TY 2017 Form 990

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORP

Employer identification number

73-1192765

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

INTEGRIS AMBULATORY CARE CORP

Employer identification number

73-1192765

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization INTEGRIS AMBULATORY CARE CORP

Part I Contributors	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
		$	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization INTEGRIS AMBULATORY CARE CORP		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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization INTEGRIS AMBULATORY CARE CORP			Employer identification number 73-1192765
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORP

Employer identification number

73-1192765

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

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

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

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

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	70,327		70,327
b	Buildings ....	6,253,099	2,824,239	3,428,860
c	Leasehold improvements	2,117,081	1,398,291	718,790
d	Equipment ....	21,095,398	15,741,592	5,353,806
e	Other .....	465,862	136,715	329,147
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				9,900,930

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)INVESTMENT IN LAKESIDE	21,025,547	F
(2)INVESTMENT IN ADVANCED	15,017	F
(3)INVESTMENT IN SW ORTHO	6,462,687	F
(4)INVESTMENT IN MEDICAL PLAZA	271,187	F
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	27,774,438

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
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

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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 (losses) 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' on 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

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORP

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 criteria used 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? . . . . . .

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	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	778,158		778,158	0.330 %
b	Medicaid (from Worksheet 3, column a) . . . . .	2,045,574	854,925	1,190,649	0.500 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	2,823,732	854,925	1,968,807	0.830 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,995,443	40,000	1,955,443	0.830 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	13,795		13,795	0.010 %
j	Total. Other Benefits . .	2,009,238	40,000	1,969,238	0.840 %
k	Total. Add lines 7d and 7j .	4,832,970	894,925	3,938,045	1.670 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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	149,084	149,084	0.060 %
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	149,084	149,084	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

7,748,931

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. ......

387,447

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).....

3,442,406

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

3,459,448

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

-17,042

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 %	25 %
2ADVANCED IMAGING LLC	RADIOLOGY IMAGING CENTER	50 %	50 %
3MEDPLAZA IMAGING	RADIOLOGY IMAGING CENTER	50 %	50 %
4SW AMBSURGERY CTR	AMBULATORY SURGERY CENTER	18.55 %	51.31 %
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

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?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
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) 2019

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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 Section C.

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 Section C.

Schedule H (Form 990) 2019

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
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 5: PUBLIC HEALTH EXPERTISE WAS UTILIZED WITH EACH FACILITY USING THE OKLAHOMA STATE DEPARTMENT OF HEALTH'S TURNING POINT CONSULTANT. EACH CONSULTANT GAVE THEIR INPUT BASED ON COUNTY DATA AND GAVE THEIR APPROVAL OF THE CHOSEN INDICATORS. THEY ALSO SIGNED IN APPROVAL OF THE OVERALL STRATEGIC PLAN. EACH CONSULTANT HELPED THE INDIVIDUAL COALITIONS PRIORITIZE THEIR COUNTY'S NEEDS BASED ON SEVERAL FACTORS. PUBLIC HEALTH EXPERTS 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 6A: THE FACILITIES LISTED IN THE METRO AREA USED THE SAME SURVEY, BUT SOME CONTENTS OF THE PLANS WERE CHANGED DUE TO SOME DEMOGRAPHIC ASPECTS OF THE COMMUNITIES (IE LARGE HISPANIC POPULATION, HIGHER SOCIO ECONOMIC FACTORS, ETC). THOSE FACILITIES INCLUDED: INTEGRIS HEALTH EDMOND, INTEGRIS BAPTIST MEDICAL CENTER, LAKESIDE WOMEN'S HOSPITAL, OKLAHOMA CENTER OF ORTHOPEDIC MULTI-SPECIALTY SURGERY, INTEGRIS SOUTHWEST MEDICAL CENTER, AND INTEGRIS CANADIAN VALLEY HOSPITAL. DUE TO THEIR CLOSE PROXIMITY AND GEOGRAPHIC LOCATION, INTEGRIS GROVE HOSPITAL AND INTEGRIS BAPTIST REGIONAL HEALTH CENTER USED THE SAME. INTEGRIS BASS BAPTIST HEALTH CENTER AND INTEGRIS NORTHWEST SPECIALTY HOSPITAL USED THE SAME SURVEY SINCE THEY SHARE THE SAME ZIP CODE. EACH FACILITY PLACED THE ASSESSMENT SURVEY ON THEIR WEB SITE'S HOME PAGE.
SUPPLEMENTAL INFORMATION 4	PART V, SECTION B, LINE 6B: OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT
SUPPLEMENTAL INFORMATION 5	PART V, SECTION B, LINE 7D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS, AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL.
SUPPLEMENTAL INFORMATION 6	PART V, SECTION B, LINE 11: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS SERVICE AREAS. MANY OF THE NEEDS IDENTIFIED WERE COMMON WITHIN THE VARIOUS SERVICE AREAS, INCLUDING HEART DISEASE, DIABETES, TOBACCO USE, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE. OTHERS, HOWEVER, SUCH AS CHILD ABUSE AND TEEN PREGNANCY, WERE NOT AS PREDOMINANT. THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THESE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS TO DETERMINE WHICH NEEDS COULD MOST EFFECTIVELY BE IMPACTED BY INTEGRIS THROUGH ADMINISTRATION OF THE DEVELOPED COMMUNITY HEALTH IMPROVEMENT PLAN (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 7	PART V, SECTION B, LINE 7A AND LINE 10A: HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTS
SUPPLEMENTAL INFORMATION 8	PART V, SECTION B, LINES 16A, 16B, AND 16C: INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2019

Page 9

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?3
Name and address		Type of Facility (describe)
1	SOUTHWEST AMBULATORY SURGERY CENTER LLC 8125 SOUTH WALKER OKLAHOMA CITY,OK73139	AMBULATORY SURGERY CENTER
2	MEDICAL PLAZA IMAGING CENTER 3330 NW 56TH OKLAHOMA CITY,OK73112	RADIOLOGY IMAGING CENTER
3	ADVANCED IMAGING LLC 3330 NW 56TH SUITE 206 OKLAHOMA CITY,OK73112	RADIOLOGY IMAGING CENTER
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

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 VI: INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IACC FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW. IACC DOES NOT HAVE A DIRECTLY OWNED HOSPITAL FACILITY, BUT OWNS A MINORITY INTEREST IN TWO HOSPITAL FACILITIES, OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY (OCOM), THROUGH ITS INVESTMENT IN SOUTHWEST AMBULATORY SURGERY CENTER, LLC AND LAKESIDE WOMEN'S HOSPITAL, LLC (LWH). THE ACTIVITY REPORTED ON SCHEDULE H, PARTS I-III INCLUDES THE ACTIVITY OF OCOM & LWH AS WELL AS THE THE DIRECT ACTIVITY OF IACC AND IACC'S PROPORTIONATE SHARE OF THE ACTIVITY OF THE NON-HOSPITAL JOINT VENTURES LISTED ON SCHEDULE H, PART V, SECTION D.
SUPPLEMENTAL INFORMATION 2	PART I, LINE 3C: N/A
SUPPLEMENTAL INFORMATION 3	PART I, LINE 6A: INTEGRIS HEALTH, INC., (EIN: 73-1192764), THE PARENT ORGANIZATION OF INTEGRIS AMBULATORY CARE CORPORATION, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC.
SUPPLEMENTAL INFORMATION 4	PART I, LINE 7, COLUMN F: BAD DEBT OF $0 (GROSS CHARGES) WAS SUBTRACTED FROM PART IX LINE 25(A( TO COMPUTE TOTAL EXPENSES, $244,972,691, WHICH INCLUDES IACC'S SHARE OF JOINT VENTURE EXPENSES.
SUPPLEMENTAL INFORMATION 5	PART I, LINE 7: COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON PART 1, LINE 7. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
SUPPLEMENTAL INFORMATION 6	PART II: COMMUNITY BUILDING ACTIVITIES COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS.
SUPPLEMENTAL INFORMATION 7	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
SUPPLEMENTAL INFORMATION 8	PART III, LINE 8: THE AMOUNTS REPORTED ON PART III, LINES 5 AND 6 REPRESENT INTEGRIS AMBULATORY CARE CORPORATION'S (IACC) PROPORTIONATE SHARE OF THE ALLOWABLE COSTS AND MEDICARE REIMBURSMENTS THAT ARE REPORTED ON OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SPECIALTY SURGERY'S (OCOM) MEDICARE COST REPORT & LAKESIDE WOMEN'S HOSPITAL LLC (LWH) MEDICARE COST REPORT. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.
SUPPLEMENTAL INFORMATION 9	PART III, LINE 9B: PATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES. ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED. IACC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
SUPPLEMENTAL INFORMATION 10	PART VI, LINE 2: NEEDS ASSESSMENT INTEGRIS HEALTH UTILIZES A VARIETY OF TOOLS TO DETERMINE THE HEALTH CARE NEEDS OF OUR COMMUNITIES. THESE INCLUDE PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES AND ORGANIZATIONS TO DETERMINE SPECIFIC TARGET MARKET NEEDS, PROGRAM SURVEYS AND COMMUNITY FOCUS GROUPS, PROGRAM EVALUATIONS FROM PARTICIPANTS IN OUR COMMUNITY HEALTH SCREENINGS, HEALTH EDUCATION AND SUPPORT GROUPS, THE COUNTY HEALTH RANKINGS REPORT AND THE OKLAHOMA STATE HEALTH DEPARTMENT'S "STATE OF THE STATE HEALTH REPORT." AFTER REVIEWING THESE MATERIALS FOR ISSUES CONCERNING ACCESS TO CARE, HEALTH EDUCATION NEEDS AND GAPS IN SERVICES IN OUR COMMUNITIES, INTEGRIS HEALTH DETERMINES HOW TO ADDRESS THESE ISSUES BY DEVELOPING PROGRAMS/SERVICES TO IMPLEMENT, INCLUDING, BUT NOT LIMITED TO, HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION AND WELLNESS PROGRAMS, SUPPORT GROUPS, AND ACCESS TO HEALTH CARE FACILITIES. INTEGRIS HEALTH UTILIZES OUR HEALTH SYSTEM RESOURCES, FACILITIES AND PERSONNEL FOR MANY OF THESE PROGRAMS, BUT ALSO PARTNERS WITH OUR COMMUNITIES AND DEVELOPS COLLABORATIONS WITH LOCAL NON-PROFIT AGENCIES, CIVIC ORGANIZATIONS, SCHOOLS, AND CHURCHES TO IMPROVE THE ISSUES IDENTIFIED.
SUPPLEMENTAL INFORMATION 11	PART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCE INTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES: POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS. A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS. A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ON-LINE CHARITY APPLICATION. A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL. FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.
SUPPLEMENTAL INFORMATION 12	PART VI, LINE 4: COMMUNITY INFORMATION INTEGRIS HEALTH SYSTEM IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS, WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN'S CLINICS, MENTAL HEALTH FACILITIES, CANCER CENTERS, INDEPENDENT LIVING CENTERS, AND HOME HEALTH AGENCIES THROUGHOUT MOST OF THE STATE. ALL COUNTIES IN WHICH INTEGRIS HEALTH OPERATES INCLUDE ONE OR MORE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. INTEGRIS AMBULATORY CARE CORPORATION (IACC) IS LOCATED IN OKLAHOMA CITY, WHICH IS IN OKLAHOMA COUNTY IN CENTRAL OKLAHOMA.
SUPPLEMENTAL INFORMATION 13	PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS. IACC'S BOARD OF DIRECTORS IS APPOINTED BY INTEGRIS HEALTH, INC. INTEGRIS HEALTH, INC. IS GOVERNED BY A BOARD OF DIRECTORS SPECIFICALLY MADE UP OF MEN AND WOMEN WHO LIVE AND WORK IN THE COMMUNITY INCLUDING: LOCAL BUSINESS OWNERS, CIVIC LEADERS, COMMUNITY VOLUNTEERS, REPRESENTATIVES WORKING IN HIGHER EDUCATION, UTILITY COMPANIES, AND A VARIETY OF NON-PROFIT ORGANIZATIONS. PATIENT AND COMMUNITY ADVISORY GROUPS HAVE ALSO BEEN ESTABLISHED AT SEVERAL INTEGRIS FACILITIES ACROSS THE STATE. THESE GROUPS GIVE HOSPITAL LEADERS INPUT, SUGGESTIONS, AND FEEDBACK ON WAYS TO IMPROVE PROGRAMS, SERVICES, COMMUNITY NEEDS, AND PROCESS IMPROVEMENT IN CLINICAL AREAS. PROGRAMS ESTABLISHED TO MEET COMMUNITY NEEDS INCLUDE A FALLS PREVENTION PROGRAM FOR SENIOR CITIZENS, COMMUNITY HEALTH SCREENINGS AND PHYSICIAN LECTURES REQUESTED BY LOCAL SCHOOLS, CHURCHES, CIVIC GROUPS, AND COMMUNITY LEADERS TO ADDRESS SPECIFIC HEALTH ISSUES WHICH INCLUDE: DIABETES, CANCER DIAGNOSIS AND TREATMENT OPTIONS, OBESITY AND PHYSICAL FITNESS PROGRAMS, MEN'S UROLOGICAL HEALTH PROGRAMS AND PROSTATE SCREENINGS, CANCER SCREENINGS, SPANISH DIABETES SUPPORT GROUP, AFRICAN AMERICAN MEN AND WOMEN'S HEART HEALTH, AND STROKE LECTURES. ADVOCACY INITIATIVES FOR PROMOTING COMMUNITY-WIDE, STATE OR NATIONAL EFFORTS TO IMPROVE HEALTH OF THE POPULATION AND INCREASE ACCESS. INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA LIONS CLUB MOBILE HEALTH UNIT, THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE OKLAHOMA TURNING POINT PROGRAM TO INCREASE HEALTH SCREENING OPPORTUNITIES AND HEALTH ACCESS FOR PEOPLE LIVING IN RURAL, UNDERSERVED AREAS OF OKLAHOMA. THE PARTNERSHIP INCLUDES DONATION OF RESOURCES AND MONEY TO SPONSOR THE OPERATION OF THE LIONS MOBILE HEALTH UNIT WHICH TRAVELS AROUND THE STATE OFFERING FREE HEALTH SCREENINGS AND MEDICAL INFORMATION. THE OKLAHOMA STATE HEALTH DEPARTMENT AND THE OKLAHOMA TURNING POINT PROGRAM ASSIST WITH HEALTH SCREENINGS AND HELP WITH REFERRALS TO MEDICAL HOMES AND CLINICS FOR PEOPLE WITHOUT A PHYSICIAN AND FOR THOSE UNINSURED OR UNDERINSURED. INTEGRIS HEALTH PARTNERS WITH THE OKLAHOMA TURNING POINT PROGRAM, LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, ROTARY, AND KIWANIS CLUBS, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA. THE HOSPITAL'S ROLE IN WORKING WITH OTHERS TO IDENTIFY COMMUNITY NEEDS AND ADDRESS COMMUNITY PROBLEMS. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS, TASK FORCES, AND COMMITTEES HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION. THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES, AND REDUCING HEALTH CARE COSTS. INTEGRIS COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS ABOUT HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT HOW THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HAS BEEN ABLE TO HELP SLOWLY IMPROVE HEALTH IN SOME INDICATORS, SUCH AS CHILDHOOD IMMUNIZATIONS, ADULT IMMUNIZATIONS, AND SMALL STEP TOWARD IMPROVING CHILDHOOD OBESITY WITH SEVERAL PROGRAMS IMPLEMENTED IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS. ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS.
SUPPLEMENTAL INFORMATION 14	PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES IACC IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O, GENERAL STATEMENTS 3 THROUGH 7 FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM.
SUPPLEMENTAL INFORMATION 15	PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT ALL STATES WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: OK

