Indian Health Care Resource Center of Tulsa Annual Report 2023

Annual Report 2023 Indian Health Care Resource Center of Tulsa

The data and figures presented herein pertain to fiscal year 2023, commencing on July 1, 2022, and concluding on June 30, 2023.

About The Organization

I

ndian Health Care Resource Center of Tulsa, Inc. (IHCRC) is a community response to the funding and healthcare disparities of Tulsa’s urban Indian community. From a community survey to building a state-of-the-art facility, IHCRC has remained dedicated to providing quality, comprehensive healthcare to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well-being, and harmony. More than 300,000 individuals have walked through the doors of IHCRC during its 47 years of service. IHCRC continues to focus on its vision of eliminating health disparities, expanding innovative family-focused practices, and embracing an approach to care that strengthens physical, mental, emotional, and spiritual wellness within the Indian community.

More than 170 staff members, approximately 49% of which are themselves Native American, provide cutting edge care for more than 10,000 Native Americans annually. The wide array of integrated services operates through a multidisciplinary, patient-centered, medical home model of care. The one-stop shop houses the following service areas: •

Primary Care

•

Dentistry

•

Pediatrics

•

Pharmacy

• • • • • • •

Internal Medicine Gerontology Obstetrics

Behavioral Health

Substance Abuse Prevention and Treatment Systems of Care Wrap Around Services

Domestic Violence Prevention and Intervention

• • • • • • •

Optometry Public Health Laboratory

Radiology (X-ray, Mammography, and Ultrasound) Diabetes Management, Dietitians, and Exercise Transportation

Youth Program

IHCRC’s commitment to quality is evident in its accreditation by the Accreditation Association for Ambulatory Health Care (AAAHC) as an Ambulatory Health Clinic and a Medical and Dental Home.

IHCRC hires with an Indian preference and is an “Indian-controlled business.” Incorporated as an Oklahoma nonprofit corporation in 1978, IHCRC operates as an urban Indian health center under the umbrella of the Indian Health Services (IHS) I/T/U program, independent of tribal or federal control. A Board of Trustees meets every other month to determine issues of policy and governance.

IHCRC Annual Report 2023

3

“Embracing the teachings of the Medicine Wheel, we honor the past and nurture the future of Native American health.”

Carmelita Skeeter Chief Executive Officer

4

IHCRC Annual Report 2023

Letter From the President and the CEO Plan Your Work and Work Your Plan, an adage Indian Health Care Resource Center has successfully applied for decades.

Working our Plan has delivered remarkable results, and this year was no different.

We celebrated the groundbreaking of our 65,000 square foot facility, which will expand the pharmacy, dental and optometry departments, and add new specialty clinics: physical, occupational, and speech therapy.

The clinics were identified as needed services in our 2017 strategic plan.

With the facility’s construction underway and new specialty clinics becoming a reality, the board and staff turned their attention to the future and formed a fresh, strategic plan. The 2023 plan includes numerous infrastructure enhancements and patient services additions, such as integrating health promotion within all departments, adding more specialty clinics, and recruiting healthcare professionals and volunteers.

Repeatedly, IHCRC has been recognized nationally as an exemplary, American Indian, healthcare provider. It was invited by Indian Health Service to participate in the national, urban Indian infrastructure plan.

It was honored this year by site visits from the U. S. Representative, Chair of the House Committee on Appropriations, the Assistant Secretary for Health for the U.S. Department of Health and Human Services (HHS), and a Justice Policy Coordinator at U.S. Department of the Interior.

Several employees were recognized by other organizations. Our Chief Executive Officer Carmelita Wamego Skeeter was presented the Spirit of the Urban Indian award by the Oklahoma City Indian Clinic. The board and staff could not agree more that she deserves this prestigious award for her visionary leadership. Additionally, three employees were individually recognized for their exemplary work by the Oklahoma City Area, Indian Health Service. While not possible to acknowledge everyone, the board ardently values the commitment and hard work of all employees.

Over the next two years, we look forward to opening the new facility, making more services more accessible. Still, it is the people inside of our buildings that are the heart of IHCRC. The employees, volunteers and board are the healthcare standard bearers for the Indian community, a role we are honored to carry. Collectively, we are dedicated to supporting IHCRC’s mission of providing quality, comprehensive healthcare to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well being, harmony…and more.

Janice Edmiston, President, IHCRC Board of Trustees

Carmelita Skeeter, Chief Executive Officer

Janice Edmiston President, IHCRC Board of Trustees

Carmelita Skeeter Chief Executive Officer

IHCRC Annual Report 2023

5

Groundbreaking

T

he Phase II Expansion project will add 65,000 square feet to the existing clinic, reinforcing the organization’s commitment to providing comprehensive and culturally sensitive healthcare services to the Native American community. This expansion will enable the clinic to enhance its existing services and introduce a range of much-needed specialty services, catering to the diverse healthcare needs of the Native American community.

