEES HAVE THE OPPORTUNITY TO PARTICIPATE. BY COLLABORATING WITH THE APPROPRIATE COMMUNITY AGENCIES, THE INTEGRIS CREW PROVIDES VOLUNTEERS FOR COMMUNITY FUNCTIONS AND PROJECTS. BY SERVING ON THE I-CREW, WE NOT ONLY MAKE A DIFFERENCE, BUT ALSO ENJOY FUN AND FELLOWSHIP WITH OUR INTEGRIS FAMILY. MORE THAN 500 INTEGRIS EMPLOYEES INCLUDING EXECUTIVE LEADERS HAVE VOLUNTEERED THEIR TIME TO THIS PROJECT. FOR MORE INFORMATION, CALL 405-717-9870. INTEGRIS COMMUNITY CLINIC IN JANUARY 1993, INTEGRIS HEALTH OPENED A FREE MEDICAL CLINIC IN THE INNER CITY OF OKLAHOMA CITY. THE CLINIC OFFERS ADULT PATIENTS CARE FOR CHRONIC DISEASES, DIABETES CLASSES AND LIMITED DIABETES EYE EXAMS, AND HAS A PHARMACY FOR ITS PATIENTS. WITH ALMOST ONE IN FOUR OKLAHOMANS UNINSURED, THE NEED FOR HEALTH CARE IS GREAT. WE HAVE MADE AN IMPACT IN THE COMMUNITY BY HELPING THOUSANDS OF PATIENTS THROUGH THE YEARS WITH A VARIETY OF NEEDS. THE CLINIC OPERATES THREE EVENINGS A MONTH, AND SEES APPROXIMATELY 80-100 PATIENTS EACH NIGHT. FOR MORE INFORMATION, CALL 405-717-9872. INTEGRIS HEALTH'S TOBACCO FREEDOM PROGRAM THIS PROGRAM IS DESIGNED TO ASSIST THE PEOPLE IN THE COMMUNITIES WE SERVE TO IMPROVE THEIR CHANCES OF STOPPING SMOKING OR USING SMOKELESS TOBACCO. A TOBACCO TREATMENT SPECIALIST IS AVAILABLE TO PROVIDE EDUCATION ON NICOTINE DEPENDENCE, ANSWER QUESTIONS AND SCHEDULE CONSULTATIONS AT VARIOUS INTEGRIS HEALTH COMMUNITY EVENTS THROUGHOUT THE YEAR. THE PRIMARY GOAL OF THE TOBACCO FREEDOM PROGRAM IS TO SUPPORT THOSE SEEKING INFORMATION ABOUT TREATMENT FOR NICOTINE DEPENDENCE BY PROVIDING RESEARCH BASED INFORMATION THAT DESCRIBES THE PHYSICAL AND BEHAVIORAL BASIS FOR NICOTINE DEPENDENCE, INFORMATION ABOUT THE MOST EFFECTIVE TREATMENT METHODS, AND EASY ACCESS TO TREATMENT. INTEGRIS TOBACCO TREATMENT PROGRAMS HAVE PROVIDED ASSISTANCE TO MORE THAN 7000 PATIENTS. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277. INTEGRIS I ON YOUR HEALTH AT INTEGRIS, WE CARE ABOUT ALL OKLAHOMANS. WE WANT EVERYONE TO LIVE LONG, HAPPY LIVES. SO WE'RE HELPING YOU REMEMBER TO MAKE GOOD HEALTH CHOICES WITH INTEGRIS "I ON YOUR HEALTH," A BRIEF E-MAIL DELIVERED TO YOUR INBOX TWICE A WEEK, WITH SIMPLE TIPS FOR IMPROVED WELLNESS AND HEALTHY RECIPES FROM INTEGRIS PHYSICIANS AND SPECIALISTS. VISIT IONYOURHEALTH.COM TODAY TO GET SOUND HEALTH ADVICE FROM MEDICAL PROFESSIONALS. MEN'S HEALTH UNIVERSITY STATISTICS SHOW THAT OKLAHOMA MEN ARE NEARLY TWICE AS LIKELY AS WOMEN TO FAIL TO GET ROUTINE MEDICAL CHECK-UPS OR CARE, AND FREQUENTLY IGNORE SYMPTOMS OR DELAY MEDICAL ATTENTION WHEN SICK OR IN PAIN. TO RAISE AWARENESS OF THIS ISSUE AND HELP TURN THE TIDE, INTEGRIS HEALTH'S INNOVATIVE MEN'S INITIATIVE - MEN'S HEALTH UNIVERSITY - OFFERS A SERIES OF HEALTH EDUCATION CLASSES, PROGRAMS AND EVENTS THAT TAKE PLACE THROUGHOUT THE YEAR DESIGNED TO EDUCATE MEN AND THEIR FAMILIES ON THE IMPORTANCE OF TAKING CHARGE OF THEIR OWN HEALTH. HEALTH CHECKS SUCH AS CHOLESTEROL, GLUCOSE, BLOOD PRESSURE AND PROSTATE CANCER SCREENINGS ARE FEATURED AT SEVERAL MEN'S HEALTH FAIRS HELD ANNUALLY THROUGHOUT THE STATE. WE ALSO CELEBRATE IN JUNE DURING NATIONAL MEN'S HEALTH WEEK, AND IN NOVEMBER WE PARTICIPATE IN "MOVEMBER," THE MEN'S HEALTH AND WELLNESS CAMPAIGN CELEBRATED AROUND THE WORLD. EMPOWERING MEN WITH INFORMATION IS AN IMPORTANT FIRST STEP TO IMPROVING THEIR OVERALL HEALTH AND LONGEVITY. THESE EVENTS ARE A GREAT WAY FOR MEN TO LEARN ABOUT HEALTH CARE ISSUES IN A FUN, SUPPORTIVE ENVIRONMENT. FOR MORE INFORMATION, CALL 405-717-9870. MOBILE MEALS INTEGRIS HEALTH PARTNERS WITH MOBILE MEALS OF OKLAHOMA COUNTY TO PROVIDE MEALS TO SENIOR CITIZENS AND INDIVIDUALS WITH DISABILITIES. VOLUNTEER DRIVERS DELIVER MEALS TO RECIPIENTS FIVE DAYS A WEEK. FOR SOME SENIOR CITIZENS THIS PROGRAM ENABLES THEM TO KEEP THEIR INDEPENDENCE, AND IT ENHANCES THE LIVES OF THESE INDIVIDUALS. FOR MORE INFORMATION, CALL 405-717-9870. MOVE FOR LIFE MOVE FOR LIFE IS A HANDS-ON PROGRAM TO HELP PARENTS RAISE HEALTHY CHILDREN BY MODELING SOUND LIFESTYLE HABITS IN THE HOME. CLASS ACTIVITIES ARE DESIGNED TO BE FUN FOR EVERYONE WHERE PARENTS PARTICIPATE WITH THEIR CHILDREN IN LEARNING CREATIVE WAYS TO EAT HEALTHIER AND INCREASE ACTIVITY WITHOUT "GOING TO A GYM" OR "DIETING." MOVE FOR LIFE IS PERFECT FOR FAMILIES WHO HAVE NONATHLETIC HOBBIES AND INTERESTS SUCH AS MUSIC, CHOIR, DRAMA OR ART. OR, FOR FAMILIES WHO PARTICIPATE IN SEASONAL ACTIVITIES, BUT STRUGGLE TO MAINTAIN AN ACTIVE LIFESTYLE IN THE OFF-SEASON. MOVE FOR LIFE IS AN EIGHT-WEEK PROGRAM, AND MEETS FOR APPROXIMATELY ONE HOUR EACH WEEK. C