Schedule H (Form 990) 2019

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
INTEGRIS AMBULATORY CARE CORP

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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 noncash assistance	(h) Purpose of grant or assistance
(1) INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORP 5300 N INDEPENDENCE AVE STE 130 OKLAHOMA CITY,OK73112	73-1089149	501(C)(3)	2,727,988				TO FUND OPERATIONS

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) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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 INTEGRIS AMBULATORY CARE CORPORATION, INC. (IACC) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS TO SUPPORT THEIR OPERATIONS. IACC DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS.

Schedule I (Form 990) 2019

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORP

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 on 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 on 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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

Were any amounts reported on 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" on 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) 2019

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 on 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 in column (B) reported as deferred on 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)
1C BRUCE LAWRENCE DIRECTOR	(i) (ii)	0 ------------- 1,005,276	0 ------------- 1,519,666	0 ------------- 68,998	0 ------------- 274,401	0 ------------- 12,400	0 ------------- 2,880,741	0 ------------- 1,270,938
2BETH PAUCHNIK DIRECTOR/SECRETARY	(i) (ii)	0 ------------- 442,142	0 ------------- 129,856	0 ------------- 14,565	0 ------------- 115,903	0 ------------- 11,908	0 ------------- 714,374	0 ------------- 0
3DANIEL DAVIS ASST. TREASURER	(i) (ii)	0 ------------- 464,791	0 ------------- 0	0 ------------- 13,812	0 ------------- 101,942	0 ------------- 15,921	0 ------------- 596,466	0 ------------- 0
4HANI BARADI PHYSICIAN	(i) (ii)	644,976 ------------- 0	706,416 ------------- 0	1,080 ------------- 0	7,950 ------------- 0	16,207 ------------- 0	1,376,629 ------------- 0	0 ------------- 0
5JEREMY PHELPS PHYSICIAN	(i) (ii)	597,149 ------------- 0	728,392 ------------- 0	780 ------------- 0	14,575 ------------- 0	16,112 ------------- 0	1,357,008 ------------- 0	0 ------------- 0
6SCOTT SHADFAR PHYSICIAN	(i) (ii)	760,132 ------------- 0	485,700 ------------- 0	375 ------------- 0	7,950 ------------- 0	7,228 ------------- 0	1,261,385 ------------- 0	0 ------------- 0
7NATHANIEL STETSON PHYSICIAN	(i) (ii)	693,234 ------------- 0	516,682 ------------- 0	780 ------------- 0	7,950 ------------- 0	16,112 ------------- 0	1,234,758 ------------- 0	0 ------------- 0
8ATUL WALIA PHYSICIAN	(i) (ii)	697,813 ------------- 0	311,090 ------------- 0	5,610 ------------- 0	10,600 ------------- 0	16,667 ------------- 0	1,041,780 ------------- 0	0 ------------- 0
9JEFFREY CRUZAN FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 408,894	0 ------------- 113,214	0 ------------- 16,910	0 ------------- 100,455	0 ------------- 16,457	0 ------------- 655,930	0 ------------- 0
10C CRAIG ELKINS FORMER HIGHEST PAID EMPLOYEE	(i) (ii)	0 ------------- 1,145,199	0 ------------- 91,021	0 ------------- 5,950	0 ------------- 13,250	0 ------------- 18,069	0 ------------- 1,273,489	0 ------------- 0
11JOHN S CHAFFIN FORMER HIGHEST PAID EMPLOYEE	(i) (ii)	0 ------------- 1,054,147	0 ------------- 105,284	0 ------------- 19,027	0 ------------- 31,800	0 ------------- 16,582	0 ------------- 1,226,840	0 ------------- 0
12DAVID R HADLEY FORMER OFFICER & DIRECTOR	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 244,392	0 ------------- 7,293	0 ------------- 0	0 ------------- 251,685	0 ------------- 0
13TOM HONAN FORMER OFFICER & DIRECTOR	(i) (ii)	0 ------------- 14,000	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 14,000	0 ------------- 0

Schedule J (Form 990) 2019

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. JEFFREY CRUZAN DANIEL DAVIS BETH PAUCHNIK C. BRUCE LAWRENCE RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR EQUAL TO $1,519,666.
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) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORP

Employer identification number

73-1192765

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) 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 the 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 Benefiting 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) 2019

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: INTEGRIS PROHEALTH, INC. (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $192,803 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO (A) NAME OF INTERESTED PERSON: INTEGRIS CARDIOVASCULAR PHYSICIANS, LLC (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $152,001 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO (A) NAME OF INTERESTED PERSON: BAPTIST MEDICAL PLAZA ASSOCIATES, LTD. (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $970,950 (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. THE INTERESTED PERSONS REPORTED ON SCHEDULE L, PART V, SUPPLEMENTAL INFORMATION 1 ARE EACH GREATER THAN 35% CONTROLLED ENTITIES OF INTEGRIS HEALTH, INC. AND/OR INTEGRIS BAPTIST MEDICAL CENTER. THE TRANSACTIONS REPORTED CONSIST OF ROUTINE TRANSACTIONS WITHIN THE ACTIVITY OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE TRANSACTIONS INCLUDE EXPENSE REIMBURSEMENTS, LEASING OF FACILITIES, PURCHASE OF SERVICES, EQUITY CONTRIBUTIONS AND DISTRIBUTIONS, AND OTHER INTERCOMPANY TRANSFERS.

