INTEGRIS Health, Oklahoma's largest not-for-profit health system, has signed a definitive agreement to join Risant Health, pending regulatory approvals. The deal was announced on October 21, 2026. Based in Oklahoma City, INTEGRIS would be the third system to join the nonprofit, after Geisinger and Cone Health. It runs 10 acute and 10 specialty hospitals and employs 13,000 people. INTEGRIS will keep its name, brand, medical staff, and leadership team. Chief executive officer Timothy Pehrson said Risant will bring investments and capabilities INTEGRIS "couldn't make or build on our own, not at this scale and not this fast." Risant, created by Kaiser Permanente, aims to expand value-based care in the US.

Kaiser Permanente and Risant Health reported combined operating revenues of $127.7 billion for 2025, up from $115.8 billion in 2024. Operating income reached $1.4 billion, yielding a 1.1% operating margin, compared to $569 million and 0.5% the previous year. The organisations faced rising care delivery costs driven by high demand for complex care and expensive prescription medications. Net income totalled $9.3 billion in 2025, down from $12.9 billion in 2024, which included $6.8 billion from Risant Health's acquisitions of Geisinger and Cone Health. Combined membership stood at nearly 13.1 million as of 31 December 2025. Capital spending reached $4.8 billion, including investments in earthquake safety compliance and facility improvements. The organisations contributed $5.3 billion to community health programmes, including $192 million in grant funding.