GENERAL STATEMENT 4	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS BAPTIST MEDICAL CENTER, OKLAHOMA CITY * ACES CANCER SUPPORT GROUP * ADJUNCT FACULTY FOR RESPIRATORY THERAPY/EMPLOYEE PARTICIPATION * AIDS WALK * ALZHEIMER'S SUPPORT GROUP * AMERICAN CANCER SOCIETY * ANGEL FLIGHT/EMPLOYEE PARTICIPATION * ANNUAL SOCIAL WORK CONFERENCE * AUTISM SUPPORT GROUP * BACK TO SCHOOL SCREENINGS * BAGCRAFT HEALTH FAIR * BAYER ONCOLOGY SUPER COLON EVENT * BLOOD DRIVE * BLOOD PRESSURE SCREENINGS * CANCER CONNECTIONS NEWSLETTER * CANCER TUMOR REGISTRY * CAREGIVER GRIEF PROGRAM * CELEBRATION OF LIFE * CENTRAL OKLAHOMA TURNING POINT/EMPLOYEE PARTICIPATION * CIT OFFICER TRAINING * CITY OF MIAMI HEALTH FAIR * COALITION OF ADVOCATES EVENTS * COMMUNITY CANCER SCREENINGS * DAY OF DANCE * DEFIBRILLATOR FOR ELK CITY PUBLIC SCHOOLS * DELAWARE COUNTY HEALTH FAIR * DIABETES EDUCATION CLASSES * DONATION TO MERCY FOUNDATION FOR BREAST CANCER SURVIVORS * DOWNSTREAM HEALTH FAIR * EMERGENCY MEDICAL SERVICES FOR AREA SPORTING AND COMMUNITY EVENTS * EMOTIONAL WELLNESS CENTER/EMPLOYEE PARTICIPATION * FAMILY BUILDERS OF OKLAHOMA/EMPLOYEE PARTICIPATION * FIGHTING ADDICTION THROUGH EDUCATION/EMPLOYEE PARTICIPATION * FIREFIGHTER CARDIOVASCULAR SCREENINGS * FIT PANEL DISCUSSION/EMPLOYEE PARTICIPATION * GREAT PLAINS GRADUATION/MEETING SPACE PROVIDED * GRIEF SUPPORT GROUPS * HEALTH ALLIANCE FOR THE UNINSURED/EMPLOYEE PARTICIPATION * HEARTSCAN DONATIONS * HIGH RISK GENETICS * HOPKINS MANUFACTURING HEALTH FAIR * HOSPICE WEBINARS * INDIGO SKY HEALTH FAIR * INFANT CRISIS SERVICES/EMPLOYEE PARTICIPATION INTEGRIS BAPTIST REGIONAL HEALTH CENTER, MIAMI * J&M FARMS HEALTH FAIR * KOMEN RACE FOR THE CURE * LEUKEMIA/LYMPHOMA LIGHT THE NIGHT EVENT * LGBT12 CONFERENCE/EMPLOYEE PRESENTATION * LOOK GOOD, FEEL BETTER CANCER SUPPORT GROUP * LUNCH & LEARN PRESENTATIONS * MEALS ON WHEELS * MEDICAL STUDENTS * MENTAL HEALTH ASSOCIATION OF CENTRAL OKLAHOMA/EMPLOYEE PARTICIPATION * MENTAL HEALTH PRESENTATIONS * MENTAL ILLNESS AWARENESS * MIAMI PUBLIC SCHOOLS HEALTH FAIR * MILITARY FAMILY LISTENING CONFERENCE * MULTI-DISCIPLINARY CANCER CLINICS/MEETING SPACE PROVIDED * NATIONAL ALLIANCE ON MENTAL HEALTH * NATIONAL PREVENTION NETWORK CONFERENCE * NURSING STUDENT ROTATIONS * OCCUPATIONAL THERAPY STUDENT ROTATIONS * OK HEALTH SCIENCES CENTER/EMPLOYEE PARTICIPATION * OKLAHOMA BLOOD INSTITUTE BOARD/EMPLOYEE PARTICIPATION * OKLAHOMA HEALTH CARE AUTHORITY/EMPLOYEE PARTICIPATION * OKLAHOMA HEALTH IMPROVEMENT COMMITTEE/EMPLOYEE PARTICIPATION * OKLAHOMA PSYCHIATRIC HOSPITAL ASSOCIATION/EMPLOYEE PARTICIPATION * OKLAHOMA STATE BOARD OF HEALTH/EMPLOYEE PARTICIPATION * ORGAN DONATION EDUCATION * OTTAWA COUNTY SENIOR FAIR * OUT OF THE DARKNESS SUICIDE PREVENTION * PARAMEDIC STUDENT ROTATIONS * PHARMACEUTICAL ASSISTANCE PROGRAM * PHYSICAL THERAPY INTERNSHIP * PHYSICAL THERAPY STUDENT ROTATIONS * POSITIVE DIRECTIONS MENTORING PROGRAM * PRESENTATIONS BY CARDIOLOGISTS * PROMISE TRIAL * RADIOLOGY STUDENT ROTATIONS * REGIONAL FOOD BANK DRIVE * REHAB STUDENT ROTATIONS * RESPIRATORY STUDENT ROTATIONS * SOUTHWESTERN UNIVERSITY PRACTICUM PROGRAM/EMPLOYEE PARTICIPATION * SPECIALIZED OUTPATIENT SERVICES BOARD/EMPLOYEE PARTICIPATION * SPEECH PATHOLOGY INTERNSHIPS * SUNBEAM FAMILY SERVICES/EMPLOYEE PARTICIPATION * SURGERY STUDENT ROTATIONS * TORNADO DISASTER RELIEF * TURKEY TOSS * UNITED WAY PARTNER AGENCY FAIR/MEETING SPACE PROVIDED * US TOO PROSTATE CANCER SUPPORT GROUP * VEIN SCREENINGS * WELCH STATE BANK HEALTH FAIR * WELLNESS NOW/EMPLOYEE PARTICIPATION INTEGRIS BASS BAPTIST HEALTH CENTER, ENID * 4RKIDS EVENT * AMERICAN CANCER SOCIETY/RELAY FOR LIFE * BE FIT KIDS/BUZZ RUN * BREAST CANCER SUPPORT GROUP * CARDIAC PULMONARY SUPPORT GROUP * CDSA BOARD OF DIRECTORS/EMPLOYEE PARTICIPATION * CDSA CAPITAL CAMPAIGN PLEDGE * CHILD ADVOCACY COUNCIL/EMPLOYEE PARTICIPATION * CHOLESTEROL SCREENINGS * CITY SAFETY FAIR * CIVITAN CLUB/SPECIAL OLYMPICS * COMMUNITY HEALTH FAIR * DIABETES SUPPORT GROUP * ENID AMBUCS * ENID COMMUNITY CLINIC * ENID HIGHER EDUCATION COUNCIL/EMPLOYEE PARTICIPATION * FIBROMYALGIA SUPPORT GROUP * GALACTOSEMIA FOUNDATION EVENT * HEDGES SPEECH AND HEARING BOARD OF DIRECTORS/EMPLOYEE PARTICIPATION * IMPACT CONCUSSION TESTING * JUNIOR WELFARE LEAGUE/WARM YOUR HEART RUN * KETTERMAN NURSING SKILLS LAB * MAPP COALITION/EMPLOYEE PARTICIPATION * MARCH OF DIMES PARTICIPATION BY HOSPITAL * MENTAL HEALTH AWARENESS DAY * MOBILE MEALS * MS AWARENESS WALK * NW OKLAHOMA BLOOD INSTITUTE/EMPLOYEE PARTICIPATION * NW OSTEOPATHIC FOUNDATION CHARITY BALL * PARKINSON DISEASE SUPPORT GROUP * PROJECT SEARCH * REGIONAL FOOD BANK * SENIOR LIFE NETWORK * TOYS FOR TOTS * UNITED WAY * WALK THIS WAY INITIATIVE * YMCA BACK A YOUTH * YWCA DAYCARE MEALS INTEGRIS CANADIAN VALLEY HOSPITAL, YUKON * BACK TO SCHOOL IMMUNIZATIONS * CANADIAN VALLEY TECH CENTER/EMPLOYEE PARTICIPATION * CENTRAL ELEMENTARY DASH SPONSOR * CITY OF MUSTANG RALLY * COMMUNITY SUPPORT FOUNDATION * DIABETES SUPPORT GROUP * EL RENO CHAMBER OF