Schedule L (Form 990 or 990-EZ) 2019

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORP

Employer identification number

73-1192765

Return Reference	Explanation
GENERAL STATEMENT 1	FORM 990, BOX C: DOING BUSINESS AS CHEST PAIN EMERGENCY CENTER PROHEALTH LABORATORY MEDICAL PLAZA IMAGING CENTER MERIDIAN OCCUPATIONAL HEALTH CENTER MERIDIAN PRIORITY OCCUPATIONAL HEALTH CENTER FAMILY PHYSICIANS OF OKLAHOMA CITY INTEGRIS HOMECARE PLUS SAMARITAN HOME INFUSION SAMARITAN HEALTH SERVICES INTEGRIS FAMILY CARE CENTER SOUTH PENN FAMILY MEDICINE CENTER SOUTH PENN FAMILY MEDICINE CLINIC INTEGRIS AMBULATORY CARE REHABILITATION SERVICES INTEGRIS FAMILY CARE CENTRAL BAPTIST COMMUNITY CLINIC INNER EAR RESEARCH TEAM INTEGRIS EXPRESS CARE INTEGRIS MEDICAL GROUP INTEGRIS JIM THORPE REHABILITATION INTEGRIS ADVANCED CARDIAC CARE INTEGRIS JIM THORPE OUTPATIENT REHABILITATION HEFNER POINTE
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 CHARITY CARE AT COST OF $697,081 USING A COST TO CHARGE RATIO METHOD OF CALCULATION. IACC ALSO PROVIDED CARE FOR PATIENTS WHO DID NOT PAY AND MUST BE WRITTEN OFF AS BAD DEBT COST OF $7,270,351 BASED ON A COST TO CHARGE RATIO METHOD OF CALCULATION. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFIT SEE THE ATTACHED COMPLETE COMMUNITY BENEFIT REPORT ON SCHEDULE O STATEMENTS 3 THROUGH 7.
GENERAL STATEMENT 3	PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2018 "COURAGE IS WHAT IT TAKES TO STAND UP AND SPEAK; COURAGE IS ALSO WHAT IT TAKES TO SIT DOWN AND LISTEN." - WINSTON CHURCHILL LETTER FROM TIM PEHRSON FOR MANY YEARS, INTEGRIS HAS DELIVERED PIONEERING MEDICINE TO OKLAHOMANS. PERHAPS YOU ALREADY KNOW WE PROVIDE THE MOST LEADING-EDGE MEDICAL CARE IN THE STATE. WE ARE UNDOUBTEDLY PROUD OF OUR HERITAGE AND THE MANY INNOVATIONS AND "FIRSTS" WE HAVE ESTABLISHED FOR OUR CITIZENS. WE HAVE A REPUTATION FOR UNPARALLELED QUALITY, OFFERING THE LATEST TECHNOLOGY, THE MOST ADVANCED TREATMENT OPTIONS AND SPECIALTIES. BUT YOU MIGHT NOT KNOW THAT COMMUNITY SERVICE IS TRULY THE FOUNDING PRINCIPLE OF INTEGRIS. THE ROOTS OF INTEGRIS BAPTIST MEDICAL CENTER, OUR FLAGSHIP HOSPITAL, STRETCH BACK 60 YEARS WHEN IT BEGAN AS BAPTIST MEMORIAL HOSPITAL, A COMMUNITY HOSPITAL WITH A MISSION TO CARE FOR THE SICK, POOR AND UNDERSERVED OF OKLAHOMA CITY. IN MANY WAYS, THE MODERN ESSENCE OF THE ENTIRE INTEGRIS HEALTH CARE SYSTEM AND ITS CONTINUED MISSION-BASED DEDICATION TO SERVING ITS COMMUNITIES EMANATES FROM THAT ORIGINAL DESIRE TO SERVE THE SICK AND POOR AT A SINGLE LOCATION. THE FOLLOWING PAGES HIGHLIGHT A SMALL VARIETY OF THE HUNDREDS OF PROGRAMS INITIATED BY INTEGRIS ACROSS OUR GREAT STATE AND PROVIDE SOME INTERESTING INFORMATION ON HOW INTEGRIS IS CARING FOR ITS COMMUNITIES. OUR OUTREACH INCLUDES FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, SUPPORT GROUPS FOR A VARIETY OF HEALTH ISSUES, MENTORING PROGRAMS FOR AT-RISK YOUTH, CLEAN UP AFTER NATURAL DISASTERS, ASSISTANCE FOR THE ELDERLY AND MUCH MORE. WE BELIEVE THESE PROGRAMS, ALONG WITH THE THOUSANDS OF PEOPLE THESE PROGRAMS REPRESENT, HELP INTEGRIS UPHOLD THE TRUST OUR COMMUNITIES HAVE PLACED IN US. THANK YOU FOR THE OPPORTUNITY TO SERVE YOU AND OUR COMMUNITY AND IMPACT THE HEALTH OF ALL OUR CITIZENS. ORGANIZATION AND HISTORY INTEGRIS RESULTED FROM A MERGER IN 1995 BETWEEN OKLAHOMA HEALTH SYSTEM AND SOUTHWEST MEDICAL CENTER IN OKLAHOMA CITY. IT HAS SINCE GROWN INTO THE LARGEST OKLAHOMA OWNED NOT-FOR-PROFIT HEALTH SYSTEM IN THE STATE, KNOWN FOR INNOVATION AND UNPARALLELED QUALITY OFFERING ADVANCED TREATMENT OPTIONS AND SPECIALTIES FOUND NOWHERE ELSE IN THE REGION. IT IS ALSO ONE OF THE STATES LARGEST PRIVATE EMPLOYERS WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN PRACTICES, MENTAL HEALTH FACILITIES, AND HOSPICE AND HOME HEALTH AGENCIES THROUGHOUT THE STATE. INTEGRIS IS A NOT-FOR-PROFIT CORPORATION GOVERNED BY A 15-MEMBER BOARD OF DIRECTORS FROM THE WORLDS OF BUSINESS, MEDICINE AND COMMUNITY LEADERSHIP ACROSS THE STATE. CORPORATE HEADQUARTERS ARE LOCATED ON THE CAMPUS OF INTEGRIS BAPTIST MEDICAL CENTER IN OKLAHOMA CITY. INTEGRIS IS MANAGED BY PRESIDENT AND CEO TIMOTHY PEHRSON, WITH THE ASSISTANCE OF SENIOR STAFF IN THE AREAS OF PHYSICIAN SERVICES, FACILITY OPERATIONS, STRATEGIC SERVICES AND FINANCE. SCOPE AND SERVICES EVERY YEAR, WE CARE FOR TENS OF THOUSANDS OF OKLAHOMANS ACROSS THE STATE, IN FACILITIES VARYING IN SIZE FROM INTEGRIS EXPRESS CARE IN VINITA, OKLA., TO OUR FLAGSHIP HOSPITAL, INTEGRIS BAPTIST MEDICAL CENTER IN OKLAHOMA CITY. SERVICES RANGE FROM LEADING EDGE HEART FAILURE INTERVENTIONS, TO OUR NATIONALLY RENOWNED MULTI-SPECIALTY REHABILITATION CARE. APPROXIMATELY 10,000 PEOPLE ARE EMPLOYED BY INTEGRIS, AND AFFILIATED HEALTH PROVIDERS ARE LOCATED IN 50 OKLAHOMA TOWNS AND CITIES. HOSPICE SERVICES ARE OFFERED THROUGH INTEGRIS HOSPICE IN MIAMI AND GROVE AS WELL AS AT THE INTEGRIS HOSPICE HOUSE IN OKLAHOMA CITY. COLLECTIVELY, THE ENTITIES WITHIN INTEGRIS MAINTAIN MORE THAN 1,800 LICENSED BEDS AND OUR MEDICAL STAFFS INCLUDE APPROXIMATELY 1,400 PHYSICIANS. WITH OVER 300 ACCESS POINTS ACROSS THE STATE, APPROXIMATELY 60 PERCENT OF OKLAHOMANS LIVE WITHIN 30 MILES OF A FACILITY OR PHYSICIAN INCLUDED IN THE INTEGRIS ORGANIZATION. SPECIALIZED CENTERS OF EXCELLENCE PROVIDE INCOMPARABLE CARE. EXCELLENCE IN MEDICAL CARE, ALONG WITH RESEARCH, STAFF EDUCATION, SUPPORT GROUPS FOR PATIENTS AND THEIR FAMILIES AND EDUCATIONAL PROGRAMS FOR THE COMMUNITY ALLOW MEMBERS OF INTEGRIS TO ACHIEVE THE ORGANIZATIONS MISSION. INTEGRIS IS A MEMBER OF THE MAYO CLINIC CARE NETWORK. INTEGRIS IS IN THE PROCESS OF BUILDING FOUR COMMUNITY HOSPITALS IN CENTRAL OKLAHOMA. THEY WILL BE LOCATED IN NORTHWEST OKLAHOMA CITY AT COUNCIL AND NW EXPRESSWAY, FAR WEST OKLAHOMA CITY AT COUNCIL AND I-40, IN MOORE AND DEL CITY. ALL FOUR COMMUNITY HOSPITALS SHOULD BE BUILT AND OPERATIONAL BY THE END OF 2019. CARING FOR OUR COMMUNITIES MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. VISION MOST TRUSTED NAME IN HEALTH CARE VALUES INTEGRIS VALUES CAN BE IDENTIFIED BY THREE SIMPLE BUT VERY POWERFUL CONCEPTS OF LOVE, LEARN AND LEAD. LOVE TREAT SELF AND OTHERS WITH KINDNESS, DIGNITY AND RESPECT BE PATIENT AND FORGIVING SERVE OTHERS WITH A CARING HEART LEARN LISTEN, ASK AND BE OPEN IMPROVE EVERY DAY UNDERSTAND OUR BUSINESS CREATE A LEARNING ENVIRONMENT LEAD SEEK AND PROVIDE DIRECTION AND VISION EXPECT AND ACKNOWLEDGE EXCELLENCE DEMONSTRATE HONESTY DEVELOP RELATIONSHIPS SHOW COURAGE TO MAKE A DIFFERENCE LEAD BY EXAMPLE INTEGRIS BAPTIST MEDICAL CENTER EMILY ROSE HOLLINS EMILY ROSE HOLLINS WAS BORN NEARLY FOUR MONTHS PREMATURE AND SPENT 156 DAYS IN THE INTEGRIS CHILDRENS NEONATAL INTENSIVE CARE UNIT. SHE WAS BORN AT 25 WEEKS AND SIX DAYS ON FEB. 8, 2017, WEIGHING A MERE 12.7 OUNCES AT BIRTH. AFTER SPENDING MORE THAN FIVE MONTHS IN THE NICU FOLLOWING HER BIRTH, HOLLINS LEFT INTEGRIS AS THE HOSPITALS SMALLEST SURVIVING BABY EVER. SHE IS THRIVING TODAY THANKS TO THE CARE SHE RECEIVED AT INTEGRIS. ABOUT TWO YEARS AGO, MELANIE HOLLINS DIDNT BELIEVE SHE WOULD BE ABLE TO HAVE CHILDREN. THE NOW-44-YEAR-OLD BETHANY RESIDENT HAD BEEN DIAGNOSED WITH DIABETES, HIGH BLOOD PRESSURE AND END-STAGE KIDNEY FAILURE ALL HEREDITARY TRAITS IN HER FAMILY TREE. MELANIES KIDNEYS WERE FUNCTIONING AT JUST 13 PERCENT AND SHE WAS GOING THROUGH THE APPROVAL PROCESS TO BE PLACED ON THE KIDNEY TRANSPLANT LIST WHEN SHE AND HER HUSBAND ALEX FOUND OUT SHE WAS PREGNANT WITH EMILY ROSE. "WE WERE BOTH EXCITED AND HORRIFIED AT THE SAME TIME," MELANIE SAID. "HERE I WAS DEALING WITH MY OWN MAJOR MEDICAL PROBLEMS AND ASKING MYSELF 'AM I EVEN GOING TO BE PHYSICALLY CAPABLE OF CARRYING THIS CHILD?" SHE SAID EVERYTHING PROGRESSED FINE WITH HER PREGNANCY UNTIL ABOUT SIX MONTHS IN, WHEN DURING A SCHEDULED CHECK-UP HER DOCTOR SAID EMILY ROSE WAS VERY SMALL AND NOT GROWING LIKE SHE NEEDED TO BE. MELANIES KIDNEY FUNCTION ALSO DROPPED TO 11 PERCENT. THEN ONE NIGHT IN EARLY FEBRUARY, MELANIE EXPERIENCED STRONG STOMACH PAINS AND WENT TO THE EMERGENCY ROOM. "THEY TOLD ME, SHE'S COMING TODAY," MELANIE RECALLED. "THAT FREAKED ME OUT." AT 6:22 P.M., EMILY ROSE WAS DELIVERED BY CESAREAN SECTION AND ENTERED THE WORLD WEIGHING BARELY MORE THAN A CAN OF SODA AND LESS THAN ONE POUND. BEING