2022-05-16T20:21:16-05:00 2021-06-30 135565207 KPMG LLP 60 E RIO SALADO PARKWAY SUITE 800 TEMPE AZ 85281 990 2020-07-01 731444504 INTEGRIS RURAL HEALTH INC INTE 4059496026 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 DOUGLAS M SMITH CFO 4059496026 2022-05-16 1 DOUGLAS SMITH XXX-XX-XXXX CASSANDRA WYATT P01943677 4804593500 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X SEE SCHEDULE O DOUGLAS M SMITH 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 273326592 0 X WWW.INTEGRISOK.COM X 1994 OK TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 15 14 1710 351 54723 50682 14481394 7528320 238168262 264364741 1978693 1343814 33071 89717 254661420 273326592 4000 4000 0 0 97666173 102375703 0 0 0 154499369 173894863 252169542 276274566 2491878 -2947974 327019952 386963329 87470853 136799904 239549099 250163425 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 236205637 4000 262986554 INTEGRIS RURAL HEALTH, INC. (IRH) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). IRH IS A NON-PROFIT HOSPITAL THAT PROVIDES HEALTH CARE SERVICES IN RURAL AREAS. SEE SCHEDULE O FOR ADDITIONAL INFOMRATION. 236205637 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 X 0 0 1710 1 1 1 0 0 0 0 0 0 0 0 0 X 15 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OK X DOUGLAS M SMITH 4059512744 3001 QUAIL SPRINGS PARKWAY OKLA CITY OK 73134 CHRIS HAMMES COO OF IH 1.00 39.00 X X 0 1055410 179573 NICO GOMEZ DIRECTOR 1.00 1.00 X 0 6600 0 NEAL HOGAN PHD DIRECTOR 1.00 1.00 X 0 20050 0 EDMUND MARTIN DIRECTOR 1.00 1.00 X 0 21230 0 KARLA MARSHALL DIRECTOR 1.00 1.00 X 0 7100 0 FRANK MERRICK DIRECTOR 1.00 1.00 X 0 7160 0 JOEY SAGER DIRECTOR 1.00 1.00 X 0 21230 0 CHRISTOPHER C TURNER DIRECTOR & BOARD CHAIR 1.00 1.00 X X 0 27230 0 PETER B DELANEY DIRECTOR 1.00 1.00 X 0 19570 0 MARSHALL SNIPES DIRECTOR 1.00 1.00 X 0 0 0 DAVID L THOMPSON DIRECTOR 1.00 1.00 X 0 20550 0 LUKE R CORBETT DIRECTOR 1.00 1.00 X 0 0 0 GEORGIANNE SNOWDEN MD DIRECTOR 1.00 1.00 X 0 22996 0 LINDA VYTLACIL PHD DIRECTOR 1.00 1.00 X 0 21230 0 MARK WERNER DIRECTOR 1.00 1.00 X 0 20360 0 DOUGLAS M SMITH CFO OF IH 1.00 39.00 X 0 698028 120666 FINNY MATHEW CHIEF HOSPITAL EXECUTIVE 40.00 0.00 X 341446 0 71939 JONAS RABEL CHIEF HOSPITAL EXECUTIVE 40.00 0.00 X 334154 0 66500 KENNA WILSON VP CHIEF NURSING OFFICER 40.00 0.00 X 226840 0 28754 LISA HALSTEAD VP CHIEF NURSING OFFICER 40.00 0.00 X 167521 0 19762 TERESA GRAY CHIEF HOSPITAL EXECUTIVE 40.00 0.00 X 222231 0 43135 JIM BLUNK PHYSICIAN 40.00 0.00 X 314766 0 34204 ELIZABETH KINZIE PHYSICIAN 40.00 0.00 X 274705 0 28507 KELLIE WILLIAMS DIRECTOR FERTILITY LAB 40.00 0.00 X 201403 0 16331 MICHELLE STEWART VP CHIEF NURSING OFFICER 40.00 0.00 X 182912 0 27565 JASON BAIRD PHARMACIST 40.00 0.00 X 171261 0 30745 TIMOTHY PEHRSON FORMER OFFICER/DIRECTOR 0.00 40.00 X 0 1291453 237264 DAVID R HADLEY FORMER OFFICER 0.00 0.00 X 0 241725 0 2437239 3501922 904945 73 1 1 0 DIAGNOSTIC LABORATORY OF OKLAHOMA LLC 225 NE 97TH STREET OKLAHOMA CITY OK 73114 REFERENCE LAB 10636037 EMERGENCY MANAGEMENT MIDWEST INC PO BOX 63480 CINCINNATI OH 45263 EMERGENCY MED. SVCS. 2018385 DIGESTIVE DISEASE SPECIALISTS INC 5015 N PENNSYLVANIA AVE OKLA CITY OK 73112 DIGESTIVE SERVICE 1033829 ANESTHESIA OF ENID LLC PO BOX 6112 ENID OK 73702 ANESTHESIA SERVICE 950598 HOSPITAL MEDICINE ASSOCIATES LLC PO BOX 634880 CINCINNATI OH 452634850 MEDICAL SERVICE 879447 32 5654684 1873636 677765 7528320 NET PATIENT REVENUE 621990 258613084 258613084 340B PHARMACY INCOME 446110 2081734 2081734 RENTAL INCOME 532000 1634633 1634633 CAFETERIA 722320 1106270 1106270 AMBULANCE SERVICES 900099 501025 501025 427995 99083 54723 274189 264364741 1342475 