COMMERCE * EPIDEMIOLOGISTS AND PERFECTIONISTS IN INFECTION CONTROL BOARD/EMPLOYEE PARTICIPATION * EVERY 15 MINUTES PROGRAM AT MUSTANG HIGH SCHOOL * FESTIVAL OF THE CHILD * HEALTHY LIFESTYLES AND SAFETY AT YUKON MIDDLE SCHOOL * LPN STUDENT ROTATIONS * MEDICAL SUPPLY DONATIONS * MUSTANG CHAMBER OF COMMERCE * NURSING STUDENT CLINICALS * OKC MEMORIAL MARATHON * OKLAHOMA BLOOD INSTITUTE/EMPLOYEE PARTICIPATION * PROJECT GRADUATION * RANCHWOOD ELEMENTARY JOG-A-THON * REALITY CHECK HIGH SCHOOL PROGRAM * REGIONAL FOOD BANK * RESPIRATORY STUDENT ROTATIONS * ROTARY CLUB/EMPLOYEE PARTICIPATION * SALVATION ARMY KETTLE CAMPAIGN/EMPLOYEE PARTICIPATION * SCRUB TECH STUDENT ROTATIONS * STUDENT GOVERNING BOARD * TORNADO RELIEF IMMUNIZATIONS * UNITED WAY/EMPLOYEE PARTICIPATION * WILD FIRE RELIEF * YUKON CHAMBER OF COMMERCE * YUKON COMMUNITY EDUCATION ADVISORY COUNCIL/ EMPLOYEE PARTICIPATION * YUKON MIDDLE SCHOOL HEALTH FAIR * YUKON SENIOR HEALTH AND FITNESS DAY YUKON TRAILS TASK FORCE/EMPLOYEE PARTICIPATION INTEGRIS GROVE HOSPITAL * BLOOD DRIVES * BREAST CANCER AWARENESS LUNCHEON * CAMP BANDAGE * CHRISTIAN MEDICAL CENTER/DONATION * FAIRLAND PUBLIC SCHOOLS SPORTS PHYSICALS * JAY DUATHALON * JAY SENIOR FAIR * JINGLE BELL 5K RUN * PRESENTATIONS TO COMMUNITY GROUPS * REC DAY WELLNESS FAIR * REGIONAL FOOD BANK DRIVE * ROTARY PARK DONATION * STUDENT GOVERNING BOARD * STUFF THE BUS * TODAY'S HEALTHY OUTLOOK NEWSLETTER * TOWNSEND CHILDREN'S FUND * TRI STATE YMCA AND GRAND LAKE YMCA/EMPLOYEE SUPPORT * TURKEY TOSS * YMCA HEALTH FAIRS INTEGRIS HEALTH EDMOND * BUTTERFIELD MEMORIAL FOUNDATION/EMPLOYEE PARTICIPATION * COLON CANCER AWARENESS TALK * DIABETES EDUCATION * EDMOND CHAMBER OF COMMERCE * LEADERSHIP EDMOND VOLUNTEER DAY/EMPLOYEE PARTICIPATION * LUNG DISEASE LUNCH AND LEARN * PREVENTION AND TREATMENT OF BROKEN HIPS * STROKE AWARENESS TALK * TURKEY TOSS * UCO ADVISORY BOARD/EMPLOYEE PARTICIPATION * UCO INTERNSHIP/PRACTICUM PROGRAM/EMPLOYEE PARTICIPATION * UCO LEADERSHIP CLASS/MEETING SPACE PROVIDED * UCO POST CONFERENCE/MEETING SPACE PROVIDED * UCO TRANSITIONS CLASS/MEETING SPACE PROVIDED * UNDERSTANDING ALZHEIMER'S AND DEMENTIA PRESENTATION * WOMEN'S HEALTH FORUM * YOUTH LEADERSHIP EDMOND/MEETING SPACE PROVIDED INTEGRIS SOUTHWEST MEDICAL CENTER, OKLAHOMA CITY * ACES SUPPORT GROUP * AMERICAN HOSPITAL ASSOCIATION/MEETING SPACE PROVIDED * AMYOTROPHIC LATERAL SCLEROSIS SUPPORT GROUP * AUA STUDENT ROTATIONS * BLOOD PRESSURE SCREENINGS * BRAIN INJURY SUPPORT GROUP * BREAST CANCER AWARENESS DAY * CANCER TUMOR REGISTRY * CHAMBERS OF COMMERCE/EMPLOYEE PARTICIPATION * CROSSROADS MALL DEVELOPMENT/EMPLOYEE PARTICIPATION * GOV. FALLIN FEED OKLAHOMA FOOD DRIVE/MEETING SPACE PROVIDED * GREATER OKLAHOMA CITY HOSPITAL COUNCIL/MEETING SPACE PROVIDED * LIMB LOSS SUPPORT GROUP * LVAD SUPPORT GROUP * MEALS ON WHEELS * MUSCULAR DYSTROPHY ASSOCIATION/EMPLOYEE PARTICIPATION * OCCUPATIONAL THERAPY STUDENT ROTATIONS * OKLAHOMA BAPTIST UNIVERSITY CONFERENCE/MEETING SPACE PROVIDED * OKLAHOMA CITY COMMUNITY COLLEGE/MEETING SPACE PROVIDED * OKLAHOMA CITY POLICE PRESENTATION * OKLAHOMA CITY UNIVERSITY/MEETING SPACE PROVIDED * OKLAHOMA STATE STROKE SYSTEMS ADVISORY COMMITTEE/EMPLOYEE PARTICIPATION * OKLAHOMA STATE STROKE SYSTEMS ADVISORY COMMITTEE/MEETING SPACE PROVIDED * PHYSICAL THERAPY STUDENT ROTATIONS POSITIVE DIRECTIONS MENTORING PROGRAM * RADIATION THERAPY STUDENT ROTATIONS * RECREATION THERAPY STUDENT INTERN * REDLANDS COMMUNITY COLLEGE/MEETING SPACE PROVIDED * REGIONAL FOOD BANK DRIVE * RESPIRATORY STUDENT ROTATIONS * ROTARY CLUB/EMPLOYEE PARTICIPATION * RX FOR STROKE CLASSES * SPEECH PATHOLOGY STUDENT ROTATIONS * SPINAL CORD INJURY SUPPORT GROUP * STATEWIDE STROKE CONFERENCE * STROKE SUPPORT GROUP * SURGICAL SCRUB * VO-TECH STUDENT ROTATIONS * THINK FIRST/ HEAD INJURY EDUCATION * TURKEY TOSS
GENERAL STATEMENT 5	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED HISPANIC INITIATIVE HISPANICS ARE THE NATION'S LARGEST MINORITY GROUP AND WILL COMPRISE 20 PERCENT OF THE U.S. POPULATION IN 2020. THE INTEGRIS HISPANIC INITIATIVE WAS CREATED IN 2003 TO ADDRESS SOME OF THE SPECIFIC NEEDS OF OKLAHOMA'S BOOMING HISPANIC POPULATION. CANCER SUPPORT GROUP/GRUPO DE APOYO DE CNCER INTEGRIS HEALTH WAS THE FIRST HEALTH CARE ORGANIZATION IN OKLAHOMA CITY TO OFFER A CANCER SUPPORT GROUP IN SPANISH. THE WHOLE FAMILY SUPPORT GROUP BEGAN MEETING IN AUGUST 2004 WITH THREE MEMBERS AND HAS GROWN TO MORE THAN 75 MEMBERS. THE SUPPORT GROUP SESSIONS, LED BY CANCER PATIENTS AND CARE-PARTNERS, ARE DESIGNED TO RESPOND TO THE INFORMATIONAL NEEDS OF CANCER PATIENTS AND THEIR FAMILIES AS WELL AS PROVIDE EMOTIONAL SUPPORT. THIS SUPPORT GROUP IS UNIQUE IN THE SENSE THAT IT PROVIDES SPANISH SPEAKERS THE OPPORTUNITY TO SHARE THEIR THOUGHTS, CONCERNS AND FEAR WITH OTHER CANCER PATIENTS AND SURVIVORS. SESSIONS ARE OFFERED FREE OF CHARGE TO ANYONE IN THE COMMUNITY AFFECTED BY CANCER AS A PATIENT OR FAMILY MEMBER. PARTICIPANTS MEET MONTHLY AT THE INTEGRIS CANCER INSTITUTE AT INTEGRIS SOUTHWEST MEDICAL CENTER. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. CITIZENSHIP, GED AND ESL CLASSES IN PARTNERSHIP WITH THE ADULT LEARNING CENTER WE OFFER GED AND ESL CLASSES TWICE A WEEK IN THE EVENING AND CITIZENSHIP CLASSES IN THE MORNING ON WEEKENDS. THESE CLASSES ARE PART OF THE EFFORT TO BETTER SERVE OUR PEOPLE AND GIVE THEM THE TOOLS TO BECOME BETTER CITIZENS AND STEWARDS IN THEIR OWN COMMUNITIES. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. COMPUTER CLASSES A SERIES OF FOUR CLASSES ONCE A WEEK IS OFFERED, FOR PARTICIPANTS TO LEARN THE BASICS OF COMPUTER LITERACY IN ORDER TO ACCESS THE WORLD OF TECHNOLOGY AND BE ABLE TO PARTICIPATE IN THE DIFFERENT ONLINE CLASSES. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. DIABETES FOCUS GROUPS/FOCOS DE EDUCACIN DE DIABETES THE GROUP MEETS EVERY THIRD THURSDAY. PARTICIPANTS ARE REQUIRED TO ATTEND SIX SESSIONS THAT INCLUDE DIABETES GENERALITIES, USE OF A GLUCOSE MONITOR, NUTRITION, EXERCISE, MEDICATION, AND DIABETIC FEET AND OTHER COMPLICATIONS. NEW PATIENTS RECEIVE A "DIABETIC KIT." THIS CLASS HELPS PEOPLE WITH DIABETES TO UNDERSTAND THEIR CHRONIC CONDITION AND TAKE CHARGE OF THEIR CARE. CLASSES ARE LED BY A REGISTERED DIETITIAN AND DIABETIC SPECIALISTS. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. GRIEF SERIES/PRDIDA, DOLOR, RECUPERACIN THIS FIVE WEEK PROGRAM PROVIDES INFORMATION AND SUPPORT FOR THOSE WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE THROUGH DEATH. PARTICIPANTS RECEIVE INFORMATION ABOUT NORMAL GRIEF RESPONSES AND PRACTICAL TOOLS TO HELP SUPPORT THEM WITH THEIR OWN UNIQUE EXPERIENCE OF LOSS AND RECOVERY. THE GROUP SESSIONS ARE HELD AT INTEGRIS SOUTHWEST MEDICAL CENTER. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. HEALTH PROMOTORS/PROMOTORAS DE SALUD A LARGE NUMBER OF MEDICALLY AT-RISK HISPANICS ARE UNABLE TO DEAL WITH THEIR HEALTH PROBLEMS EFFECTIVELY. BARRIERS INCLUDE LANGUAGE, TRANSPORTATION, POVERTY, LACK OF HEALTH INSURANCE COVERAGE OR BEING UNINSURED, AND IMMIGRATION STATUS. MANY DO NOT HAVE A MEDICAL HOME OR A RELATIONSHIP WITH A PRIMARY HEALTH CARE PROVIDER. THE INTEGRIS HISPANIC INITIATIVE OFFERS A LAYPERSON HEALTH PROMOTER PROGRAM FOR THE HISPANIC COMMUNITY, "PROMOTORAS DE SALUD - BIENESTAR COMUNITARIO." THE HEALTH PROMOTER PROGRAM IS AN INNOVATIVE WAY OF TRANSMITTING HEALTH INFORMATION TO TARGETED NEIGHBORHOODS, IN THIS CASE HISPANICS, BRINGING IMMIGRANTS INTO CARE AND INCREASING THEIR EDUCATION ON HEALTH ISSUES. THROUGH PROMOTORAS DE SALUD - BIENESTAR COMUNITARIO, OUR LAY HEALTH PROMOTERS, TRAINED BY HEALTH PROFESSIONALS AND MEDICAL ADVISOR TOMAS OWENS, M.D., EDUCATE THE HISPANIC COMMUNITY IN THREE PREVALENT HEALTH ISSUES: STROKE, HYPERTENSION AND DIABETES. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. HISPANIC HEALTH FAIR/FERIA HISPANA DE LA SALUD THE HISPANIC HEALTH FAIR HAS IMPACTED THOUSANDS OF HISPANICS IN THE OKLAHOMA CITY AREA FOR MORE THAN TWO DECADES AND EACH YEAR CONTINUES TO SERVE MORE PEOPLE IN OUR COMMUNITY. SCREENINGS INCLUDE EYE CHECKS, CHOLESTEROL, GLUCOSE, BLOOD PRESSURE AND STROKE ASSESSMENTS. CANCER CHECKS INCLUDE ORAL, SKIN, PROSTATE AND CLINICAL BREAST EXAMS BY APPOINTMENT. HOME COLORECTAL KITS ARE ALSO AVAILABLE. MORE THAN ONE HUNDRED AGENCIES PARTICIPATE, OFFERING INFORMATION ABOUT HEALTH, EDUCATION AND COMMUNITY RESOURCES. THE HISPANIC HEALTH FAIR IS A GOOD RESOURCE FOR THE HISPANIC COMMUNITY TO UPDATE ITS INFORMATION. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. LATINO WALKERS' CLUB/CLUB DE CAMINANTES THIS STRUCTURED WALKERS' PROGRAM IS OFFERED TO PEOPLE INTERESTED IN BEING PHYSICALLY ACTIVE AND PURSUING A HEALTHIER LIFESTYLE. THE GROUP MEETS MONTHLY FOR A HEALTH LECTURE OR EXERCISE SESSION, HEALTHY BREAKFAST AND BLOOD PRESSURE CHECKS. THE REST OF THE MONTH MEMBERS ARE ENCOURAGED TO WALK DAILY AT LEAST 30 MINUTES IN THE HOSPITAL DESIGNATED AREA. FREE MEMBERSHIP; T-SHIRTS WITH THE GROUP'S LOGO ARE OFFERED AT A REASONABLE PRICE. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. LITERACY PROGRAM/PLAZA COMUNITARIA DO YOU KNOW SOMEONE WHO NEVER LEARNED TO READ? DID YOU GET TO THE THIRD GRADE BUT COULD NOT FINISH? DID YOU GO TO SCHOOL IN YOUR HOME COUNTRY WITHOUT FINISHING HIGH SCHOOL? THE PLAZA COMUNITARIA IS A FREE PROGRAM OF THE NATIONAL INSTITUTE FOR ADULT EDUCATION DEVELOPED BY THE CONSULATE OF MEXICO IN LITTLE ROCK AND INTEGRIS HEALTH. CLASSES ARE HELD MONDAYS AND FRIDAYS FROM 9 A.M. TO NOON. ONSITE TEACHER IS PRESENT AT EVERY SESSION AND COMPUTERS ARE AVAILABLE FOR ONLINE MATERIAL AND TESTING. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. LOOK GOOD, FEEL BETTER/LUZCA BIEN, SINTASE MEJOR HOPE IS BEAUTIFUL AND SO IS EVERY WOMAN BEING TREATED FOR CANCER. LOOK GOOD...FEEL BETTER CAN HELP WOMEN WHO ARE FACING THE CHALLENGE OF A LIFETIME. THE PROGRAM WAS CREATED TO HELP INDIVIDUALS WITH CANCER LOOK GOOD AND IMPROVE THEIR SELF-ESTEEM, AND THEREBY MANAGE THEIR TREATMENT AND RECOVERY WITH GREATER CONFIDENCE. THE SUPPORT GROUP IS OPEN TO ALL WOMEN WITH CANCER WHO ARE UNDERGOING CHEMOTHERAPY, RADIATION OR OTHER FORMS OF TREATMENT. LUZCA BIEN...SINTASE MEJOR, THE LOOK GOOD...FEEL BETTER BILINGUAL PROGRAM, IS NOW OFFERED BY THE INTEGRIS HISPANIC INITIATIVE. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. MONTHLY LECTURES/CONFERENCIAS MENSUALES WE OFFER HEALTH RELATED LECTURES EVERY MONTH BASED ON THE SEASON OF THE YEAR AND THE NEED IN THE COMMUNITY. TOPICS ARE SELECTED FROM THE SUGGESTIONS PARTICIPANTS HAVE IN OUR DIFFERENT GROUPS AND PROGRAMS AS WELL AS THE NEEDS OF THE GENERAL POPULATION AND THE NEW ADVANCES AND BREAKTHROUGHS IN HEALTH ISSUES. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH OR VISIT VIVAINTEGRIS.COM. NUTRITION CLASSES/CLASES DE NUTRICIN IN THE UNITED STATES, HISPANICS ARE DISPROPORTIONATELY IMPACTED BY OBESITY AND CHRONIC HEALTH CONDITIONS, COMPARED TO THE GENERAL POPULATION. EATING A HEALTHY WELL-BALANCED DIET FILLED WITH WHOLE GRAINS, FRUITS, VEGETABLES, HEALTHY FATS, LOW-FAT DAIRY AND LEAN PROTEIN IS IMPORTANT FOR HEALTH AND WELLNESS. KNOWING WHAT AND HOW MUCH TO EAT IS THE KEY TO BEING HEALTHY. THE INTEGRIS HEALTH HISPANIC INITIATIVE AND THE OKLAHOMA STATE UNIVERSITY EXTENSION SERVICE PROVIDE THE FREE NUTRITION CLASSES AT INTEGRIS SOUTHWEST MEDICAL CENTER. CLASSES ARE HELD IN SPANISH BY REGISTERED DIETITIANS THE SECOND TUESDAY OF EVERY MONTH. TOPICS INCLUDE HEALTHY WEIGHT LOSS, HOW TO READ A FOOD LABEL, DIET AND CARDIOVASCULAR DISEASE, DIET AND OSTEOPOROSIS, AND HOW TO EAT HEALTHY DURING THE HOLIDAYS ALONG WITH INFORMATION ON HOW DIET AND NUTRITION AFFECT DIABETES, CARDIOVASCULAR DISEASE, HYPERTENSION AND OSTEOPOROSIS IN THE HISPANIC COMMUNITY. PARTICIPANTS TASTE THE DELICIOUS RECIPES WE DEMONSTRATE IN EACH CLASS. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. BREAST SELF-EXAMINATION/AUTO-EXAMEN DE PECHO ONE IN EIGHT WOMEN WILL DEVELOP BREAST CANCER IN HER LIFETIME. HOWEVER, 90 PERCENT OF BREAST CANCER CAN BE TREATED SUCCESSFULLY IF DETECTED AND TREATED EARLY. STARTING BY AGE 20, WOMEN SHOULD EXAMINE THEIR BREASTS MONTHLY. BREAST SELF-EXAMINATION IS A GOOD ROUTINE HEALTH HABIT THAT CAN
GENERAL STATEMENT 6	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED WEIGHT LOSS CHALLENGE/GANE PERDIENDO TWELVE WEEKS CHALLENGE TO LEARN AND ADOPT A HEALTHY LIFESTYLE: NUTRITION, EXERCISE AND STRESS MANAGEMENT ARE THE KEY COMPONENTS OF THIS WEIGHT LOSS CHALLENGE AS WELL AS INFORMATION AND CLASSES ABOUT HEALTH RELATED ISSUES. WEEKLY SESSIONS ON HEALTH TOPICS INCLUDING NUTRITION, MENTAL HEALTH, HEALTHY WEIGHT AND ACTIVE LIFESTYLE, COMBINED WITH INTRODUCTION TO DIVERSE EXERCISE MODALITIES SUCH AS WALKING, CHAIR EXERCISE, RESISTANCE BAND AND ZUMBA, MOTIVATE PARTICIPANTS TO STAY ACTIVE AND LIVE HEALTHIER. OUR WEIGHT LOSS CHALLENGE FOR ADULTS IS HELD DURING THE MONTHS OF FEBRUARY TO APRIL AND THE VERSION OF THE PROGRAM FOR CHILDREN, MOVE FOR LIFE, GOES ON FROM SEPTEMBER THROUGH NOVEMBER EVERY YEAR. FOR MORE INFORMATION, CALL THE INTEGRIS HEALTHLINE AT 888-951-2277, PRESS #2 FOR SPANISH, OR VISIT VIVAINTEGRIS.COM. SENIOR SERVICES INTEGRIS THIRD AGE LIFE CENTER ONE OF THE LEADING SENIOR INFORMATION AND REFERRAL ASSISTANCE CENTERS IN OKLAHOMA, THIRD AGE LIFE CENTER HAS BEEN PROVIDING A BROAD VARIETY OF SERVICES FOR OLDER ADULTS SINCE 1986. INTEGRIS THIRD AGE LIFE CENTER EDUCATIONAL PROGRAMS INTEGRIS THIRD AGE LIFE CENTER PROVIDES OPPORTUNITIES FOR INVOLVEMENT AND CONTINUED GROWTH FOR ANYONE 50 YEARS OF AGE OR OLDER ENJOYING THE THIRD AGE OF LIFE. A VARIETY OF EDUCATIONAL PROGRAMS ARE OFFERED RANGING FROM DISCUSSIONS BY INTEGRIS HEALTH PROFESSIONALS TO DEFENSIVE DRIVING CLASSES CONDUCTED BY AARP TO SEMINARS ON TOPICS OF SPECIAL INTEREST TO THE OLDER ADULT INCLUDING NUTRITION, FITNESS, LEGAL ISSUES, HEALTH CONCERNS AND MORE. OTHER OPTIONS INCLUDE CLASSES IN COMPUTER AND SPANISH LANGUAGE INSTRUCTION. FOR MORE INFORMATION, CALL 405-717-9821 OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. ASK A DIETITIAN CONSULTATION WITH A REGISTERED DIETITIAN IS OFFERED FREE OF CHARGE TO INTEGRIS THIRD AGE LIFE CENTER PARTICIPANTS. THIS COMMUNITY SERVICE FOCUSES ON GENERAL NUTRITION QUESTIONS AND IS NOT INTENDED AS A SUBSTITUTE FOR THERAPEUTIC DIETS OR MEDICAL NUTRITION THERAPY. FOR MORE INFORMATION, CALL 405-717-9821 (NORTH OFFICE) OR 405-644-5140 (SOUTH