BORN SO EARLY, EMILY ROSES BODY WAS EXTREMELY UNDERDEVELOPED. SHE WAS NOT ABLE TO BREATHE ON HER OWN. SHE COULDNT PHYSICALLY TAKE A BOTTLE UNTIL SHE WAS THREE MONTHS OLD. NICU NURSES FED HER THROUGH A TUBE TO KEEP HER ALIVE. AFTER HER FIVE-MONTH STAY IN THE HOSPITAL, EMILY ROSE WEIGHED A HEALTHY 7 POUNDS, 15 OUNCES AND WAS RELEASED AS A HEALTHY BABY GIRL. MELANIE IS SO THANKFUL TO THE MEDICAL STAFF AT INTEGRIS FOR THEIR FAITH, TENACITY AND WILLINGNESS TO HELP HER DAUGHTER AGAINST THE ODDS. "THEY GAVE HER A CHANCE, AND THEM GIVING HER A CHANCE MADE ALL THE DIFFERENCE IN THE WORLD," MELANIE SAID. MELANIE WORKS TODAY TO BALANCE MAINTENANCE OF HER OWN HEALTH WITH CARING FOR EMILY ROSE AND THE REST OF HER FAMILY, INCLUDING 10-YEAR-OLD DAUGHTER JACARI. MELANIE IS ON DIALYSIS AND CONTINUES TO WAIT ON THE KIDNEY TRANSPLANT LIST. SHE SAID EMILY ROSE CONSTANTLY GIVES HER STRENGTH THANKS TO HER DAUGHTER'S VIVACITY. "SHE'S A LITTLE FIRECRACKER," MELANIE SAID. "FULL OF ENERGY." INTEGRIS BASS BAPTIST HEALTH CENTER TWIN BROTHERS GEORGE AND ERNIE DILLMAN TWIN BROTHERS GEORGE AND ERNIE DILLMAN, 63, OF ENID, DIDNT KNOW THEY WERE SUFFERING FROM THE SAME GENETIC ABNORMALITY IN THEIR HEARTS. THEIR CONDITION WAS DISCOVERED BECAUSE GEORGE, A VIGOROUS MAN, HAD BEEN FEELING RUNDOWN AND THOROUGHLY EXHAUSTED FOR MONTHS. GEORGE IS A HIGHLY DECORATED, RETIRED SENIOR MASTER SERGEANT (E-8) AIRMAN, WHOSE 21-YEAR CAREER IN ACTIVE FEDERAL MILITARY SERVICE WAS FILLED WITH HIGH-PROFILE, PHYSICALLY DEMANDING ASSIGNMENTS. IN FACT, GEORGE CALLED IT "ONE OF THE TOUGHEST JOBS IN THE WORLD."
GENERAL STATEMENT 4	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED ALTHOUGH GEORGE ALWAYS LED AN EXTREMELY ACTIVE LIFE, HED SIMPLY HAD NO ENERGY FOR MONTHS. ERNIE, TOO, HAD BEEN FEELING TIRED AND RUNDOWN BUT HED CHALKED IT UP TO HIS DIABETES. IT WAS QUITE A SURPRISE TO BOTH WHEN DOCTORS DISCOVERED THAT EACH TWIN SUFFERED FROM BICUSPID AORTIC VALVE DISEASE. BICUSPID AORTIC VALVE DISEASE IS CAUSED BY A STRUCTURAL FLAW. THE AORTIC VALVE SHOULD HAVE THREE FLAPS DIRECTING BLOOD FLOW, BUT THEIRS HAD ONLY TWO. BECAUSE OF THIS, SOME OF THEIR BLOOD WAS FLOWING BACKWARD. BOTH BROTHERS NEEDED VALVE REPLACEMENT SURGERY. GEORGE HAD OPEN HEART SURGERY ON MARCH 15, 2018. ERNIE HAD HIS SURGERY LESS THAN THREE MONTHS LATER, ON JUNE 6. AFTER THEIR SURGERIES, BOTH MEN BECAME OUTPATIENTS AT INTEGRIS BASS BAPTIST HOSPITAL IN ENID AND RAVED ABOUT THE OUTSTANDING LEVEL OF CARE THEY RECEIVED. "I FEEL REALLY GOOD NOW, ERNIE SAYS. "I'VE GOT SO MUCH ENERGY. I'M VERY BLESSED. PEOPLE NEED TO KNOW IF THEY FEEL RUNDOWN OR TIRED, IT MAY NOT BE JUST NATURAL AGING. THERE COULD BE A MEDIAL REASON AND THEY SHOULD NOT HESITATE TO GET CHECKED." AFTER COMPLETING THEIR CARDIO REHABILITATION AT INTEGRIS BASS BAPTIST, BOTH BROTHERS HAVE REGAINED THEIR LIVELINESS, THEIR STRENGTH - AND OVERALL VIGOR FOR LIFE HAS RETURNED. INTEGRIS CANADIAN VALLEY HOSPITAL GARY SLANE GARY SLANE NEVER MISSED A WORK-OUT. HE COULD ALWAYS PUSH PAST THE PAIN. UNTIL ONE DAY - HE COULDN'T. "IT STARTED WITH TINGLING AND NUMBNESS AND EVENTUALLY A BURNING SENSATION AND I PROBABLY SHOULD HAVE GONE TO SEE A DOCTOR BUT I JUST THOUGHT IT WAS BECAUSE OF MY AGE." THE 64-YEAR-OLD MAN FROM EL RENO, OKLA., WENT TO WORK OUT ONE FRIDAY NIGHT - WHEN THE PAIN FINALLY GOT THE BEST OF HIM. BY THE TIME HE LEFT THE GYM, HE WAS HARDLY ABLE TO WALK OUT TO HIS CAR. HE WENT TO AN URGENT HEALTH CARE CENTER IN EL RENO. X-RAYS REVEALED HIS MUSCLES WERE SWOLLEN AND PRESSING INTO HIS SPINE. HE WENT HOME AND TOOK A PAIN PILL, THEN WENT TO BED. WHEN HE WOKE UP THE NEXT DAY - HE WAS PARALYZED. GARY CALLED 911. HE WAS TAKEN TO INTEGRIS BAPTIST MEDICAL CENTER. THE NEUROSURGEON INDICATED HE HAD ARTHRITIS IN HIS SPINE, A DEBILITATING AND UNDIAGNOSED HEALTH CONDITION THAT OVER TIME CAUSED A SEVERE SPINAL CORD INJURY. HE UNDERWENT IMMEDIATE SPINAL SURGERY ON HIS L1, 2, 3, 4 AND 5TH VERTEBRAE. HE HAD TO MAKE A DECISION WHETHER HE WAS GOING TO LIVE IN FEAR OR IN FAITH...AND HE CHOSE FAITH. AFTER SURGERY, GARY STARTED REHAB AT INTEGRIS JIM THORPE, FIRST AS AN INPATIENT AND NOW AS AN OUTPATIENT. HE ATTENDS OUTPATIENT THERAPY EVERY WEEK AT INTEGRIS CANADIAN VALLEY HOSPITAL. GARY IS DETERMINED TO WALK AGAIN ONE DAY, AND HIS THERAPISTS ARE CONVINCED HE WILL. THEY SAY HIS GRIT AND WORK ETHIC ARE RELENTLESS, BUT IT IS HIS CONTAGIOUS SMILE THAT THEY WILL ALWAYS REMEMBER. GARY RECEIVED THE 2018 INTEGRIS JIM THORPE COURAGE AWARD. THE HONOR IS NAMED AFTER THE MAN KNOWN AS THE WORLDS GREATEST ATHLETE, JIM THORPE, AND IS GIVEN ANNUALLY TO THOSE WHO HAVE OVERCOME DISABILITIES CAUSED BY INJURY OR ILLNESS, BY FACING THE PHYSICAL AND MENTAL CHALLENGES OF REHABILITATION WITH BOTH COURAGE AND DETERMINATION. INTEGRIS CANCER INSTITUTE STACI JOHNSON STACI JOHNSON WAS DIAGNOSED WITH BREAST CANCER AT THE AGE OF 36. JOHNSON WAS PROACTIVE IN HER TREATMENT AFTER DISCOVERING AN UNUSUAL LUMP IN EARLY 2016 AND EMBRACED POSITIVITY THROUGHOUT HER TREATMENT AT THE INTEGRIS CANCER INSTITUTE AND THE INTEGRIS COMPREHENSIVE BREAST CENTER. THE BETHANY RESIDENT IS NOW IN REMISSION, BACK TO WORK AND ENJOYING HER TIME WITH HER HUSBAND MIKE AND SONS HUNTER, 10, AND WYATT, 6, WITH A FRESH PERSPECTIVE. IN JANUARY 2016, JOHNSON NOTICED AN UNUSUAL LUMP AFTER EXITING THE SHOWER. SHE MADE AN APPOINTMENT WITH HER PHYSICIAN BUT DIDNT GIVE IT MUCH THOUGHT OTHERWISE AS SHE HAD NO HISTORY OF BREAST CANCER IN HER FAMILY. AN ULTRASOUND, MAMMOGRAM AND BIOPSY FOLLOWED IN THE COMING WEEKS AT THE INTEGRIS COMPREHENSIVE BREAST CENTER, AND IN FEBRUARY 2016, JOHNSON WAS DIAGNOSED WITH INVASIVE DUCTAL CARCINOMA. SHE ALLOWED HERSELF TO BE DISTRAUGHT FOR THE NEXT TWO DAYS, BUT THEN DECIDED THAT TO BEAT THIS, SHE NEEDED TO KEEP A POSITIVE MINDSET THROUGHOUT THE COMING MONTHS. "FOR THE MOST PART I DIDN'T LET IT GET ME DOWN. I WAS VERY POSITIVE," SHE SAID. "I HAD THAT INITIAL COUPLE OF DAYS, BUT THEN I JUST THOUGHT: 'NOPE WE'RE GOING TO GET THIS TAKEN CARE OF." SHE STARTED HER FIRST CHEMOTHERAPY TREATMENT MARCH 10, 2016, AT THE INTEGRIS CANCER INSTITUTE AND HAD EIGHT ROUNDS OF CHEMOTHERAPY THAT LASTED INTO JULY. "THEY DIDN'T WASTE ANY TIME, WHICH IS A BLESSING BECAUSE THEY JUST TOOK OVER," JOHNSON SAID. "YOUR BRAIN IS MUDDLED. THERE IS SO MUCH INFORMATION BEING FED TO YOU THAT YOU JUST KIND OF FOLLOW THE PATH AND I KNEW I WAS IN GOOD HANDS." HER FIRST FOUR ROUNDS OF CHEMOTHERAPY WERE STRONG AND CAME EVERY TWO WEEKS. SHE STARTED TO LOSE HER HAIR BEFORE HER SECOND TREATMENT AND ASKED HER HUSBAND TO HELP SHAVE HER HEAD. THE LAST FOUR ROUNDS OF CHEMO CAME EVERY THREE WEEKS. EXHAUSTION, ACHES AND PAINS FOLLOWED EACH ROUND. SHE WOULD GO IN FOR CHEMO ON THURSDAYS AND RETURN TO WORK ON TUESDAYS. SOME DAYS WERE MORE DIFFICULT THAN OTHERS. SHE HAD SURGERY IN SEPTEMBER AND THEN RADIATION TREATMENTS IN NOVEMBER AND DECEMBER. SHE RECEIVED THE ENCOURAGING NEWS THAT SHE WAS IN REMISSION IN THE FALL OF 2016. THROUGHOUT HER TREATMENTS, APPOINTMENTS AND RECOVERY, POSITIVITY AND SUPPORT ENVELOPED HER. JOHNSON SAID THE STAFF AT INTEGRIS CANCER INSTITUTE BECAME PART OF HER FAMILY BECAUSE OF THE ENCOURAGEMENT AND OUTSTANDING CARE THEY OFFERED. HER FRIENDS AND FAMILY OFFERED OTHER FORMS OF SUPPORT, BRINGING FOOD TO HER FAMILY, HELPING WITH SHOPPING AND ASSISTING IN KEEPING HER SONS LIVES AS NORMAL AS POSSIBLE THROUGH IT ALL. "IT'S JUST SO AMAZING THAT WHEN YOU NEED IT, THERE IS SO MUCH COMPASSION," JOHNSON SAID. HER ILLNESS INITIALLY FORCED HER TO SLOW DOWN. BUT SLOWING DOWN ALSO BROUGHT HER A NEW PERSPECTIVE AND IS A PRACTICE SHE CONTINUES TODAY. "JUST BEING WILLING TO SAY NO AND MAKING CERTAIN THINGS THE PRIORITY AND CHERISHING THE MOMENTS YOU DO HAVE," JOHNSON SAID. "THAT WAS MY BIG THING. THOSE THINGS YOU PICK TO DO WITH YOUR FRIENDS AND FAMILY, JUST CHERISH THEM BECAUSE LIFE IS SO SHORT." INTEGRIS COMMUNITY OUTREACH INTEGRIS METRO COMMUNITY OUTREACH 10 STEPS TO MENTAL FITNESS 10 WAYS TO MAKE TIME FOR FITNESS 4TH GRADE BAKING CLASSES ABCS OF DIABETES ACES CANCER EDUCATION AND SUPPORT GROUP ACS MAKING STRIDES AFRICAN AMERICAN MENS HEALTH SUMMIT ALA FIGHT FOR AIR ALCOHOL TASKFORCE ALL ABOUT CARBS ALS SUPPORT GROUP ALZHEIMERS CAREGIVER SUPPORT GROUP AMERICAN ACADEMY OF FAMILY AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION ANADARKO FALL FESTIVAL ANNUAL HEALTH AND SCIENCE FAIR ANTI-SMOKING PRESENTATION ARBOR HOUSE CAREGIVERS SUPPORT GROUP ART EXHIBIT CELEBRATION OF LIFE ASK-A-DIETITIAN BABY CAFE - MILK BAR BABY EXPO BETHANY FIRST NAZARENE CHURCH "HOT TOPICS" LUNCH BETTER BREATHERS SUPPORT GROUP BLOOD PRESSURE DOS AND DONTS-MAPS3 BLOOD PRESSURE POWER BLOOD PRESSURE SCREENINGS BOY SCOUTS 2018 BRAIN INJURY SUPPORT GROUP BREAST CANCER SUPPORT GROUP BURN CENTER LECTURES CALM WATERS CAN MEETINGS AND EVENTS CANADIAN VALLEY VOTECH-CLINICALS CANCER PREVENTION TALK CANCERCHECK CARDIAC REHAB SUPPORT GROUP CARE GIVERS SUPPORT GROUP CELEBRATION OF LIFE, NATIONAL CANCER SURVIVORS DAY CENTRAL OKLAHOMA PALLIATIVE CARE CHANCE TO CHANGE CHANGING YOUR WEIGHS CHAPLAINCY COMMUNITY SUPPORT CHEW ON THIS - MONTHLY NUTRITION EDUCATION CITIZENSHIP CLASSES COALITION FOR FAMILIES AND CHILDREN COMMUNITY AWARENESS AND ADVOCACY EVENTS FOR MENTAL HEALTH AND ADDICTION COMMUNITY DEVELOPMENT SUPPORT AGENCY COMMUNITY FLU SHOTS COMMUNITY RESOURCE FAIR COMMUNITY RESOURCE NETWORKING SUMMIT COMMUNITY STROKE AWARENESS/EDUCATION COMMUNITY TRAGEDIES THE HOSPICE RESPONSE COMPASSIONATE HANDS MYSTERY DINNER COMPUTER CLASSES CONVERSATIONAL SPANISH CLASSES COOKING CAMP COOKING CLASSES FOR CLIENTS OF COM.CARE COORD. TEAM COOKING MATTERS PROGRAM CORPORATE WELLNESS FOR THUNDER EMPLOYEES DALE ROBERTSON SCREENINGS DE MUJER A MUJER DIABETES AWARENESS AND EDUCATION DIABETES EMPOWERMENT AND EDUCATION PROGRAM (DEEP) DIABETES FOCUS GROUP / GRUPO DE APOYO PARA DIABETICOS DIABETES JOURNEY FOR CONTROL DIDACTIC COUNSELING CENTER DOWN SYNDROME SUPPORT GROUP EAGLE SCOUT DISTRICT COMMITTEE MEETINGS EAST GATE FOUNDATION EAST ZION DISTRICT ASSOCIATION HEALTH LECTURE EDMOND MAYOR PRAYER BREAKFAST EDMOND PUBLIC SCHOOLS ATHLETICS EDMOND SUICIDE PREVENTION TASK FORCE ELL CLASSES EMERSON NUTRITION EDUCATION CLASSES ENID COMMUNITY SCREENINGS EPIPHANY CATHOLIC CHURCH SPEAKER PRESENTATION FESTIVAL OF THE CHILD FIRST CHURCH NAZARENE, BETHANY SPEAKER PRESENTATION FIT, NOT FRAIL WEIGHT MANAGEMENT FOR SENIORS FOOD DEMONSTRATIONS AND SPEAKER PRESENTATION FRANCIS TUTTLE CLINICAL RESPIRATORY FREE VASCULAR SCREENINGS FT. RENO DAR
GENERAL STATEMENT 5	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED GED CLASSES GETTING YOUR ZZZZZZS -THE IMPORTANCE OF GOOD SLEEP GIDEONS PRAYER BREAKFAST GIRL SCOUTS 2018 GO RED FOR YOUR HEART/VESTIDO ROJO GRIEF AFTER SELF INFLICTED CAUSES OF DEATH HEALTH PLANNING HEALTHY COOKING DEMO AT MIAMI FIRE STATION IN MIAMI, OK HEALTHY HEART HEALTHY HEART WALKERS CLUB HEARING HELPERS DEMONSTRATIONS AND ACTIVITIES HEARING SCREENINGS HEARTSAVER CPR AND AED, FIRST AID HILLCREST BAPTIST CHURCH -BALANCE AND BANDS HISPANIC CHAMBER OF COMMERCE LATINO LEADERSHIP SERIES HISPANIC HEALTH FAIR / FERIA HISPANA DE LA SALUD HISPANIC RADIO, TELEVISION ANDNEWSPAPER HLC/PACER WEIGHT LOSS GROUP SPEAKER PRESENTATION AT HOLY ANGELS HEALTH FAIR/FERIADE SALUD EN SANTOS ANGELES HOME GARDENING 101 SPEAKER PRESENTATION HOUGH EAR INSTITUTE IMAGE IS EVERYTHING INFANT CRISIS SERVICES INFORMED SENIOR SEMINAR INTEGRIS CARDIOLOGY CONFERENCE INTEGRIS COMMUNITY CLINIC INTEGRIS FITCLUB INTEGRIS PHARMACEUTICAL ASSISTANCE PROGRAM JUNIOR MASTER GARDENER PROGRAM AT ADAMS ELEMENTARY SCHOOL, OKC, OK JUST BREATHE KIDS CLUB AT CROSSINGS COMMUNITY CENTER - SUMMER PROGRAM KIDS IN THE KITCHEN LA LECHE LEAGUE 2018 LAKEHOMA PTA LATINO WALKERS CLUB / CLUB DE CAMINANTES LATINO LAY HEALTH PROMOTERS / PROMOTORAS DE SALUD LEADERSHIP CANADIAN COUNTY LEFT VENTRICULAR ASSISTIVE DEVICE SUPPORT GROUP LIFE SHARE OF OKLAHOMA LIMB LOSS SUPPORT GROUP LITERACY PROGRAM/PLAZA COMUNITARIA LIVESTRONG CANCER SUPPORT GROUP LLS CORPORATE PARTNERS BREAKFAST LLS LIGHT THE NIGHT LOOK GOOD, FEEL BETTER LOVE OKC MAKING SENSE OF YOUR DIAGNOSIS -MAPS3 MAKING STRIDES ACS MARCH OF DIMES MDA CLINIC SPACE MEALS ON WHEELS MEDICAL STUDENT FAMILY MEDICINE ROTATION MEMORY AND BRAIN CONNECTION -CHRISTIAN CHURCH MENTAL HEALTH AND ADDICTION RECOVERY LEGISLATIVE ADVOCACY MENTAL HEALTH FIRST AID MENTAL HEALTH PROFESSIONAL EDUCATION MENTAL HEALTH SCREENING EVENTS MENTAL ILLNESS AND THE CHURCHES MISSION MENTORING PROGRAM MERIDIAN TECHNOLOGY STUDENT GROUP MHS PROJECT GRADUATION 2018 MIND BODY ESSENTIALS COMMUNITY EDUCATION OFFERINGS MINI HEALTH FAIRS MONTHLY LECTURES/CONFERENCIAS MENSUALES MUSCULAR DYSTROPHY ASSOCIATION MUSIC THERAPY STUDENT INTERNSHIPS MUSTANG SENIOR CENTER SCREENINGS NAMI WALK NATIONAL HEALTHCARE DECISION DAY NEWSLETTERS/VIVA INTEGRIS NFPOS NOT FOR PROFIT MEETING - ONA, HEALTH CARE WORKFORCE, DEU NURSING CLINICALS PRE AND POST CLINICALS NURSING EDUCATORS AND SERVICE ADMINISTRATORS (NESA) MEETINGS NURSING, AUA, SURG TECH AND PARAMEDIC CLINICALS NUTRITION BREAKOUTS FOR YUKON PROFESSIONAL DEVELOPMENT DAY NUTRITION CLASS SERIES/CLASEDE NUTRICIN NUTRITION EDUCATION NUTRITION FOR EVERYONE OBI BLOOD DRIVES 2018 OCCUPATIONAL THERAPY INTERNSHIPS OK SOCIETY OF PERIANESTHESIA NURSES OKC CELEBRATE PINK OKC JOINT CHNA MEETINGS OKLAHOMA BEHAVIORAL HEALTH ASSOCIATION FOUNDATION OKLAHOMA COUNTY MEDICAL SOCIETY OKLAHOMA HALL OF FAME OKLAHOMA HOSPITAL ASSOCIATION OKLAHOMA PROJECT WOMAN OKLAHOMA STATE RESPIRATORY CARE BOARD OF DIRECTORS 2018 OKLAHOMA STATE STROKE SYSTEMS ADVISORY COMMITTEE OKLAHOMA WOMENS COALITION OSHOF CHILDRENS CHALLENGE OUHSC MEDICAL STUDENT COURSE PANCAKES AND PROSTATES AT PARENT PROMISE PARKS AND REC RUNNERS CLUB - INJURY PREVENTION PHYSICAL THERAPY STUDENT INTERNSHIPS PIE FOR PARENTS COMMUNITY EVENT POSITIVE DIRECTIONS MENTORING PROGRAM PRECEPTOR FOR GRADUATE LEVEL NURSING STUDENT PRE-HYPERTENSION PRESENTATION-MAPS3 SENIOR CENTER PRESBYTERIAN LADIES SOCIAL CLUB BALANCE AND BANDS PRESENTATIONS AND ASSISTANCE WITH MENTAL HEALTH RELATED EDUC PROJECT 31 2018 PROJECT SEARCH: 2017-18 QPR IN SPANISH QUAIL RIDGE LIVING CENTER RADIATION THERAPY STUDENT RECREATIONAL THERAPY STUDENT INTERNSHIPS RESOURCE ROOM RETIREMENT FAIR - SENIOR HEALTH FAIR - ENID, OK ROGERS COLLEGE STUDENTS ROSE STATE CLINICAL ROTATIONS SAVANNAH STATION BOARD OF DIRECTORS SENIOR CAFE - INTEGRIS SOUTHWEST SENIORS FOR LIFE SHA CLINIC SOCIAL WORKERS CONFERENCE -STRESS SPANISH CANCER SUPPORT GROUP/GRUPO DE APOYO DE CANCER SPECIALTY CLINIC SPEECH LANGUAGE PATHOLOGY INTERNSHIPS SPINAL CORD INJURY SUPPORT GROUP SPIRITUAL SUPPORT GROUP ST. JOHN SCHOOL FALCON 5K SHA SPEAKER PRESENTATION STANLEY HUPFELD ACADEMY VOLUNTEER STATE LIBRARIAN CONFERENCE -STRESS STATEWIDE STROKE CONFERENCE STITCHING FOR SANITY STROKE AWARENESS AT THE MAPS3SENIOR CENTER SUCCESSFULLY NAVIGATING A TRANSITIONAL CULTURE SURREY HILLS GARDEN CLUB TACOS AND TESTOSTERONE TEMPLE BNAI ISRAEL THE FULL PLATE DIET THE OKLAHOMA CARING FOUNDATION THIRD AGE LIFE CENTER EDUCATIONAL SEMINARS THIRD AGE LIFE CENTER NUTRITION PROGRAM-BROOKLINE TINKER FCU SR. HEALTH FAIR AT THE REED CENTER, MIDWEST CITY, OK TOOLS FOR LIVING WITH CHRONIC CONDITIONS TRI-COUNTY CHIO (COMMUNITY HEALTH IMPROVEMENT ORGANIZATION) UCO COMMUNITY & PUBLIC HEALTH INTERNSHIPS UCO GRADUATE SPORTS NUTRITION CLASS SPECIALTY CLINIC SPEAKER REQUEST UNDERSTANDING MEDICAL EMERGENCIES UNITED WAY VACCINATE OK BOARD OF ADVISORS VAN BUREN ELEMENTARY ANTI-SMOKING PRESENTATION VILLAGE SENIOR COMMUNITY - BALANCE AND BALLS WALK THIS WEIGH WHEN DEATH AND LOSS ARE PART OF THE JOB WILDERNESS MATTERS WOMENS HEALTH FORUM HISPANIC EVENT YHS PROJECT GRADUATION 2018 YHS REALITY CHECK 2018 YMCA YOGA FOR KIDS YOGA-LEARNING TO RELAX YOUTH AND FAMILY SERVICES YOUTH EXPERIENCING SUCCESS LUNCH YOUTH SPEAK OUT YPS TRACK MEET LUNCH YUCAN COALITION YUKON COMMUNITY SUPPORT FOUNDATION 2018 YUKON HIGH SCHOOL MENS HEALTH SCREENINGS YUKON MIDDLE SCHOOL 7TH GRADE HEALTH CONFERENCE YUKON POLICE DEPARTMENT YUKON PUBLIC SCHOOL BOARD 2017-2018 YUKON ROTARY INTEGRIS REGIONAL COMMUNITY OUTREACH 4RKIDS WALK DONATION A. ROGERS MED STUDENT AFTON FALL-FEST- BP SCREENINGS AMERICAN CANCER SOCIETY RELAY FOR LIFE-ENID BLOOD PRESSURE SCREENING BRIGHT FUTURES CAREER DAY CDSA BUZZ RUN CDSA WINE TOUR CHAPLAINCY COMMUNITY SUPPORT CHILDBIRTH CLASSES CHISHOLM AFTER PROM 5K CHISHOLM SCHOOL FOUNDATION GLOW RUN 5K CLINICAL HOURS COMMUNITY AED DONATION COMMUNITY ALZHEIMERS SUPPORT GROUP COMMUNITY AUTISM SUPPORT GROUP COMMUNITY COLLABORATIVE