“Since the founding of our organization, I have witnessed firsthand the impact we have had on the lives of Native Americans in Tulsa. As we broke ground for our expansion, I was filled with gratitude for our dedicated team and community supporters who have

enabled us to grow into the clinic we are today,” said Carmelita Skeeter, IHCRC Chief Executive Officer.

“This expansion will further strengthen our ability to provide comprehensive healthcare services, ensuring a brighter and healthier future for our community.”

The expansion will provide improved access to critical services for patients including the expansion of pharmacy, dental, and optometry services. Additionally, the expansion will introduce new specialty services such as occupational therapy, physical therapy, speech therapy, and more, providing patients with access to a wider range of specialized care options within the Tulsa area.

The Phase II Expansion promises 65,000 additional square feet, introducing specialized care services and reinforcing the organization’s dedication to meeting the diverse needs of the Tulsa area Native American community.

6

IHCRC Annual Report 2023

NTER

ON

Rendering by Childers Architect

IHCRC Annual Report 2023

7

Who We Serve

I

n the 2023 fiscal year, IHCRC provided services to members from 126 federally recognized tribes. Members of any federally recognized tribe and their dependents under the age of 18 are eligible to receive care.

10,292

IHCRC is dedicated to providing quality, comprehensive health care to Native American patients within the Tulsa area. Its reach extends to various communities, with the highest number of patients originating from: Sand Springs, West Tulsa, Midtown Tulsa, North Tulsa, and Central Tulsa, respectively listed in order of prevalence of service usage.

Patients Served

Patients by ZIP Code Largest Five Communities 1

Sand Springs (74063) 604

3

Midtown Tulsa (74112) 476

2

West Tulsa (74107) 478

4

North Tulsa (74115) 475

Central Tulsa (74127) 470

5

IHCRC

75

4

1 5 244 412

244

2

64 44

44

8

IHCRC Annual Report 2023

75

3 169

Patients by Tribe

= 100

Cherokee Nation 5,488

Patients by Age Group

Muscogee (Creek) Nation 2,087

Choctaw Nation 1,009

65+ | 1,201

Osage Nation 272

Chickasaw Nation 181

Other Tribes 1,401

0–5 | 920 6–12 | 1,291

50– 64 | 1,855 13 –18 | 1,209

30– 49 | 2,704

19 –29 | 1,526

Elder Council In 2023, IHCRC took a pivotal step towards enhancing its services for the senior population by establishing an Elder Council, an initiative made possible by a generous grant from the United Health Foundation. The council, which meets monthly, provides a platform for elders to voice their insights, needs, and concerns directly to IHCRC’s programmatic staff, bolstering IHCRC’s commitment to patient-centered care.

IHCRC Annual Report 2023

9

“I am profoundly proud to be part of a team that continually rises to the challenges of modern healthcare, showcasing unparalleled dedication, expertise, and compassion every step of the way. ” Dr. Jesicah Gilmore Medical Director

10

IHCRC Annual Report 2023

Medical Department

S

eamlessly providing care across all life stages, from pediatrics to the field of gerontology, IHCRC is dedicated to fostering a nurturing environment where every individual is guaranteed the highest quality of care.

Medical Visits Telehealth, Home, and Clinic

9,054 Medical Patients Served

Women’s Health | 701 Obstetrics | 829 Public Health | 1,159 Mammography | 1,209 Ultrasound | 1,355 Internal Medicine | 1,612 Geriatrics | 1,806 Radiology | 1,875 Laboratory | 4,611 Pediatrics | 5,155 Same Day Clinic | 12,545 Family Practice | 14,247

Medical Home The Patient-Centered Medical Home (PCMH), is the structure upon which IHCRC bases its services. The PCMH model is a team-oriented approach towards delivering comprehensive healthcare to patients. Uniting healthcare providers, a multidisciplinary support team, and most importantly the patient, IHCRC ensures tailored, coordinated, and patient-specific care.

This model encourages active patient participation, fostering a collaborative environment where healthcare providers and patients work together towards optimal health outcomes.

Accredited as a Medical Home by

IHCRC Annual Report 2023

11

Behavioral Health Department

A

robust Behavioral Health Department plays a vital role in IHCRC’s commitment to comprehensive healthcare.

Eighteen full-time clinicians and one part-time clinician have successfully reduced service wait times, improving access to care.