OFFICE) OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. CAREGIVER SUPPORT GROUP IN COOPERATION WITH THE ALZHEIMER'S ASSOCIATION, INTEGRIS THIRD AGE LIFE CENTER FACILITATES A CAREGIVER SUPPORT GROUP THAT MEETS TWICE A MONTH. IF YOU ARE A CAREGIVER OF AN INDIVIDUAL WITH ALZHEIMER'S OR RELATED DEMENTIA, THIS GROUP MAY PROVIDE JUST THE SUPPORT THAT IS NEEDED. FOR MORE INFORMATION, CALL 405-717-9821 OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. EAT WELL, MOVE MORE, BE WELL THIS PROGRAM IS AIMED AT HELPING OLDER ADULTS CHOOSE WHOLESOME FOODS AND ADOPT A MORE ACTIVE LIFESTYLE. TAKING STEPS TO ACHIEVE A HEALTHIER BODY WEIGHT IS IMPORTANT, BUT THOSE WHO ARE 65 YEARS OF AGE AND OLDER SHOULD STRIVE TO MAKE CHANGES GRADUALLY. EAT WELL, MOVE MORE, BE WELL IS A FOUR-SESSION PROGRAM TAUGHT BY A REGISTERED DIETITIAN AND EXERCISE PHYSIOLOGIST. NUTRITION RECOMMENDATIONS FOCUS ON CHOOSING A CALORIE-BALANCED DIET WITH A PARTICULAR EMPHASIS ON A HEART-HEALTHY EATING PATTERN. EXERCISE TIPS ALSO FOCUS ON INCREASING PHYSICAL ACTIVITY IN AN AGE-APPROPRIATE FASHION INCLUDING RECOMMENDATIONS FOR REDUCING THE RISK OF FALLING, STRENGTH CONDITIONING AND ENHANCING BALANCE AND COORDINATION SKILLS. FOR MORE INFORMATION, CALL 405-717-9875. FAYE DONALSON HEARING HELPERS DEMONSTRATION ROOM HOUSED AT INTEGRIS THIRD AGE LIFE CENTER, THE FAYE DONALSON HEARING HELPERS DEMONSTRATION ROOM CONTAINS A VAST ARRAY OF DEVICES DESIGNED TO HELP PEOPLE COPE WITH HEARING LOSS. THESE DEVICES ARE AVAILABLE FOR YOU TO EXAMINE AND DETERMINE WHAT WORKS BEST. ORDERING INFORMATION AND CATALOGS ARE ALSO AVAILABLE. FOR MORE INFORMATION, CALL 405-717-9820 FOR VOICE AND TTY COMMUNICATION. FITNESS CLASSES THERE IS SOMETHING FOR EVERY FITNESS LEVEL AT INTEGRIS THIRD AGE LIFE CENTER. REGULAR EXERCISE WILL INCREASE STRENGTH, FLEXIBILITY, THE IMMUNE SYSTEM AND MORE. WHETHER SENIOR STRENGTH TRAINING, LINE DANCING, TAI CHI CHIH OR LAUGHTER YOGA, THESE CLASSES ARE DESIGNED TO HELP ONE GET UP, GET MOVING AND HAVE SOME FUN. FOR MORE INFORMATION, CALL 405-717-9821 OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. HEALTHY HEART WALKERS' CLUB THE HEALTHY HEART WALKERS' CLUB IS DESIGNED TO PROVIDE THE COMMUNITY WITH A STRUCTURED WALKING AND HEALTH EDUCATION PROGRAM. THE LARGE HALLWAY ACCESS AREAS, LOCATED AT INTEGRIS SOUTHWEST MEDICAL CENTER AND INTEGRIS BAPTIST MEDICAL CENTER, PROVIDE A SAFE, CONVENIENT AND COMFORTABLE WALKING ENVIRONMENT. INTEGRIS THIRD AGE LIFE CENTER SPONSORS A MONTHLY MEETING THAT FEATURES VARIOUS SPEAKERS PRESENTING INFORMATION ON TOPICS ABOUT HEALTH AND WELLNESS OR OTHER TOPICS OF INTEREST TO SENIORS. FOR MORE INFORMATION, CALL 405-717-9821 OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. HEARING LOSS ASSOCIATION OF OKC SUPPORT GROUP THE HEARING LOSS ASSOCIATION OF OKLAHOMA CITY IS AN ADVOCACY GROUP FORMED TO PROTECT THE RIGHTS OF PEOPLE WHO HAVE DIFFICULTY HEARING. THE ASSOCIATION DEVELOPS STRATEGIES TO DEAL WITH HEARING LOSS THROUGH EDUCATION BY SPEAKERS AND INTERACTING WITH PROFESSIONALS. SUPPORT GROUP MEETINGS ARE HELD MONTHLY. THE ASSOCIATION PARTICIPATES IN PUBLIC SERVICE BY PROVIDING VOLUNTEERS IN THE FAYE DONALSON HEARING HELPERS DEMONSTRATION ROOM LOCATED IN THE INTEGRIS THIRD AGE LIFE CENTER. FOR MORE INFORMATION, CALL 405-717-9820. MEDICARE INSURANCE COUNSELING DURING THE MEDICARE OPEN ENROLLMENT PERIOD, A SENIOR HEALTH INSURANCE COUNSELOR CERTIFIED BY THE OKLAHOMA STATE INSURANCE DEPARTMENT, IS AVAILABLE BY APPOINTMENT AT INTEGRIS THIRD AGE LIFE CENTER TO ASSIST MEDICARE RECIPIENTS IN SELECTING A MEDICARE PART D PRESCRIPTION PLAN. TELEPHONE CONSULTATIONS TO DISCUSS GENERAL MEDICARE QUESTIONS ARE ALSO AVAILABLE THROUGHOUT THE YEAR. FOR MORE INFORMATION, CALL 405-717-9821 OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. MEMORY: USE IT OR LOSE IT MEMORY LOSS OFTEN OCCURS WITH AGE, BUT IT MAY RAISE SOME QUESTIONS FOR THE INDIVIDUAL AND FAMILY: WHAT IS NORMAL? CAN ANYTHING BE DONE TO DELAY IT? COULD IT BE ALZHEIMER'S? THIS PROGRAM ADDRESSES THESE QUESTIONS AND OTHER AGE-RELATED MEMORY CONCERNS, INCLUDING THE EARLY DETECTION AND TREATMENT OF DEMENTIA SUCH AS ALZHEIMER'S DISEASE. PARTICIPANTS RECEIVE A CHECKLIST OF WARNING SIGNS AND OTHER TOOLS TO HELP ASSESS WHETHER FURTHER EVALUATION BY A PHYSICIAN IS NEEDED. THE PROGRAM, OFFERED BY INTEGRIS THIRD AGE LIFE CENTER AND INTEGRIS MENTAL HEALTH, IS FREE TO THE PUBLIC AND IS HELD IN VARIOUS LOCATIONS THROUGHOUT THE METRO AREA. FOR MORE INFORMATION, CALL 405-717-9821 OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. PREVENT SLIPS, TRIPS AND BROKEN HIPS INTEGRIS THIRD AGE LIFE CENTER IN COLLABORATION WITH INTEGRIS JIM THORPE REHABILITATION OFFERS A COMMUNITY PROGRAM THAT EDUCATES SENIORS ABOUT RISK FACTORS FOR FALLING, PREVENTION OF FALLING AND WHAT TO DO IF A FALL OCCURS. FOLLOWING THE PRESENTATION, INDIVIDUALS MAY ELECT TO DO THE "TIMED UP AND GO TEST," WHICH IDENTIFIES THEIR RISK FOR FALLING. PARTICIPANTS IN THE HIGH RISK CATEGORY ARE ADVISED TO REVIEW THE RESULTS WITH THEIR PRIMARY CARE PHYSICIAN. THIS PROGRAM IS FREE TO COMMUNITY GROUPS IN THE METRO OKLAHOMA CITY AREA. FOR MORE INFORMATION, CALL 405-717-9821 OR VISIT ONLINE AT INTEGRISOK.COM/THIRDAGELIFE. IN 2014, INTEGRIS HEALTH PROVIDED $27,304,712 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 $6,730,884 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 $505,997 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. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIOS. INTEGRIS HEALTH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. INTEGRIS HEALTH PROVIDED CHARITY CARE AND MEDICAID SERVICES AT AN ESTIMATED COST OF $20,067,831 IN ADDITION, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $24,733,957 BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIO. INTEGRIS BAP
GENERAL STATEMENT 7	PART V: QUESTION 1A AND 2A PART V: QUESTION 1A - INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, PAYS ALL VENDORS FOR SERVICES PROVIDED TO ALL ENTITIES WITHIN THE SYSTEM. ACCORDINGLY, COMPENSATION PAID TO INDEPENDENT CONTRACTORS IS REPORTED ON THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS OF INTEGRIS HEALTH, INC., EIN 73-1192764. EXPENSES ARE ALLOCATED TO AND REIMBURSED BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990, PART VII, SECTION B AND PART IX, AS APPROPRIATE. PART V: QUESTION 2A - THE SALARIES REFLECTED ON FORM 990, PART IX, LINE 7, WERE ALL REPORTED ON THE FORM 941 EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF INTEGRIS HEALTH, INC.,EIN 73-1192764. THESE SALARIES WERE REIMBURSED TO INTEGRIS HEALTH, INC. AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON INTEGRIS HEALTH, INC.'S FORM W-3. THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE FILING ORGANIZATION DURING THE 2013 TAX YEAR.
GENERAL STATEMENT 8	PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTION 2 - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE FOLLOWING OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS OFFICERS, DIRECTORS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM: C. BRUCE LAWRENCE WENTZ MILLER BETH A. PAUCHNIK DAVID R. HADLEY
GENERAL STATEMENT 9	PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTIONS 6, 7A AND 7B - INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS 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.
GENERAL STATEMENT 10	PART VI: SECTION B. POLICIES PART VI: QUESTION 11B - THE ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE SYSTEM HAS A SINGLE AUDIT COMPLIANCE COMMITTEE WHICH OVERSEES THE CONSOLIDATED FINANCIAL STATEMENT AUDIT AS WELL AS THE FILING OF FEDERAL AND STATE TAX FORMS. THE SYSTEM ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. A DRAFT FORM 990 IS PROVIDED TO THE SYSTEM VICE PRESIDENT OF FINANCIAL REPORTING FOR REVIEW. A FINAL FORM 990 IS GIVEN TO THE SYSTEM CHIEF FINANCIAL OFFICER FOR REVIEW, APPROVAL, AND SIGNATURE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, AS WELL AS TO THE SYSTEM'S AUDIT/COMPLIANCE COMMITTEE, FOR REVIEW PRIOR TO FILING THE RETURN.
GENERAL STATEMENT 11	PART VI: SECTION B. POLICIES PART VI: QUESTION 12C - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION AND ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS, TO REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST 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 GOVERNANCE COMMITTEE, A COMMITTEE OF THE INTEGRIS HEALTH BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF INTEGRIS AND A DISQUALIFIED PERSON.
GENERAL STATEMENT 12	PART VI: SECTION B. POLICIES PART VI: QUESTION 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.
GENERAL STATEMENT 13	PART VI: SECTION C. DISCLOSURE PART VI: QUESTION 19 - THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.
GENERAL STATMENT 14	PART VII: SECTION B. INDEPENDENT CONTRACTORS INTEGRIS CARDIOVASCULAR PHYSICIANS $655,511 PHYSICIANS, LLC 3545 N.W. 58TH, SUITE 450 OKLAHOMA CITY, OK 73112 GE HEALTHCARE IITS U.S. CORP SOFTWARE LICENSING $284,886 P.O. BOX 277475 ATLANTA, GA 30384 SPINNER BROTHERS, INC. CONSTRUCTION SERVICES $242,446 1007 KENILWORTH ROAD OKLAHOMA CITY, OK 73114 DIAGNOSTIC LAB OF OKLAHOMA REFERENCE LAB $211,470 P.O. BOX 676324 DALLAS, TX 75267-6324 PEC CHEROKEE INDUSTRIAL PARK, INC. CONSTRUCTION SERVICES $164,882 11600 BROADWAY EXT., SUITE 250 OKLAHOMA CITY, OK 73114
GENERAL STATEMENT 15	PART XI: RECONCILIATION OF NET ASSETS, LINE 9 INCOME FROM SUBSIDIARY - FOUNDATION 100% $ 495,771 INCOME FROM SUBSIDIARY - WESTERN VILLAGE ACADEMY 100% <381,305> INVESTMENT IN WESTERN VILLAGE ACADEMY 500,000 ---------- TOTAL $614,466