COMMUNITY EASTER EVENT-BIKE SAFETY COMMUNITY HEALTH FAIR CROWDER NURSING STUDENTS DIABETES SUPPORT GROUPS EHS SPIRIT COLOR RUN 5K ELDER DAYS- SENIOR HEALTH FAIR ENID CHARITY BALL DONATION 2018 ENID HIGH ATHLETIC TRAINER ENID PROJECT GRADUATION FIRST AID KIT DONATION GOOD TO KNOW- HEALTH EDUCATION GRACE HOLLRAH BREAST CANCER SUPPORT GROUP GROVE NURSING STUDENTS GUARDIANS OF THE HEART HEALTHY COOKING CLASS CARDIAC REHAB HEROES HELP- PARAMEDIC HOSPICE FUNDRAISERS MINT JULIP, SPORTING CLAY, TREE OF LIFE HOSPICE MEMORIAL WALK HOSPICE NURSING STUDENTS IMG STUDENT IMPACT TEST DONATION KETTERMAN NURSING LAB LANGLEY HEALTH FAIR MAN UP EVENT MEALS ON WHEELS MENS HEALTH FAIR-PSA SCREENING MENTORING MIAMI NURSING STUDENTS FALL MIRACLE LEAGUE OF ENID MOBILE MEALS NATIONAL MULTIPLE SCLEROSIS SOCIETY NURSE PRACTITIONER STUDENT- IMG OTTAWA COUNTY FAIR PARAMEDIC STUDENTS PARENTS HELPING PARENTS PHYSICAL THERAPY COMMUNITY POVERTY SIMULATION PROJECT SEARCH ROCET DAY- MIAMI AND OTTAWA COUNTY PUBLIC SCHOOLS SCHOOL COOKS TRAINING SENIOR LIFE NETWORK SOUPER BOWL HEALTH FAIR SPORTS PHYSICALS SPRING NURSING STUDENTS ST. JOSEPH CATHOLIC SCHOOL 5K SUPERVISION OF MEDICAL STUDENTS SURGERY NURSING STUDENTS THE BEAT UNITED WAY DONATION VO-TECH NURSING STUDENTS WALK FOR LIFE- GROVE WOMENS HEALTH EXPO YMCA BACK A YOUTH YWCA PURSES WITH A PURPOSE INTEGRIS NETWORK INTEGRIS BAPTIST MEDICAL CENTER EIGHT CENTERS OF EXCELLENCE THE INTEGRIS AWARD WINNING FLAGSHIP HOSPITAL ONLY OKLAHOMA-OWNED MAGNET HOSPITAL FOR EXCELLENCE IN NURSING SERVICES HIGHEST LEVEL OF ACHIEVEMENT AWARDED BY THE AMERICAN NURSES CREDENTIALING CENTER. INTEGRIS BAPTIST EARNED THE US NEWS & WORLD REPORT BEST HOSPITALS AWARD A FIFTH CONSECUTIVE YEAR, 2016-17. INTEGRIS BASS BAPTIST HEALTH CENTER, ENID DA VINCI XI SURGICAL SYSTEM LEVEL III TRAUMA CENTER AND LEVEL III STROKE CENTER HOME OF THE HEART AND VASCULAR INSTITUTE OF NORTHWEST OKLAHOMA, AND SISTER FACILITY TO BASS BEHAVIORAL HEALTH AND NORTHWEST SPECIALTY HOSPITAL AT THE BASS PAVILION. INTEGRIS CANADIAN VALLEY HOSPITAL YUKON ACUTE CARE LEADING-EDGE INSTRUMENTAL TECHNOLOGY MATCHING UNPRECEDENTED PACE OF GROWTH IN THE WESTERN METRO WITH MILLIONS IN EXPANSIONS AND THE AREAS ONLY LEVEL II SPECIAL CARE NURSERY, AND THE HIGHEST-LEVEL ER IN WESTERN OKLAHOMA. INTEGRIS CANCER INSTITUTE A PROTON THERAPY DESTINATION FEATURING ONE OF THE FEW CENTERS IN THE UNITED STATES NATIONAL CANCER SURVIVORS DAY SPONSOR SIX STATEWIDE CAMPUSES, WITH MORE SURVIVORS OF MORE TYPES OF CANCER THAN ANYWHERE ELSE IN THE STATE. THE INSTITUTE REDEFINES CANCER TREATMENT PHILOSOPHIES OF CARE.
GENERAL STATEMENT 6	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS GROVE HOSPITAL LEVEL IV TRAUMA CENTER SERVES NE OKLAHOMA, NW ARKANSAS, SW MISSOURI FULL SERVICE ACUTE CARE HOSPITAL FEATURING A ROBUST CARDIOLOGY PROGRAM WITH A CARDIAC CATHETERIZATION LAB. HOSPITAL HAS INVESTED MILLIONS IN STATE-OF-THE-ART TECHNOLOGY INCLUDING NEW CT, MRI, NUCLEAR MEDICINE AND ENDOSCOPIC EQUIPMENT. INTEGRIS HEALTH EDMOND WHERE HOSPITALITY MEETS HEALTH CARE INTERNATIONAL BABY FRIENDLY BIRTH FACILITY THE AREAS LARGEST AND MOST ADVANCED ER, ONLY LEVEL II SPECIAL CARE NURSERY AND EDMONDS MOST ADVANCED CARDIAC CARE ALL AT THE HOSPITAL RANKED NO. 1 IN PATIENT SATISFACTION BY PRESS GANEY. LAKESIDE WOMENS HOSPITAL DESIGNED ESPECIALLY FOR WOMEN. DEDICATED TO THE HEALTH OF WOMEN OF ALL AGES. LAKESIDE PHYSICIANS OFFICES ARE LOCATED STEPS AWAY. PROVIDES OB AND GYN CARE, OB DELIVERY, SURGICAL SERVICES, BREAST SURGERY, ULTRASOUND, LAB, MAMMOGRAPHY, CONTINENCE, COLONOSCOPY, ORTHOPEDICS AND MORE. INTEGRIS MENTAL HEALTH, SPENCER CHILD, ADOLESCENT AND ADULT INPATIENT MENTAL HEALTH EDUCATIONAL SPEAKERS, WORKSHOPS AND MASSAGE THERAPY SERVICES OFFERED THROUGH INTEGRIS JAMES L. HALL JR. CENTER FOR MIND, BODY AND SPIRIT PARTIAL HOSPITALIZATION; INTENSIVE OUTPATIENT PROGRAMS FOR MENTAL HEALTH AND ADDICTION RECOVERY OFFERED THROUGH INTEGRIS DECISIONS; MOBILE ASSESSMENT SERVICES AVAILABLE THROUGH INTEGRIS HOSPITAL ERS; OUTPATIENT MENTAL HEALTH SERVICES AVAILABLE THROUGH INTEGRIS MENTAL HEALTH CLINIC. FREE, ANONYMOUS MENTAL HEALTH AND ADDICTION SCREENINGS AND RESOURCES AVAILABLE AT INTEGRISOK.COM/IMH. INTEGRIS MIAMI HOSPITAL LEVEL IV TRAUMA CENTER SERVES NE OKLAHOMA, SE KANSAS, SW MISSOURI INTEGRIS HAS INVESTED HEAVILY IN RENOVATING THIS FULL SERVICE, ACUTE CARE HOSPITAL. UPDATES HAVE FOCUSED ON IMPROVED PATIENT ACCESS AND NEW TECHNOLOGY. IN ADDITION TO A CARDIAC CATHETERIZATION LAB AND CARDIOLOGY PROGRAM, THE HOSPITAL ALSO FEATURES A GERIATRIC MENTAL HEALTH UNIT AND A COMPREHENSIVE RADIOLOGY DEPARTMENT. INTEGRIS SOUTHWEST MEDICAL CENTER SEVEN CENTERS OF EXCELLENCE WON PRESTIGIOUS ANCC PATHWAY TO EXCELLENCE STATUS A CORNERSTONE IN A VITAL AND GROWING PART OF THE SOUTH OKLAHOMA CITY COMMUNITY SINCE ITS BEGINNING IN 1965. HOME TO THE REGIONS LEADER IN REHABILITATION INTEGRIS JIM THORPE. INTEGRIS FAMILY CARE CLINICS * EDMOND (3) * ENID * GROVE * HINTON * MIAMI * MOORE * MUSTANG * NORMAN * OKLAHOMA CITY (9) * YUKON (2) ACCESS MEDICAL CENTER FACILITIES * DEL CITY * EDMOND (2) * MIDWEST CITY * MOORE * NEWCASTLE * NORMAN * OKLAHOMA CITY (4) * YUKON URGENT CARE FACILITIES * ENID (3) * GROVE * MIAMI * NORMAN INTEGRIS GROVE HOSPITAL LARRY TEEL LARRY TEEL WAS AT HOME ENJOYING A CUP OF COFFEE ONE MORNING WHEN HE HAD AN EXCRUCIATING PAIN IN HIS ELBOW. HE SAID IT FELT LIKE HE HAD BEEN HIT WITH A SLEDGE HAMMER. THE PAIN BEGAN TO RADIATE UP INTO HIS SHOULDER AND HE STARTED EXPERIENCING CHEST PAIN. KNOWING HE WAS LIKELY HAVING A HEART ATTACK, TEEL ASKED HIS NEIGHBOR TO DRIVE HIM TO INTEGRIS GROVE HOSPITAL. UPON ARRIVAL, HE WAS IMMEDIATELY TAKEN TO THE CATH LAB. HE NOTED THAT EVEN THOUGH THE STAFF WAS HUSTLING AND MOVING QUICKLY, THEY WERE KIND AND COMPASSIONATE AND THEY EXPLAINED EVERY DETAIL ABOUT WHAT TO EXPECT. HE RECEIVED TWO STENTS AND LEARNED HIS HEART ATTACK WAS REFERRED TO AS A "WIDOW MAKER." "I HAVE NO DOUBT THAT THEY SAVED MY LIFE AT INTEGRIS GROVE HOSPITAL, AND I WILL BE FOREVER GRATEFUL," SAYS TEEL. "I'M GLAD I WAS ABLE TO GET ALL THE CARE I NEEDED RIGHT HERE LOCALLY, AND I AM HUMBLED BY THE WAY THEY TOOK SUCH A PERSONAL INTEREST IN HELPING ME HEAL AND IN TURN LEAD A HEALTHIER LIFESTYLE." TEEL HAS NOW RETIRED AND MOVED TO BERNICE, OKLA., WHERE HE IS BUSY LIVING THE EXTENDED LIFE HE ALMOST DIDNT GET TO ENJOY. INTEGRIS HEALTH EDMOND SHIRLEY MCDANIEL LIKE MANY WOMEN, SHIRLEY MCDANIEL OF BROKEN BOW, OKLA., SUFFERED FROM FREQUENT BLADDER INFECTIONS. SHE WOULD ROUTINELY HAVE FIVE OR SIX A YEAR. SOMETIMES THEY WERE SO PAINFUL, SHE WAS UNABLE TO WORK. NOT ONLY WERE THE INFECTIONS INTERFERING WITH HER LIFE, THEY WERE BECOMING INCREASINGLY DIFFICULT TO TREAT DUE TO ANTIBIOTIC RESISTANCE. ONE BLADDER INFECTION LED TO A TRIP TO THE EMERGENCY ROOM. IN ADDITION TO THE TYPICAL SYMPTOMS ASSOCIATED WITH A URINARY TRACT INFECTION, MCDANIEL BEGAN TO VOMIT AND RUN A FEVER. SHE WAS LETHARGIC AND EXPERIENCING SHORTNESS OF BREATH. HER CONDITION WAS RAPIDLY DECLINING SO HER HUSBAND, JAMES, BYPASSED SEVERAL OTHER HOSPITALS TO TAKE HER DIRECTLY TO INTEGRIS HEALTH EDMOND. DENA OLEARY, M.D., IS A UROGYNECOLOGIST AT THE HOSPITAL SPECIALIZING IN PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY. SHE DIAGNOSED MCDANIEL WITH A PROLAPSED BLADDER. AND WHILE UROSEPSIS WAS NEVER ACTUALLY CONFIRMED, DUE TO THE SEVERITY OF THE SITUATION OLEARY BEGAN TREATING IT AS SUCH. MCDANIEL WAS ADMITTED TO THE HOSPITAL. ONCE THE INFECTION WAS UNDER CONTROL, MCDANIEL UNDERWENT BLADDER PROLAPSE SURGERY AND IS DOING MUCH BETTER TODAY. "INTEGRIS HEALTH EDMOND IS FANTASTIC," SHE SAYS. "IF IT WEREN'T FOR THE CARE I RECEIVED THERE, I WOULDN'T BE HERE TODAY." MCDANIEL STILL SEES DR. OLEARY A FEW TIMES A YEAR FOR FOLLOW-UPS BUT IS OTHERWISE ENJOYING LIFE WITH HER HUSBAND, SIX GRANDCHILDREN AND FIVE GREAT-GRANDCHILDREN. SHE AND HER HUSBAND ALSO JUST CELEBRATED THEIR 60TH WEDDING ANNIVERSARY. LAKESIDE WOMENS HOSPITAL BARBARA DOWNS BARBARA DOWNS IS A NURSE IN THE NEONATAL INTENSIVE CARE UNIT AT INTEGRIS BAPTIST MEDICAL CENTER IN OKLAHOMA CITY, SO SHE DOES NOT CONSIDER THE ADULT WORLD HER AREA OF EXPERTISE. SHE DOES, HOWEVER, KNOW ABOUT PRACTICING HIGH STANDARDS OF CARE AND PROMOTING EXCELLENCE TO PATIENTS