1,556

9,156

Behavioral Health Patients Served

Behavioral Health Visits

Baseline Memory Testing Baseline memory testing was introduced in 2023 for patients aged 55 and older with a family history of dementia. This Behavioral Health service provides a crucial foundation of information that can be invaluable should an individual experience memory issues later in life. This proactive approach allows for expedited treatment and a deeper understanding of the patient’s condition, enhancing the organization’s commitment to delivering comprehensive and timely care.

Domestic Violence Prevention Since 2019, IHCRC has been honored to receive a domestic violence prevention grant. In 2023, the reach of the domestic violence prevention efforts extended beyond the clinic’s doors. Throughout the year, strategically placed billboards have highlighted vital messages, while online commercials on Channel 6 News have amplified the message. Additionally, IHCRC has been mailing 5,000 monthly postcards to Native Americans within a 100-mile radius of the clinic, offering essential resources and information on relevant topics.

12

IHCRC Annual Report 2023

Internship Program In 2023, IHCRC welcomed two pre-doctoral interns through the Northeastern Oklahoma Psychology Internship Program (NOPIP). Upon completion of their internship, both found permanent roles in the Behavioral Health Department, utilizing their unique backgrounds and specializations.

Ashley Chee Integrated Health Support Specialist

Daniel Guzman Post-Doctoral Resident

Ashley Chee, a Navy veteran and member of the Quapaw and Cherokee Nation, is currently pursuing a doctorate in Clinical Psychology at the California School of Professional Psychology at Alliant International University. Her expertise lies in Integrated Health Psychology, with a focus on the Native American population and cross-cultural considerations while working in community mental health.

Dan Guzman graduated with a Ph.D in clinical psychology from the University of Tulsa in August 2023. His background is in developmental psychology and psychological assessment. While completing his training he found a passion for working in community mental health, specifically serving minority populations across the life span.

Her internship experience was impactful, providing invaluable guidance, supervision, and clinical opportunity that fostered multifaceted growth. Chee stated her supervisors were key to her growth as an intern. “My supervisors were able to navigate situations that did not align with the APA code of ethics and most importantly, they valued my own personal code of ethics regarding my cultural experience and background. They showed their willingness to be open, professional, and mindful of ethical situations and I admire that about them.”

Chee recently stepped into the role of Integrated Health Support Specialist (IHSS) working with the Behavioral Health and the Medical Department. She conducts Behavioral Health Needs Assessments to discern client needs whether it be therapy, psychiatry, psychological testing, or resources. Additionally, she serves as the Domestic Violence Program Director.

During his second year at TU, attracted by the clinic’s mission and community impact, Dr. Guzman knew he wanted an internship at IHCRC. His internship enriched his clinical and professional skills with the help of supportive supervisors and colleagues. Dr. Guzman said some of his most memorable experiences of his internship were outside the therapy office. “Being able to participate in outreach opportunities, such as spring break camp and youth summit, highlighted the importance of the “community” aspect of community mental health.”

As a post-doctoral psychology resident, Dr. Guzman is fulfilling licensure requirements, offering counseling and assessments to adults, and striving to enhance assessment procedures to benefit patients and reduce wait times.

IHCRC Annual Report 2023

13

Dental Department

T

he Dental Department at IHCRC is not only distinguished by its advanced methodologies, but also by a team that prioritizes the well-being and dental health of every individual under their care.

1,845

3,993

Dental Patients Served

Dental Visits

Dental Home In fiscal year 2023, IHCRC achieved Dental Home accreditation with the Accreditation Association for Ambulatory Health Care (AAAHC). AAAHC standards requires the highest educational and competency standards for all dental staff, from the dentist, hygienists, and dental assistants alike. Policies and procedures must cover a wide range of requirements and processes, including dental access for patients, radiology, infection control, nitrous oxide, pain management, and adherence to the standards required by the American Dental Association and the Oklahoma Dental Association.

Accredited as a Dental Home by

Other Services Transportation Services Four dedicated transportation vehicles provide essential transit services to patients living within Tulsa County. This ensures that even those without any other means of transportation can conveniently and reliably access services.

14

IHCRC Annual Report 2023

365 Patients Utilized Transportation

Optometry Department

E

mploying computerized eye diagnostic technology, IHCRC offers patients an unparalleled level of precision in evaluations, guaranteeing the best care for their eye health.

1,317

1,991

Optometry Patients Served

Optometry Visits

Pharmacy Department

I

n 2023, the Pharmacy Department was honored by the Oklahoma City Area Indian Health Service as “Small Pharmacy of the Year.” This accolade underscores their pivotal role in maintaining patients’ health. Annually, with the aid of two pharmacy robots, a team of seven pharmacists, five pharmacy technicians, and three clerks fill prescriptions at a rate of nearly five times higher than the average independent pharmacy and almost double that of the average retail chain pharmacy.