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORPORATION

Employer identification number

73-1192765

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) INTEGRIS HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1192764	HEALTH CARE	OK	501(C)(3)	LINE 11-I	NA		No
(2) BAPTIST HEALTHCARE OF OKLAHOMA INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 23-7456301	HEALTH CARE	OK	501(C)(3)	LINE 3	IH		No
(3) INTEGRIS HOSPICE INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1369586	HEALTH CARE	OK	501(C)(3)	LINE 9	IH		No
(4) INTEGRIS BAPTIST MEDICAL CENTER INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1034824	HEALTH CARE	OK	501(C)(3)	LINE 3	IH		No
(5) INTEGRIS RURAL HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1444504	HEALTH CARE	OK	501(C)(3)	LINE 3	IH		No
(6) INTEGRIS SOUTHWEST MEDICAL CENTER INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1089149	HEALTH CARE	OK	501(C)(3)	LINE 3	IH		No
(7) INTEGRIS HEALTH FOUNDATION INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1047338	FUNDRAISING	OK	501(C)(3)	LINE 7	IH		No
(8) WESTERN VILLAGE ACADEMY 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1588764	SCHOOL	OK	501(C)(3)	LINE 2	IACC	Yes
(9) INTEGRIS HEALTH EDMOND INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 45-1027361	HEALTH CARE	OK	501(C)(3)	LINE 3	IH		No
(10) INTEGRIS MENTAL HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-0738716	HEALTH CARE	OK	501(C)(3)	LINE 3	IH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BMPA LTD 73-1228665	MED. OFFICE BLDG.	OK	NA	N/A
(2) GRAND LAKE 73-1622843	MEDICAL	OK	NA	N/A
(3) QC-III 20-8723857	MEDICAL	OK	NA	N/A
(4) DIAGNOSTIC LAB 73-1560760	CLINICAL LAB	NJ	NA	N/A
(5) MPI CENTER 73-1283942	MEDICAL	OK	IACC	RELATED	302,235	468,352		No	0	Yes		50.000 %
(6) HILLCRESTINTEGRIS HEALTH LLC	DORMANT	OK	NA	N/A
(7) LAKESIDE 73-1493662	MEDICAL	OK	IACC	RELATED	709,827	17,768,929		No	750	Yes		78.124 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) INTEGRIS PROHEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1046179	RETAIL PHARMACY	OK	NA	C Corp				No
(2) THE STANLEY F HUPFELD CHAR REMAIN TRUST 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 26-6238051	FINANCIAL	OK	NA	Trust				No
(3) QUALITY ALLIANCE ASSURANCE CO PO BOX 10027 GRAND CAYMAN KYI-1001 CJ 98-1060671	INSURANCE	CJ	NA	C Corp				No
(4) BAPTIST HEALTH SYSTEM INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112	DORMANT	OK	NA	C Corp				No
(5) ONE CARE INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112	DORMANT	OK	NA	C Corp				No
(6) VADOVATIONS INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 27-0821922	HEALTH CARE	OK	NA	C Corp				No
(7) INTEGRIS HEALTH PARTNERS LLC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 45-3482852	HEALTH CARE	OK	NA	C Corp				No
(8) INTEGRIS CARDIOVASCULAR PHYSICIANS LLC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 45-2867352	HEALTH CARE	OK	NA	C Corp				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	776
6	Total number of volunteers (estimate if necessary) .............	6	400
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	750
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	32,051,426	37,059,204
9	Program service revenue (Part VIII, line 2g) .........	67,551,240	88,043,716
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	167,849	474,293
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	22,532,527	27,043,566
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	122,303,042	152,620,779
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	12,510	12,581
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	85,655,684	97,151,854
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	25,255,702	41,533,199
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	110,923,896	138,697,634
19	Revenue less expenses. Subtract line 18 from line 12.......	11,379,146	13,923,145
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	104,478,413	51,159,118
21	Total liabilities (Part X, line 26).............	80,676,439	12,518,687
22	Net assets or fund balances. Subtract line 21 from line 20.....	23,801,974	38,640,431

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 124,415,478 including grants of $ 12,581 ) (Revenue $ 88,043,716 )
	SEE SCHEDULE O STATEMENTS 2 THROUGH 6

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses124,415,478

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) C BRUCE LAWRENCE........................................................................ DIRECTOR	1.0 .......................39.0	X	X				0	936,668	64,355
(2) WENTZ MILLER........................................................................ ASST.TREASURER/VP/DIRECTOR	1.0 .......................39.0	X	X				0	474,352	84,325
(3) BETH PAUCHNIK........................................................................ DIRECTOR/SECRETARY	1.0 .......................39.0	X	X				0	413,087	84,304
(4) DAVID R HADLEY........................................................................ ASST.TREASURER/VP/DIRECTOR	1.0 .......................39.0	X	X				0	0	0
(5) JEFFREY CRUZAN........................................................................ CLINIC PHYSICIAN/MEDICAL DIR.	40.0 .......................0.0			X			543,165	0	26,315
(6) JOHN S CHAFFIN........................................................................ PHYSICIAN	40.0 .......................0.0				X		1,213,778	0	45,091
(7) C CRAIG ELKINS........................................................................ PHYSICIAN	40.0 .......................0.0				X		1,201,534	0	30,337
(8) BRIAN V GEISTER........................................................................ PHYSICIAN	40.0 .......................0.0				X		1,052,697	0	29,553
(9) ROMEO MANDANAS........................................................................ PHYSICIAN	40.0 .......................0.0				X		995,438	0	27,104
(10) IMRAN S VIRK........................................................................ PHYSICIAN	40.0 .......................0.0				X		1,905,167	0	16,423
(11) STANLEY F HUPFELD........................................................................ FORMER OFFICER & DIRECTOR	0.0 .......................13.0					X	0	55,846	11,994

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,911,779	1,879,953	419,801

(A) Name and business address	(B) Description of services	(C) Compensation
SEE SCHEDULE O GENERAL STATEMENT 1,		1,559,195




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 10

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		37,059,204
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$		550
h	Total. Add lines 1a-1f.......			37,059,204
			Business Code
2a	NET PATIENT REVENUE		621990	71,234,390	71,234,390
b	QUALITY INCENTIVES		900099	3,813,330	3,813,330
c	INCOME FROM JOINT VENTURES		621990	3,184,096	3,183,346	750
d	SYSTEM SERVICE REVENUE		900099	3,875,581	3,875,581
e	ELECTRONIC HEALTH RECORDS		900099	2,950,520	2,950,520
f	All other program service revenue .			2,985,799	1,382,533		1,603,266
g	Total. Add lines 2a–2f........			88,043,716
3	Investment income (including dividends, interest, and other similar amounts).......			568,289			568,289
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		0
b	Less: cost or other basis and sales expenses		93,996
c	Gain or (loss)		-93,996
d	Net gain or (loss)..........			-93,996			-93,996
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	REIMB. - PHYSICIAN SERVICES		900099	26,902,483			26,902,483
b	MISCELLANEOUS INCOME		900099	141,083			141,083
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			27,043,566
12	Total revenue. See Instructions......			152,620,779	86,439,700	750	29,121,125


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			25,619	1	23,172
2	Savings and temporary cash investments .........			67,729,723	2	61,380
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			4,566,595	4	12,655,742
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			0	8	178,349
9	Prepaid expenses and deferred charges ..........			123,593	9	166,866
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	23,858,864
b	Less: accumulated depreciation .....	10b	14,439,215	5,544,745	10c	9,419,649
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			2,837,408	12	3,451,874
13	Investments—program-related. See Part IV, line 11 .....			23,619,050	13	24,285,509
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			31,680	15	916,577
16	Total assets. Add lines 1 through 15 (must equal line 34)......			104,478,413	16	51,159,118
17	Accounts payable and accrued expenses .........			9,247,675	17	12,504,929
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			71,428,764	25	13,758
26	Total liabilities. Add lines 17 through 25.........			80,676,439	26	12,518,687
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			23,801,974	27	38,640,431
28	Temporarily restricted net assets ...........			0	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			23,801,974	33	38,640,431
34	Total liabilities and net assets/fund balances ........			104,478,413	34	51,159,118

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) INVESTMENT IN IH FOUNDATION	2,168,939	F
(B) INVESTMENT IN WESTERN VILLAGE	1,282,935	F







Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	3,451,874

1.(a) Description of liability		(b) Book value
Federal income taxes		0
OTHER LONG-TERM LIABILITIES		13,758








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		13,758
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................