AND THEIR FAMILIES. SHE WAS RECENTLY DIAGNOSED WITH BILATERAL BREAST CANCER. "AS YOU CAN IMAGINE, A DIAGNOSIS OF CANCER IS OVERWHELMING AND VERY FRIGHTENING," DOWNS SAID. "IT'S VERY DIFFERENT TO BE ON THE PATIENT SIDE OF THINGS. THE OLD SAYING, 'FEAR OF THE UNKNOWN,' REALLY APPLIES WHEN YOU ARE A PATIENT." DOWNS UNDERWENT A BILATERAL MASTECTOMY AND RECONSTRUCTIVE SURGERY AT LAKESIDE WOMENS HOSPITAL IN OKLAHOMA CITY. SHE WAS EXTREMELY IMPRESSED WITH THE TREATMENT AND CARE SHE RECEIVED FROM THE ENTIRE LAKESIDE TEAM, TO INCLUDE DR. DENISE RABLE AND DR. OSCAR MASTERS. "THE LAKESIDE STAFF MEMBERS WERE VERY SUPPORTIVE AND KIND TO ME FROM THE FRONT DESK WHERE YOU REGISTER, TO PRE-OP, SURGERY, RECOVERY AND FINALLY TO INPATIENT CARE," STATES DOWNS. "I WOULD LIKE TO THANK EVERYONE INVOLVED IN MY CARE AND LET THEM KNOW HOW GRATEFUL I AM FOR THEIR PART IN HELPING ME RECEIVE THE TREATMENT I NEEDED TO BE HEALED. I APPRECIATE THEIR MEDICAL EXPERTISE, COMPASSION AND RESPECT FOR MY FEELINGS." DOWNS MAY HAVE ONLY SPENT TWO DAYS IN THE HOSPITAL, BUT SHE SAYS THE EXPERIENCE MADE A POSITIVE IMPRESSION THAT WILL LAST A LIFETIME. INTEGRIS MIAMI SHAWN EMARTHLA SHAWN EMARTHLA HAD JUST ESTABLISHED CARE WITH HIS NEW PHYSICIAN, LAUREN MITCHELL, D.O., IN MIAMI, OKLA. AFTER A VERY THOROUGH EXAM INCLUDING LAB TESTS, DR. MITCHELL SUGGESTED EMARTHLA CONSIDER HAVING A HEART SCAN, A SPECIAL CT SCAN THAT CAN PROVIDE A PRECISE MEASURE OF CALCIUM DEPOSITS IN ARTERIES A CLEAR PICTURE OF HEART HEALTH. MITCHELL ENCOURAGED EMARTHLA TO CONSIDER THE IMPORTANT TEST AND PROVIDED A CERTIFICATE FOR A FREE HEART SCAN COURTESY OF BUFFALO RUN CASINO. THE CASINO HELD A FUNDRAISER IN FEBRUARY OF 2018 AND DONATED THE PROCEEDS TO THE INTEGRIS MIAMI HOSPITAL FOUNDATION TO PROVIDE FREE HEART SCANS TO THE COMMUNITY. EMARTHLAS WIFE, KIMILEE, WAS A LITTLE SKEPTICAL AT FIRST, WONDERING IF THE HEART SCAN WAS WORTH THE TIME. THANKFULLY, AFTER SOME DISCUSSION, EMARTHLA DECIDED TO TAKE ADVANTAGE OF THE FREE SCAN. THE COUPLE WAS SHOCKED TO LEARN THE SCAN REVEALED HE HAD A 4.8 CM AORTIC ANEURYSM, A POTENTIALLY LIFE-THREATENING CONDITION, PARTICULARLY IF IT GOES UNDETECTED. THE EMARTHLAS ARE THANKFUL THEY HAVE ACCESS TO QUALITY HEALTH CARE IN THEIR OWN HOME TOWN. "I AM VERY GRATEFUL. I AM GRATEFUL THAT DR. MITCHELL ENCOURAGED ME TO GET A HEARTSCAN. I AM GRATEFUL I WAS PROVIDED A FREE SCAN, WHICH ENTICED ME TO GET THE TEST. AND I AM GRATEFUL FOR INTEGRIS," SAID EMARTHLA. MITCHELL REFERRED EMARTHLA TO A CARDIAC SURGEON AND HE ALSO ESTABLISHED CARE WITH LOCAL CARDIOLOGIST DARWIN JEYARAJ, M.D. EMARTHLA IS BEING CLOSELY MONITORED AND HAS MADE SOME DRAMATIC LIFESTYLE CHANGES - INCLUDING QUITTING SMOKING. HE WANTS TO MAKE THE MOST OUT OF THE SECOND CHANCE AT LIFE HE FEELS HE HAS BEEN GIVEN.
GENERAL STATEMENT 7	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS SOUTHWEST MEDICAL CENTER LINDSAY DENNIS LINDSAY DENNIS SUSTAINED SEVERE HEAD AND SPINAL CORD INJURIES IN A MAY 2016 CAR ACCIDENT. DENNIS HAD BROKEN VERTEBRAE AT THE TOP OF HER NECK AN INJURY MANY PEOPLE ARE UNABLE TO SURVIVE AND ALSO SUFFERED BROKEN VERTEBRAE IN HER MIDDLE BACK, FRACTURED HER RIBS, ENDURED SWELLING ON HER BRAIN AND EXPERIENCED PARALYSIS IN HER LOWER BODY. SHE AWOKE IN A BRACE THAT ENVELOPED HER BODY IN RIGID PLASTIC FROM HER HEAD TO HER WAIST AND SHE LEARNED HER LOWER BODY WAS PARALYZED. SHE HAD TO RELEARN HOW TO DO EVERYTHING FROM SITTING UP TO GETTING DRESSED. SHE ALSO HAD TO LEARN HOW TO SWALLOW, EAT AND DRINK ONCE AGAIN. WHEN DENNIS ARRIVED AT JIM THORPE REHABILITATION AT INTEGRIS SOUTHWEST MEDICAL CENTER IN JUNE 2016, SHE WAS WEARING THE IMMOBILIZING BRACE, HAD A TUBE IN HER STOMACH, A FAINT VOICE AND WAS COMPLETELY DEPENDENT ON OTHERS FOR HER CARE. "BEING AT JIM THORPE THEY HAD SO MANY RESOURCES AND SO MANY PEOPLE THAT ALL YOU HAD TO DO WAS ASK," DENNIS SAID. "I THINK THEY'VE SEEN JUST ABOUT EVERYTHING. THEY REALLY MADE IT SEEM NOT SO OVERWHELMING, BECAUSE YOU COULD GET LOST IN ALL THE FEELINGS THAT YOU HAVE TO GO THROUGH, TO GET THROUGH SOMETHING LIKE THIS. THEY MAKE IT MANAGEABLE." SHE STAYED AT INTEGRIS JIM THORPE REHABILITATION AS AN INPATIENT THROUGH JULY 2016 AND HAS SINCE RETURNED ON A REGULAR BASIS AS AN OUTPATIENT. THE FIRST TIME SHE TOOK A STEP AFTER THE ACCIDENT WAS IN MARCH 2017. "I TRY NOT TO LET IT GET TO ME, BUT IT WAS THE FIRST TIME EVER AT THE END OF THERAPY THAT I BROKE DOWN IN TEARS - AND THEY WERE HAPPY TEARS," SHE SAID. "WHEN ALL THIS HAPPENED, YOU THINK ITS NOT GOING TO BE A POSSIBILITY, AND THEN IT WAS A GOOD POSSIBILITY." SHE RETURNED TO THE CLASSROOM IN 2017. "IT HAS BEEN AN INTERESTING JOURNEY TO SAY THE LEAST," DENNIS SAID. "YOU LEARN TO APPRECIATE A LOT OF SMALL THINGS THAT YOU REALLY TAKE FOR GRANTED. YOU CAN FOCUS ON THE NEGATIVE AND THE BAD, BUT WEVE HAD A LOT OF BLESSINGS AND A LOT OF AMAZING PEOPLE AND OPPORTUNITIES. IT MAKES YOU SEE THE GOOD IN PEOPLE." SERVING OUR COMMUNITIES OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE LEARNED A LONG TIME AGO THAT WE CANT FULLY CARE FOR OUR COMMUNITIES BY STAYING EXCLUSIVELY WITHIN THE WALLS OF OUR FACILITIES. THATS WHY "RETURNSHIP" IS SUCH AN IMPORTANT PART OF OUR PHILOSOPHY. WHAT IS RETURNSHIP? ITS GIVING BACK PART OF OURSELVES TO THE COMMUNITIES WE SERVE. AT INTEGRIS HEALTH, THE PHYSICIANS, EMPLOYEES AND VOLUNTEERS TAKE THEIR EDUCATION AND SKILLS INTO THEIR COMMUNITIES TO MAKE A DIFFERENCE IN THE LIVES OF FELLOW OKLAHOMANS. THEIR DEDICATION, COMBINED WITH OUR RESOURCES, HELPS ACCOMPLISH A VARIETY OF THINGS FROM PROVIDING FREE CLINICAL SERVICES, SCREENINGS AND EDUCATION PROGRAMS TO WORKING WITH JUVENILE OFFENDERS AND PROVIDING ACTIVITIES FOR SENIOR CITIZENS. WE ALSO REALIZE THAT THE HEALTH OF A COMMUNITY ISNT JUST PHYSICAL AND MENTAL ITS ECONOMIC AND SPIRITUAL AS WELL. THATS WHY WE OFFER A MYRIAD OF PROGRAMS THAT ADDRESS ALL OF THESE IMPORTANT ISSUES. INTEGRIS PROVIDED $65,500,311 IN COMMUNITY BENEFITS INCLUDING THE COST OF BAD DEBT. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR COMMUNITIES. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE AS REFLECTED IN THE PREVIOUS PAGES. OUR RETURNSHIP EFFORTS EQUALED $4,604,242. 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 $319,649. UNCOMPENSATED SERVICES AND MEDICAID SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH-NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIOS. INTEGRIS ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. INTEGRIS PROVIDED CHARITY CARE AND MEDICAID SERVICES AT AN ESTIMATED COST OF $34,232,072. BAD DEBT IN ADDITION, INTEGRIS INCURRED BAD DEBT WITH AN ESTIMATED COST OF $26,344,348 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO.
GENERAL STATEMENT 8	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 2017 TAX YEAR.
GENERAL STATEMENT 9	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 BETH A. PAUCHNIK DANIEL DAVIS
GENERAL STATEMENT 10	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 11	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, FINANCE FOR REVIEW. A FINAL FORM 990 IS GIVEN TO THE SYSTEM CHIEF FINANCIAL OFFICER FOR REVIEW, APPROVAL, AND SIGNATURE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, AS WELL AS TO THE SYSTEM'S AUDIT/COMPLIANCE COMMITTEE, FOR REVIEW PRIOR TO FILING THE RETURN.
GENERAL STATEMENT 12	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 13	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 14	PART VI: SECTION C. DISCLOSURE PART VI: QUESTION 19 - THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.
GENERAL STATEMENT 15	PART VII: SECTION B. INDEPENDENT CONTRACTORS ANESTHESIA MEDICAL ANESTHESIA SERVICE $571,530 PROFESSIONALS PLLC P.O. BOX 1540 EDMOND, OK 73083 DIAGNOSTIC LAB OF OKLAHOMA REFERENCE LAB $365,143 225 N.E. 97TH STREET OKLAHOMA CITY, OK 73114 CARENA VIRTUAL HEALTHCARE $238,137 P.O. BOX 673 VISITS SEATTLE, WA 98111 SOONER ANSWER SERVICE ANSWERING SERVICES $231,308 501 W. EDMOND ROAD EDMOND, OK 73003 RADIOLOGY ASSOCIATES INC. RADIOLOGY SERVICES $211,631 3330 N.W. 56TH, STE. 206 OKLAHOMA CITY, OK 73112
GENERAL STATEMENT 16	PART XI: RECONCILIATION OF NET ASSETS, LINE 9 INCOME FROM SUBSIDIARY-WESTERN VILLAGE ACADEMY 100% <148,293> INVESTMENT IN WESTERN VILLAGE ACADEMY 750,000 --------- TOTAL $601,707

