INTEGRIS Marshall County Medical Center’s original plant was built in 1964 with Hill Burton funds and expanded in 1967 to 50 licensed beds. In 1989, taxpayers voted a ½ % sales tax to expand and remodel the emergency room. At that time, the hospital had eight primary care physicians on staff, with one performing surgery and several practicing OB. The hospital had 50 beds in operation and was experiencing above average occupancy. During this time frame, several physicians chose to relocate due to expanding opportunities. Meanwhile, the change in the Medicare reimbursement rate and the introduction of Managed Care Plans began to dramatically effect the funding of the hospital. By the fall of 1992, the hospital had two full time physicians on staff and was experiencing occupancy of 2 or 3 patients a day. Surgery had been discontinued.

In September of 1992, the taxpayers voted to release funds, originally designated for the ER, to be used for hospital operations. They voted an additional ½ % sales tax to further assist with hospital operations. In January of 1993, the hospital was deeply in debt with no volumes, no physicians with time for a hospital practice, and not enough money to meet the payroll expenses. A town meeting was called to explain these difficulties to the community. Realizing one of the largest problems was the lack of physicians, the Marshall County Hospital Foundation began the Physician Recruitment Fund. Then on May 1, 1993, due to the relationship between Dr. Joe Ingram and former Governor Raymond Gary, Baptist Healthcare of Oklahoma (now INTEGRIS) agreed to manage hospital operations. Meanwhile, the Foundation was raising money for the physician fund with a goal of $250,000. By 1996, the foundation goal had been reached, and two physicians were recruited to the community.

In 1998 the community overwhelmingly voted to lease the hospital to INTEGRIS Health and continue the 1% sales tax for a period of ten years. However, the new sales tax revenue was earmarked strictly for physical plant improvements or replacements and for major equipment purchases. None of these tax funds were to be used to support hospital operations. In the fall of 1998, an INTEGRIS Health Marketing survey of Marshall County residents determined community perception and future goals for the hospital.

With the support of INTEGRIS Health and the leadership of the Hospital Board of Control, the expansion of the hospital began in October 1999. Relocating the heliport and constructing a building east of the hospital to relocate Home Health, Accounting, and Personnel began the Phase I expansion. The $5,000,000 expansion included a new Emergency Room, Diagnostic Imaging Department, Outpatient Clinic, Business Office, Medical Records, Lobby, Gift Shop and Chapel. The Phase I expansion was completed in September 2002. The new expansion has allowed us to expand the following services:

• Diagnostic Imaging - MRI, Ultrasound, CAT scan, and Bone Density are provided on site. Offsite radiologists are available 24 hours daily to interpret x-rays, CAT scans, and ultra sounds for attending physicians.
• Outpatient Clinic - Cardiology, Gastroenterology, General Surgery, Obstetrics and Gynecology, Ophthalmology, Orthopedic, Plastic Surgery, Podiatry, Urology and surgery clinics provide space for traveling specialists to see patients in their community.
• Therapy and Rehabilitation - Physical Therapy treatments, Respiratory testing and treatment services are now available for in-patients and outpatients.
• Emergency Care - Two trauma rooms, an isolation room, and four exam rooms provide “ State of the Art” space and equipment. A Physician Assistant provides our 24-hour care, and an ACLS trained nursing staff.
• Surgery - Surgery was also expanded with new surgical lights, table, and equipment allowing us to do Endoscopic, Gynecologic, Laparoscopic, Ophthalmologic, Orthopedic, Podiatric, Urological, and General Surgeries.

Phase II included the Kingston Clinic, completed in November 2003. This new facility provides on site X-ray and lab, an education/community room, six exam rooms, and room to grow.

Phase III of the expansion began in January 2004, to include the renovation of the patient rooms. Every room is new from the flooring to the ceiling and they have been furnished with new hospital beds, furniture and flat screen televisions. A children’s-theme room has also been furnished.

During 2006, each room will receive new heat and air unit that will individually control each patient’s environment. New electrical systems and head-wall units will deliver medical air, suction, and emergency power to each room. Together, these improvements will the highest level of comfort and care to the patients of INTEGRIS Marshall County Medical Center.

In addition to the room renovation, the nurse’s station, drug room, dining room, laboratory and public restrooms will undergo a major renovation due to be completed in early 2006, making INTEGRIS Marshall County Medical Center the fastest growing quality medical facility in southern Oklahoma.