Patient Benefit Coordinators Patient Benefit Coordinators are experts on health insurance, especially SoonerCare, Medicaid, and Medicare. Securing third-party payer coverage is another method to guarantee improved access to referrals for specialty services.

259,509 30,824 Prescriptions Filled

Pharmacy Visits

8,441

1,026

Patient Benefit Coordinators Referrals

SoonerCare Applications

IHCRC Annual Report 2023

15

Development Department

T

he Development Department at IHCRC plays a pivotal role in organizational growth, focusing on fundraising, grant writing, and vital programs such as the Youth and Fitness Programs. Additionally, they actively foster community relations and oversee event planning, ensuring robust engagement with stakeholders and community members.

Fitness Program IHCRC’s Fitness Program offers tailored exercise routines and group sessions to support patient fitness objectives.

Part of this program is the “Running Strong” club which conducts regular practices for community races. Recently, “Running Strong” was honored with the GTAIAC Dream Keepers “Jim Thorpe Sports Excellence Award” for its dedication to promoting physical well-being and excellence.

16

IHCRC Annual Report 2023

101

2,459

277

Exercise Program Patients

Exercise Program Visits

Running Strong Race Participants

Youth Program By honoring and integrating Native American traditions,values, and teachings, we strive to empower the next generation to embrace their cultural heritage, develop a strong sense of identity, and lead healthy, balanced lives. IHCRC’s Youth Program emphasizes both educational and hands-on cultural activities.

Spring Break Camp visited the Pawnee Seed Preservation Society to raise awareness of the importance of healthy eating habits, and the role of indigenous foods in healing relationships with self, land, and the community.

Urban Native Youth Council (UNYco) and the Native American Community Committee (NACC) came together to bead graduation caps in an effort to raise the visibility and accomplishments of graduating Native American students.

Little Native Singers Drum Group performed at Dance of the Two Moons, TPS Indian Education graduation celebration, and at the IHCRC groundbreaking ceremony.

2,431 Youth Participants

IHCRC Annual Report 2023

17

Dance of the Two Moons IHCRC’s annual fundraiser was held on Saturday, March 4, 2023, at the Hard Rock Hotel and Casino Tulsa. The theme was Fabulous Fifties, a Rockin’ Sock Hop and Drive-In. Ken Ray Underwood and Leslie Paris graciously served as Honorary Chairs. Prior to News on 6’s Jonathan Cooper and Tatum Guinn hitting the stage as emcees, the ballroom doors opened to traditional drumming by IHCRC’s Drum Group “Little Native Singers,” led by Board Member Rob Anquoe.

Recognized for support to IHCRC and the Native American community, Circle of Life Community Partner went to UnitedHealthcare Community Plan of Oklahoma. This sold-out event brought together 520 guests in support of the organization and its Youth Program.

$234,000 Raised for the Youth Program

Photo Bottom Left: (L-R) Honorary Chairs, Leslie Paris and Ken Ray Underwood.

Photo Top Right: Circle of Life Community Partner, UnitedHealthcare Community Plan of Oklahoma. (L-R) Lesa Shaw (Director, Tribal Liaison, UHC) and Mallory Van Horn (CEO – UnitedHealthcare Community Plan of Oklahoma) along with Tonia Gist (Development Director, IHCRC).

18

IHCRC Annual Report 2023

IHCRC Annual Report 2023

19

Native American Youth Summit The Native American Youth Summit, organized by the Youth Program, in conjunction with Tulsa’s Native American Day took place on Monday, October 10, 2022. The event was attended by 100 youth in grades 6th –12th where they had opportunities to learn about Native American culture, financial literacy, healthy relationships, higher education preparation, drug and alcohol avoidance, and more. The summit concluded with a public concert at Tulsa’s Native American Day Celebration with award-winning Native American hip-hop artist and fancy dancer Supaman.

100 Youth Participants

Photo Center: Christian Parrish Takes the Gun (Supaman) performing at Tulsa’s Native American Day celebration.

Photo Bottom: Raini Deerinwater speaking about the modeling journey that took her and her twin sister from Sapulpa, Oklahoma to New York City where they were both featured on a billboard in Times Square.