1342475 1339 0 1339 1339 1339 PENSION RELATED CHANGES 900099 56995 56995 32722 32722 89717 273326592 262986554 54723 2756995 4000 4000 1534687 1534687 78524217 78524217 16396533 16396533 5920266 5920266 40188244 119315 40068929 -21000 -21000 9240 9240 9546886 9546886 17713 17713 47097299 47097299 4632453 4632453 294051 294051 68284 68284 7743285 7743285 13289845 13289845 4136670 4136670 PURCHASED SERVICES 25631899 25631899 RIF & RECRUITMENT 14535651 14535651 SHOPP FEE 4847828 4847828 CONTRACT LABOR 1181095 1181095 695420 695420 276274566 236205637 40068929 0 3883784 1718630 15625628 100802290 111992190 26805526 7143734 7434335 137053 437961 350779093 215389885 142453526 135389208 45779974 75673232 4063 38702147 327019952 386963329 67817057 67391644 17827079 39084 1826717 69369176 87470853 136799904 X 239549099 250163425 239549099 250163425 327019952 386963329 -2947974 13562300 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8446388 8446388 185086866 88245348 96841518 650474 462892 187582 153151207 124462426 28688781 3444158 2219219 1224939 135389208 INVESTMENT - OTHER 46801 F INVESTMENT IN IH FOUNDATION 4127333 F INVESTMENT IN FND - BAPTIST 214531 F POOLED FUND INVESTMENTS 71284567 F 75673232 GIFT-IN-KIND CLEARING 38458000 RIGHT-OF-USE ASSET 244147 38702147 DUE TO AFFILIATES 38379142 ANNUITY PAYMENT LIABILITY 37516 ASSET RETIREMENT OBLIGATION 745971 LT SOCIAL SECURITY TAX WITHHELD 3277046 SHORT-TERM LEASE LIABILITY 123957 LONG-TERM ADVANCE - GOVERNMENT/GRANT 26684204 LONG-TERM LEASE LIABILITY 121340 69369176 PART X, LINE 2: INTEGRIS HEALTH, INC. AND ITS TAX-EXEMPT CONTROLLED AFFILIATES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT UNDER THE PROVISION OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 5195989 5195989 0.01880 42762248 37271138 5491110 0.01990 47958237 37271138 10687099 0.03870 688796 688796 0.00250 486104 9156 476948 0.00170 10478 10478 0.00000 100502 100502 0.00040 1285880 9156 1276724 0.00460 49244117 37280294 11963823 0.04330 1545 1545 0.00000 42 42 0.00000 1587 1587 0.00000 0 5279310 0 70207276 74687705 -4480429 X 1 1 5 1 INTEGRIS BASS BAPTIST HEALTH CENTER 600 SOUTH MONROE ENID OK 73702 WWW.INTEGRISOK.COM 2244 X X X A 2 INTEGRIS CANADIAN VALLEY HOSPITAL 1201 HEALTH CENTER PARKWAY YUKON OK 73099 WWW.INTEGRISOK.COM 2343 X X X A 3 INTEGRIS GROVE HOSPITAL 1001 E 18TH STREET GROVE OK 74344 WWW.INTEGRISOK.COM 2184 X X X A 4 INTEGRIS MIAMI HOSPITAL 200 2ND AVENUE SOUTHWEST MIAMI OK 74354 WWW.INTEGRISOK.COM 2193 X X X A 5 INTEGRIS BASS PAVILION 401 SOUTH 3RD STREET ENID OK 73701 WWW.INTEGRISOK.COM 2349 X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE PART V, SECTION C X X 1 18 1 SEE PART V, SECTION C 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X X X 1 X INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE X INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE X INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: INTEGRIS RURAL HEALTH, INC. (IRH) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IRH FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW. PART V, SECTION B, LINE 7A AND LINE 10A: HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTS PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: INTEGRIS BASS BAPTIST HEALTH CENTER, - FACILITY 2: INTEGRIS CANADIAN VALLEY HOSPITAL, - FACILITY 3: INTEGRIS GROVE HOSPITAL, - FACILITY 4: INTEGRIS MIAMI HOSPITAL, - FACILITY 5: INTEGRIS BASS PAVILION FACILITY REPORTING GROUP - A 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 INCLUDE:INTEGRIS BASS BAPTIST HOSPITAL: TURNING POINT CONSULTANT: DUSTI BRODRICK & PROGRAM MANAGER: MARY JAC RAUH, M.P.H.INTEGRIS CANADIAN VALLEY HOSPITAL: TURNING POINT CONSULTANT: DUSTI BRODRICKINTEGRIS GROVE HOSPITAL: TURNING POINT CONSULTANT: SARAH J. JOHNSONINTEGRIS MIAMI HOSPITAL: TURNING POINT CONSULTANT: SARAH J. JOHNSONIN 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. FACILITY REPORTING GROUP - A 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 (I.E. 