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

INTEGRIS AMBULATORY CARE CORP

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
(1) CARAVAN HEALTH ACO 34 LLC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 30-0865115	ACO	DE	0	0	IACC
(2) INTEGRIS EMERGENCY HOSPITALS LLC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112	HEALTH CARE	OK	0	0	IACC

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 12-I	NA		No
(2)INTEGRIS HOSPICE INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1369586	HEALTH CARE	OK	501(C)(3)	LINE 10	IH		No
(3)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
(4)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
(5)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
(6)INTEGRIS HEALTH FOUNDATION INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1047338	FUNDRAISING	OK	501(C)(3)	LINE 7	IH		No
(7)WESTERN VILLAGE ACADEMY INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY,OK73112 73-1588764	SCHOOL	OK	501(C)(3)	LINE 2	IACC	Yes
(8)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
(9)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) 2019

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 OKLAHOMA CITY OK 73112 OKLAHOMA CITY,OK73112	MED.OFFICE BLDG.	OK	NA	N/A
(2) QC-III 20-8723857 OKLAHOMA CITY OK 73112 OKLAHOMA CITY,OK73112	MEDICAL	OK	NA	N/A
(3) DIAGNOSTIC LAB 73-1560760 LYNDHURST NJ 07071 LYNDHURST,NJ07940	CLINICAL LAB	NJ	NA	N/A
(4) MPI CENTER 73-1283942 OKLAHOMA CITY OK 73112 OKLAHOMA CITY,OK73112	MEDICAL	OK	IACC	RELATED	-31,172	333,253		No		Yes		50.000 %
(5) HILLCRESTINTEGRIS HEALTH LLC OKLAHOMA CITY OK 73112 OKLAHOMA CITY,OK73112	DORMANT	OK	NA	N/A
(6) LAKESIDE 73-1493662 OKLAHOMA CITY OK 73112 OKLAHOMA CITY,OK73112	MEDICAL	OK	IACC	RELATED	5,721,624	21,644,739		No	10,436	Yes		78.077 %

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 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 KYI-1001 GRAND CAYMAN 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	S 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) 2019

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) ............................

Yes

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) .......................

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
(1) LAKESIDE WOMEN'S HOSPITAL LLC	b	4,850,401	FMV
(2) LAKESIDE WOMEN'S HOSPITAL LLC	p	4,936,377	FMV
(3) LAKESIDE WOMEN'S HOSPITAL LLC	q	89,413	FMV

Schedule R (Form 990) 2019

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) 2019

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) 2019

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	2
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 2019 (Part V, line 2a) ......	5	1,169
6	Total number of volunteers (estimate if necessary) .............	6	662
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	9,436

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,493,190	2,415,254
9	Program service revenue (Part VIII, line 2g) .........	181,453,490	194,529,291
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-5,392	-27,119
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	166,421	74,320
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	184,107,709	196,991,746
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,045,101	2,727,988
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)	155,583,598	161,085,228
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)....	55,300,336	55,685,091
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	213,929,035	219,498,307
19	Revenue less expenses. Subtract line 18 from line 12.......	-29,821,326	-22,506,561
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	202,195,847	202,505,640
21	Total liabilities (Part X, line 26).............	179,722,682	201,937,329
22	Net assets or fund balances. Subtract line 21 from line 20.....	22,473,165	568,311

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 202,752,952 including grants of $ 2,727,988 ) (Revenue $ 194,529,291 )
	SEE SCHEDULE O STATEMENTS 2 THROUGH 7

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 expenses202,752,952

(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				0	2,593,940	286,801
(2) BETH PAUCHNIK...................................................................... DIRECTOR/SECRETARY	1.0 ................. 39.0	X	X			0	586,563	127,811
(3) DANIEL DAVIS...................................................................... ASST. TREASURER	1.0 ................. 39.0	X	X			0	478,603	117,863
(4) HANI BARADI...................................................................... PHYSICIAN	39.0 ................. 1.0			X		1,352,472	0	24,157
(5) JEREMY PHELPS...................................................................... PHYSICIAN	40.0 ................. 0.0			X		1,326,321	0	30,687
(6) SCOTT SHADFAR...................................................................... PHYSICIAN	40.0 ................. 0.0			X		1,246,207	0	15,178
(7) NATHANIEL STETSON...................................................................... PHYSICIAN	40.0 ................. 0.0			X		1,210,696	0	24,062
(8) ATUL WALIA...................................................................... PHYSICIAN	40.0 ................. 0.0			X		1,014,513	0	27,267
(9) DAVID R HADLEY...................................................................... FORMER OFFICER & DIRECTOR	0.0 ................. 0.0				X	0	244,392	7,293
(10) TOM HONAN...................................................................... FORMER OFFICER & DIRECTOR	0.0 ................. 1.0				X	0	14,000	0
(11) JEFFREY CRUZAN...................................................................... FORMER KEY EMPLOYEE	0.0 ................. 40.0				X	0	539,018	116,912
(12) C CRAIG ELKINS...................................................................... FORMER HIGHEST PAID EMPLOYEE	0.0 ................. 40.0				X	0	1,242,170	31,319
(13) JOHN S CHAFFIN...................................................................... FORMER HIGHEST PAID EMPLOYEE	0.0 ................. 40.0				X	0	1,178,458	48,382

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,150,209	6,877,144	857,732

(A) Name and business address	(B) Description of services	(C) Compensation
SEE SCHEDULE O GENERAL STATEMENT 1,		1,617,749




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 14

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,415,254
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g	12,163

h Total. Add lines 1a-1f.......		2,415,254

		Business Code
2a	NET PATIENT REVENUE	621990	130,444,468	130,444,468
b	QUALITY INCENTIVES	900099	3,269,004	3,269,004
c	INCOME FROM JOINT VENTURES	621990	8,033,267	8,033,267
d	SYSTEM SERVICE REVENUE	900099	49,079,982	49,079,982
e	ELECTRONIC HEALTH RECORDS	900099	2,767,376	2,767,376
f	All other program service revenue.		935,194	597,186	338,008
g	Total. Add lines 2a–2f .....		194,529,291

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,500			4,500
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	19,955		7a
b	Less: cost or other basis and sales expenses	51,574		7b
c	Gain or (loss)	-31,619		7c
d	Net gain or (loss).........			-31,619			-31,619
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS INCOME		900099	74,320			74,320
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			74,320
12	Total revenue. See instructions.....			196,991,746	194,191,283		385,209

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,727,988	2,727,988
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ...........	0
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........	137,505,085	137,505,085
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,319,244	5,319,244
9	Other employee benefits .......	11,527,069	11,527,069
10	Payroll taxes ...........	6,733,830	6,733,830
11	Fees for services (non-employees):
a	Management ......	16,745,355		16,745,355
b	Legal .........	0
c	Accounting ...........	0
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)	2,172,469	2,172,469
12	Advertising and promotion ....	174,647	174,647
13	Office expenses .......	10,901,490	10,901,490
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	8,330,971	8,330,971
17	Travel ............	554,547	554,547
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	419,794	419,794
20	Interest ...........	1,177	1,177
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	2,364,107	2,364,107
23	Insurance ...	2,970,641	2,970,641
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	8,907,713	8,907,713		0
b	RIF & RECRUITMENT	1,448,815	1,448,815		0
c	DUES & MEMBERSHIPS	323,885	323,885		0
d	LICENSES/PERMITS ETC.	156,079	156,079		0
e	All other expenses	213,401	213,401
25	Total functional expenses. Add lines 1 through 24e	219,498,307	202,752,952	16,745,355	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).

1	Cash–non-interest-bearing ........			16,130	1	15,621
2	Savings and temporary cash investments .........			159,260,638	2	158,254,796
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			452,014	4	1,349,441
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			152,380	7	156,879
8	Inventories for sale or use ............			120,186	8	107,853
9	Prepaid expenses and deferred charges ......			18,288	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	30,001,767
b	Less: accumulated depreciation	10b	20,100,837	10,483,753	10c	9,900,930
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			4,343,976	12	4,945,682
13	Investments—program-related. See Part IV, line 11 ..			27,315,274	13	27,774,438
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			33,208	15	0
16	Total assets. Add lines 1 through 15 (must equal line 33)...			202,195,847	16	202,505,640

17	Accounts payable and accrued expenses .....	177,074,388	17	200,630,889
18	Grants payable ...	0	18	0
19	Deferred revenue .........	2,633,599	19	1,306,440
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		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	14,695	25	0
26	Total liabilities. Add lines 17 through 25..	179,722,682	26	201,937,329

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	22,473,165	32	568,311
33	Total liabilities and net assets/fund balances ........	202,195,847	33	202,505,640