20

IHCRC Annual Report 2023

Special Guests Admiral Levine, MD Admiral Rachel Levine, MD, HHS Assistant Secretary of Health, joined by Captain Mehran Massoudi, HHS Regional Health Administrator, Kristie Brooks, SAMHSA Regional Director, Rear Admiral Travis Watts, Oklahoma City Area Indian Health Service, Keith Reed, Oklahoma State Department of Health Commissioner, and Dr. Bruce Dart, the Executive Director of the Tulsa Health Department, gathered for a meaningful visit to IHCRC. During their visit, they

had the opportunity to meet with Carmelita Skeeter, Chief Executive Officer, and key members of IHCRC’s executive leadership team. Together, they discussed prominent issues affecting Native American communities, delving into topics such as maternal health, harm reduction through mental health treatment and substance abuse services, and the pressing matter of climate change and resiliency. Throughout the visit, collaborative efforts were emphasized, reflecting a shared commitment.

U.S. Representative Pingree U.S. Representative, Chellie Pingree (D-Maine), Chair of the House Appropriations Subcommittee on Interior, Environment, and Related Agencies, visited the clinic accompanied by Rear Admiral Travis Watts, OKC Area Indian Health Service (IHS) Area Director, and Jillian Curtis, IHS Director of the Office of Financial Affairs. This notable occasion allowed Chief Executive Officer, Carmelita Skeeter and department heads the opportunity to answer questions and provide key insights into Tulsa’s urban Native American community.

IHCRC Annual Report 2023

21

Continuous Quality Improvement

T

he Continuous Quality Improvement (CQI) Department at IHCRC remains dedicated to CQI studies to ensure the highest standards of care and service are provided to every patient that walks in the door. The following collection highlights IHCRC’s ongoing initiatives and studies, underscoring steadfast commitment to excellence.

10% Third Party Revenue Increase Goal

46.5% Third Party Revenue Increase Result

Medical Providers Enhance Documentation to Increase Third Party Revenue The purpose of the study was to improve the documentation and coding by the medical providers, resulting in an increase in thirdparty (insurance) revenue for the clinic. Additionally, the improved documentation provided a more accurate picture of the amount of time the provider spent with the patient, demonstrated by the complexity of care provided. The goal was to improve the third-party revenue by 10% over a six-month period in 2022 – 2023. This increase in funding would help support patient care at the clinic.

The Accounting Department provided the baseline information for a six-month period in 2021 – 2022. An average monthly revenue was obtained from this information. The medical team wanted to update their documentation process to more appropriately represent the level of care provided to their patients. In meeting with the coders, they determined two areas for improvement: 1.

Updated documentation to include tobacco dependence syndromes when applicable.

This increases the complexity of care and increases reimbursement.

2.

Updated documentation for diabetes diagnoses to include hyper- or hypoglycemia and whether diabetes was controlled or uncontrolled.

This also increased the complexity of care and increased reimbursement.

In both situations, our medical providers were already supplying proper care for these conditions, but by improving the documentation, we were able to receive appropriate reimbursement for the care. Third-party revenue reports from a six-month period in 2022 – 2023 showed an increase of 46.5%, significantly higher than the goal of 10%.

22

IHCRC Annual Report 2023

Through Continuous Quality Improvement, we acknowledge that there’s no end to improvement. It’s a relentless pursuit that fuels our progress and shapes our future.

70% Signed Privacy Practices Forms Baseline

90% Signed Privacy Practices Forms Goal

97.5% Signed Privacy Practices Forms Result

Increasing the Percentage of Patients with Signed Privacy Practices Forms The Privacy Practices form is an essential requirement for every patient to sign. It is kept in the Vista Imaging section of the electronic health records. A chart audit in December determined that 70% of charts had current Privacy Practices forms completed. The team decided that at least 90% would be an acceptable goal. This was important to our clinic to ensure that patients were informed about consent and that our medical providers have consent prior to treating the patients.

These actions were implemented: 1.

2.

3.

The new Privacy Practices form 4. also includes the Advanced Directive Information, making it easier to capture a signed copy of both documents.

5.

Every receptionist/clerk at the front desk, same-day clinic, Dental, Optometry, and 6.

Health & Wellness will check for a current form.

If the form is not current (within the past 12 months), they will provide the patient with a new form to sign immediately.

The patient update form will be separate and will be collected separately from the Privacy Practices form.

We will not check-in patients who do not have a current Privacy Practices form.

Effective 1/1/2023, all patients will sign new consent forms on their first clinic visit.

During the follow-up chart audit, we determined that 97.5% of the patient charts had a signed Privacy Practices form, compared to the baseline of 70%, significantly surpassing our goal of 90%.

IHCRC Annual Report 2023

23

Association for Ambulatory Health Centers

I

n November of 2022, IHCRC received reaccreditation by the Accreditation Association for Ambulatory Health Care (AAAHC). This significant acknowledgment not only upholds IHCRC’s longstanding status as an Ambulatory Clinic and Medical Home, but also introduces a new milestone with its inaugural accreditation as a Dental Home.