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 WEBSITE'S HOME PAGE. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: *INTEGRIS BASS BAPTIST HEALTH CENTER - GARFIELD COUNTY HEALTH DEPT. & GARFIELD COUNTY HEALTH PLANNING COMMITTEE*INTEGRIS CANADIAN VALLEY HOSPITAL - CANADIAN COUNTY COALITION FOR CHILDREN AND FAMILIES*INTEGRIS GROVE HOSPITAL - DELAWARE COUNTY COMMUNITY PARTNERSHIP*INTEGRIS MIAMI HOSPITAL - PARTNERS FOR OTTAWA COUNTY, INC.*INTEGRIS BASS PAVILION - GARFIELD COUNTY HEALTH DEPT. & GARFIELD COUNTY HEALTH PLANNING COMMITTEE FACILITY REPORTING GROUP - A 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. FACILITY REPORTING GROUP - A 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 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. PART I, LINE 6A: INTEGRIS HEALTH INC. 73-1192764, THE PARENT ORGANIZATION OF IHE, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC. 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. 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. PART III, LINE 2: COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 19.57%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: IRH DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: IRH DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF INTEGRIS HEALTH, INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:A PORTFOLIO APPROACH BY MAJOR PAYOR CATEGORIES AND TYPES OF SERVICE WAS USED TO ESTIMATE THE HISTORICAL COLLECTIONS EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED AT LEAST QUARTERLY BASED ON ACTUAL COLLECTIONS EXPERIENCE.INTEGRIS HEALTH BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WAS USED. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE ASSESSED FIRST FOR ELIGIBILITY FOR CHARITY CARE OR RECORDED AS BAD DEBT EXPENSE. PART III, LINE 8: COMMUNITY BENEFIT: ------------------------------THE HOSPITAL BELIEVES THAT ALL OF THE $4,480,429 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH OUR COST EXCEEDS REIMBURSEMENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING ELDERLY IN OUR COMMUNITY. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT. 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. IRH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PART VI, LINE 2: 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. PART VI, LINE 3: 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 ONLINE 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. PART VI, LINE 4: 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 BASS BAPTIST HEALTH CENTER INTEGRIS BASS BAPTIST HEALTH CENTER IS LOCATED IN ENID, OKLAHOMA, WHICH IS THE COUNTY SEAT OF GARFIELD COUNTY IN NORTH CENTRAL OKLAHOMA. INTEGRIS BASS BAPTIST HEALTH CENTER HAS SERVED ENID AND THE SURROUNDING AREA LONGER THAN ANY OTHER GENERAL HOSPITAL, HAVING BEEN FOUNDED IN 1910. THE CAMPUS OFFERS 207 LICENSED BEDS THROUGHOUT THREE FACILITIES. INTEGRIS CANADIAN VALLEY HOSPITAL INTEGRIS CANADIAN VALLEY HOSPITAL IS LOCATED IN YUKON, OKLAHOMA WHICH IS IN CANADIAN COUNTY IN CENTRAL OKLAHOMA. THE HOSPITAL OPENED IN 2011 AND OFFERS A 75-BED PRIMARY CARE FACILITY WITH A FULL RANGE OF SERVICES, AND SERVES SURROUNDING CITIES INCLUDING EL RENO, UNION CITY, MUSTANG, OKARCHE AND PIEDMONT. INTEGRIS GROVE HOSPITAL INTEGRIS GROVE HOSPITAL IS LOCATED IN GROVE, OKLAHOMA, WHICH IS IN DELAWARE