AAAHC sets the gold standard for ambulatory clinic accreditation, ensuring that institutions adhere to rigorous criteria and maintain the highest standards of care. Undertaking this accreditation process every three years, IHCRC has consistently met these standards as an ambulatory clinic since 2001, without any notable issues.

The process is thorough and intensive. AAAHC meticulously reviews IHCRC’s policies and procedures,

delving into critical aspects such as the continuous quality improvement program (CQI), ensuring ongoing enhancements in patient care and services, while scrutinizing adherence to the Medical Home Improving Patient Care (IPC) model. With the recent inclusion of the Dental Home accreditation, IHCRC will be expected to uphold its standards in future evaluations. Additionally, the peer review program at IHCRC is examined to ascertain that providers are consistently assessed for quality and competency.

IHCRC sets the bar high in the realm of ambulatory care with rigorous adherence to AAAHC standards.

The renewed accreditation and the added recognition of Dental Home are testaments to a resolute dedication to excellence and top-tier patient service.

Accredited as a Dental Home by

24

IHCRC Annual Report 2023

Accredited as a Medical Home by

“As we set our sights on the future, we approach our clinic expansion with great excitement. We firmly believe the best is yet to come as we diligently work to expand our healthcare services to meet the needs of our Native American community.”

Tanya Cain, RN Chief Operating Officer

IHCRC Annual Report 2023

25

Recognizing a Culture of Caring Circle of Life ($50,000+) Lifetime Cumulative Giving American Cancer Society, Inc.

Public Service Company of Oklahoma (AEP/PSO)

H.A. and Mary K. Chapman Charitable Trust

Carmelita Skeeter

Blue Cross and Blue Shield of Oklahoma Chickasaw Nation

Choctaw Nation of Oklahoma Flint Family Foundation Griffin Communication

Hard Rock Hotel and Casino

Susan G. Komen Tulsa Affiliate

Muscogee Nation/Muscogee Nation Department of Health Ruth K. Nelson Revocable Trust (in memoriam)

Jim and Sharon Ruley

Southern Plains Tribal Health Board Delores Titchywy Sumner (in memoriam) Tiger Natural Gas

Tulsa Community Foundation (LARC) Tulsa Health Department

United Health Foundation University of Pittsburgh

Williams/Williams Foundation

The Anne and Henry Zarrow Foundation

Four Elements Cumulative giving between July 1, 2016 – June 30, 2023 Fire ($25,000 – $49,999) Oklahoma City Indian Clinic

Oklahoma Tribal Engagement Partners

Earth ($10,000 – $24,999) Dr. and Mrs. Jay Anderson

Magellan Midstream Partners, LP

Childers Architect

Meeks Group

CamGroup/Jim Cameron Commerce Bank

CommunityCare

Diagnostic Laboratory of Oklahoma

Janice Edmiston and Ceasar Williams Flintco/Flintco Foundation

Global Scaffolding & Insulation LLC Interior Logistics Mabrey Bank

26

IHCRC Annual Report 2023

Dr. & Mrs. David and Lee Marks

Muscogee Nation Department of Health ONE Gas ONEOK

Osage Casino

OSU Medicine

Ken Ray Underwood Law Office United Healthcare C&S OK

Wind ($5,000 – $9,999) Bank of Oklahoma Foundation

James R. Phillips

Ann and Luke Essman

Larry and Janet Smith

Eller & Detrich, P.C.

Dr. Jesicah Gilmore and Dane Bowin

First National Bank of Broken Arrow Burt B. Holmes

Drs. Emmanuel and Divina Roman Ross O. Swimmer

University of Colorado

Urban Inter-Tribal Center of Texas

Water ($1,000 – $4,999) AARP Oklahoma

Devol & Associates

Aflac/Nancy Blocker

John and Carol Durkee

Aetna Inc.

Dr. and Mrs. Akberali

Larry and Linda Almanza American Airlines, Inc. AmericanChecked Inc

American Indian Chamber of Commerce Oklahoma Tom and Sherry Askew Chris Banning

Dr. Jami Bartgis Stacy Berg

Donna Birkenfeld Gary Broom

Russell Brown

Larry and Tanya L. Cain Brandon Caruso

Citizen Potawatomi Nation Cheryl Cohenour Lupe Cole

College of the Muscogee Nation Dr. & Mrs. Tom Colpitts Crowe & Dunlevy

Michael and Heidi Dawson

Brittany Dias

Dr. Jose and Mrs. Cheryl Echevarria Jeremy and Crystalle Evans Tonia D. Gist

Jo Ann Gower

Kelly E. Henderson Hogan Taylor, LLP Deanna Holman

Pat & Katherine Hummingbird Ironman Foundation

Kaw Nation of Oklahoma Sarah and Joe Kennedy Kimberly-Clark

Patricia Lazenby

Megan R. Leath, D.Ph. Mike Metevelis

Kelly and Jay Mounce Brian and Stacie Nutt Nancy O’Banion

Omni Productions Elizabeth Parrott Karen Payne

IHCRC Annual Report 2023

27

Water ($1,000 – $4,999) Continued Goldie Phillips

Dr. Geeta Silas

Opal & Ronnie Price

Trust Company Oklahoma

Prater’s Propane Co.

Brenda Taylor, LPN

Manny Rios

Two Feathers Media Consultants

Arden and Joyce Roberts Edward E. Rogers

The University of Oklahoma-Anne and Henry Zarrow School of Social Work

Tim and Joanna Shadlow

Bill Wamego and Carol Hinkley

Louise Short

John and Melissa Young

Seneca-Cayuga Tribe

Hank and Jeannie Van Veen

Becky Sheofee

Joseph Williams

2023 Donors July 1, 2022 – June 30, 2023 Jennifer Ashlock

Stephanie Daniel

Skip and Priscilla Iba

Amanda Billetdoux

Dr. Carl Depaula

Chase Jackson

Eylena Barbosa

Randy & Tammy Blair Ginessa Blake Natasha Bray

Katelyn Britton Kristi Brown

Max Burchett Dena Butler

Elizabeth Butler Jessica Cameron Robert Catcher Ashley Chee

Jacqueline Cheney Doris Cloud Kelly Cook

Dr. Cara Cowan Watts/Tulsa Pier Drilling Virginia Cox Jordan Cox

Britni Creekmore Alexus Cruz 28

IHCRC Annual Report 2023

Dr. Rudney Danquah Laura Dishman

Elizabeth A. Duncklee, LCSW Sara Fleming

Amanda Fowler

Lindell Gardner

Dr. Jackie Garland

Sharnella Goudeau Steve Gregg

Dr. Daniel Guzman Jenifer Hamma Erica Hart

Dwayne Hay Lynda Head

Kristin Hixson Kim Holland

Dr. Valerie Howard Jennie Howard Jessica Hughes Danielle Hurd

Norman Jackson Steve Johnson Rita Jones

Mandy Keltner Kasi Ketcher

Karen Knight Anne Lisko

Thomas Luggiero Hilda Maharani Misti Mathews

Caitlin McKnight Sammie Miller Cory Moore

Heather Moore

Tracy Nicole Moore-Hill Keahmiee Moses

Bobby and Vicki Mouser Gay Munsell

Marie Murphy

National Council of Urban Indian Health

Jennifer Neal

Lysa and Nate Ross

Cynthia Thomas

Dr. Jennifer Jones

Mary Rule

David and Lisa Toahty

Jacquelyn Nickel

Alicia Kay Ortman Elizabeth Parrott Matthew Pate

Andrea Pemberton Karis Poafpybitty Elizabeth Potts Tamika Profit

Leslie Ptomey

Rohini Rajaperumal Katelyn Ramey

Savannah Ratcliff Cindy Reed

Mary Revels

Ryann Richey

Alyssa Rowan Pam Shaw

Rudy Sheofee

Charmayne Shorty Mary Solomon

Steven St. John Audrey Staires

Sandra Stanford Taylor Stanley

Wendy Sunday-Henderson Judy Supernaw Gary Szabo

Angela Thacker

Thomas Thackrey

Therese Tierce Natalie Vath

Joyce Wallace

Paulette A. Wamego Shawna Webb

Brit Whittington

Pamela Wiernasz

Vonnetta Wiggins

LaToyia and Euclid Williams Mary Williamson Karen Winfree

Shannon Woodstock Xin Zhang

Alex Thoman

Thank You to Our Donors and Supporters Accurate donor recognition is important to us. Please accept our apology and contact us if there has been an exclusion or inaccuracy. Contact Tonia Gist, at tgist@ihcrc.org or 918.382.1203 so corrections can be made in future publications.

IHCRC Annual Report 2023

29

Board of Trustees

G

uided by a Native American majority, IHCRC’s fourteen-member volunteer board meets every other month to determine issues of policy and governance.

Janice Edmiston President

Rob Anquoe Vice President

Joyce Roberts Secretary

David Spring Treasurer

Jay Anderson, DDS Jim Cameron

Brent Allison

Bob Bitting

Brandon Caruso

Tyler Post

Matt Wilkett, DO

Choctaw/Sac and Fox

Choctaw

Choctaw

Cherokee

Walela Knight

January Phetsacksith Goldie Phillips

Choctaw/Cherokee

30

Kiowa

Osage

IHCRC Annual Report 2023

Chickasaw

Comanche

Choctaw

Cherokee

Cherokee

Choctaw

“We are incredibly honored to be recognized for the fourth time among the Best Places to Work in Oklahoma. This achievement reflects our unwavering commitment to creating a workplace where our employees grow, thrive, and feel valued. It’s a testament to the dedication of our entire team in fostering a culture of inclusivity, innovation, and employee well-being.”

Stacie Nutt, BS, SHRM-SCP Chief Human Resource Officer

IHCRC Annual Report 2023

31

Employee Tenure Awards Five Years Tabitha Braden

Britni Creekmore

Detoneya Warrior

Joseph Kennedy

Sandra Stanford

Lisa Young

Lorrie Pinkston

Ten Years KD Coleman

Shelby Mathew

Cynthia Reed

Fifteen Years Jo Ann Gower

Elizabeth Duncklee

Twenty Years Robyn Jones

Twenty-Six Years Dr. Jennifer O’Dell

Community Awards

Merit Award

Peer Award

John Young

Ray Hawthrone

OKC Area Director Awards

OKC Area Director Awards

Pharmacy Technician of the Year OKC Area IHS Awards Alyssa Rowan

32

IHCRC Annual Report 2023

Employee Special Awards

Leader of the Year

Physician of the Year

Provider of the Year

Dr. Miranda Kohut

Dr. Jesicah Gilmore

Cindy Thomas, APRN

Employee of the Year

Shining Star of the Year

Lift My Spirits Award

Matt Pate

Jo Ann Gower

Dawanna Wallace

Spirit of the Urban Indian Award Oklahoma City Indian Clinic Caramelita Skeeter, Chief Executive Officer

Recognized for her lifelong commitment to Native American health care, Mrs. Skeeter received the Spirit of the Urban Indian honor at the 18th Annual Oklahoma City Indian Clinic (OKCIC) Red Feather Gala, Sunday, November 5, 2022.

IHCRC Annual Report 2023

33

“Our diligent stewardship and commitment to transparency have put our financials in robust health. We are poised to have a future filled with growth and positive impact.”

Deanna Holman Chief Financial Officer

34

IHCRC Annual Report 2023

Administration

Carmelita Skeeter, Chief Executive Officer Deanna Holman, Chief Financial Officer Tanya Cain, RN, Chief Operating Officer Stacie Nutt, Chief Human Resource Officer Jesicah Gilmore, MD, Medical Director

Department Heads

Carmelita Skeeter, Chief Executive Officer Deanna Holman, Chief Financial Officer Tanya Cain, RN, Chief Operating Officer Stacie Nutt, Chief Human Resource Officer INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC. Jesicah Gilmore, MD, Medical Director CONSOLIDATED FINANCIAL ToniaSTATEMENTS Gist, Development Director Jenifer Hamma, Patient Business Services Director JUNE 30, 2023 and 2022 Jason Menting, PsyD, Director of Behavioral Health WITH Gary Szabo, Information Technology Director INDEPENDENT AUDITOR'S REPORT

Leadership Team

Carmelita Skeeter, Chief Executive Officer Deanna Holman, Chief Financial Officer Tanya Cain, RN, Chief Operating Officer Stacie Nutt, Chief Human Resource Officer Tonia Gist, Development Director Jenifer Hamma, Patient Business Services Director Jason Menting, PsyD, Director of Behavioral Health Gary Szabo, Information Technology Director Michael Scott, MD, Associate Medical Director David Bright, PsyD, Associate Director Behavioral Health Arthur Holleman, DDS, Dental Director Jennifer Jones, OD, Optometrist Miranda Kohut, PharmD, Pharmacy Director Edward Rogers, Credentialing, Privileging, Accreditation Director Nancy O’Banion, Director of Quality Improvement Stacy Berg, LPC, SDPI Program Manager Kristi Brown, Accounting Manager Britni Creekmore, Lab Supervisor Steve Gregg, Facilities Manager Kristin Hixson, Grants Manager and Writer Cory Moore, RN, Clinical Nursing Manager Heather Moore, MA, LPC, Systems of Care Manager Cynthia Reed, Accounts Receivable Manager Shannon Woodstock, LPN, Nursing Supervisor John Young, Marketing and Communications Manager

550 S. Peoria Avenue, Tulsa, OK 74120 918.588.1900 | ihcrc.org