COUNTY IN NORTHEASTERN OKLAHOMA. THE CAMPUS OFFERS 58 LICENSED BEDS AND SERVES AS A BEACON FOR QUALITY HEALTH CARE FOR NORTHEAST OKLAHOMA, NORTHWEST ARKANSAS AND SOUTHWEST MISSOURI. INTEGRIS MIAMI HOSPITAL INTEGRIS MIAMI HOSPITAL IS LOCATED IN MIAMI, OKLAHOMA, WHICH IS IN OTTAWA COUNTY IN NORTHEASTERN OKLAHOMA. THIS FACILITY HAS 117 LICENSED BEDS AND OPENED ON JULY 1, 1919. INTEGRIS MIAMI HOSPITAL SERVES NORTHEAST OKLAHOMA AND THE ADJACENT BORDER AREAS OF KANSAS AND MISSOURI. INTEGRIS BASS PAVILION INTEGRIS BASS PAVILION IS LOCATED IN ENID, OKLAHOMA, WHICH IS THE COUNTY SEAT OF GARFIELD COUNTY IN NORTH CENTRAL OKLAHOMA. THE HOSPITAL TREATS PATIENTS WITH SERIOUS AND OFTEN COMPLEX MEDICAL CONDITIONS SUCH AS RESPIRATORY FAILURE, NEUROMUSCULAR DISORDERS, CARDIAC DISORDERS, NON-HEALING WOUNDS AND ANY MEDICAL COMPLICATIONS REQUIRING ACUTE CARE FOR AN EXTENDED PERIOD OF TIME. THE HOSPITAL IS A 24-BED FACILITY HOUSED ON THE SECOND FLOOR OF INTEGRIS BASS PAVILION. PART VI, LINE 5: EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPSALL INTEGRIS HEALTH FACILITIES ARE 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 THIS TAX YEAR 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 PROBLEMSINTEGRIS 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. PART VI, LINE 6: IRH 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. OTHER FACILITIES OF THE TAXPAYER ARE LISTED ON SCHEDULE H, PART V AND THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM. SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT ALL STATES WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:OK 0 1 0 0 0 0 0 1 0 TIMOTHY PEHRSON FORMER OFFICER/DIRECTOR 0 901075 0 375000 0 15378 0 216281 0 20983 0 1528717 0 0 CHRIS HAMMES COO OF IH 0 614078 0 250000 0 191332 0 158848 0 20725 0 1234983 0 134900 DOUGLAS M SMITH CFO OF IH 0 486517 0 200000 0 11511 0 100077 0 20589 0 818694 0 0 FINNY MATHEW CHIEF HOSPITAL EXECUTIVE 257203 0 75000 0 9243 0 51638 0 20301 0 413385 0 0 0 JONAS RABEL CHIEF HOSPITAL EXECUTIVE 229838 0 75000 0 29316 0 46040 0 20460 0 400654 0 0 0 JIM BLUNK PHYSICIAN 234283 0 75774 0 4709 0 19201 0 15003 0 348970 0 0 0 ELIZABETH KINZIE PHYSICIAN 166506 0 106755 0 1444 0 8259 0 20248 0 303212 0 0 0 TERESA GRAY CHIEF HOSPITAL EXECUTIVE 210222 0 1000 0 11009 0 42004 0 1131 0 265366 0 0 0 KENNA WILSON VP CHIEF NURSING OFFICER 164772 0 50000 0 12068 0 13854 0 14900 0 255594 0 0 0 DAVID R HADLEY FORMER OFFICER 0 0 0 0 0 241725 0 0 0 0 0 241725 0 0 KELLIE WILLIAMS DIRECTOR FERTILITY LAB 200419 0 500 0 484 0 7902 0 8429 0 217734 0 0 0 MICHELLE STEWART VP CHIEF NURSING OFFICER 140119 0 0 0 42793 0 7430 0 20135 0 210477 0 0 0 JASON BAIRD PHARMACIST 169759 0 1000 0 502 0 10550 0 20195 0 202006 0 0 0 LISA HALSTEAD VP CHIEF NURSING OFFICER 156110 0 0 0 11411 0 11608 0 8154 0 187283 0 0 0 PART I, LINE 3 INTEGRIS RURAL HEALTH, INC. (IRH) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, IRH RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION. PART I, LINE 4B THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS 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 NON- QUALIFIED 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 AND RECEIVED PAYMENTS IN THE CURRENT REPORTING YEAR: CHRIS HAMMES - $ 161,707 THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT IN THE CURRENT REPORTING YEAR: DOUGLAS M. SMITH FINNY MATHEW JONAS RABEL TERESA GRAY TIMOTHY PERHSON 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. X MEDICAL EQUIPMENT 21 677765 FMV 0 1 0 PART I, COLUMN (B): PART I, COL(B) REPORTS THE NUMBER OF CONTRIBUTIONS RECEIVED. PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INTEGRIS RURAL HEALTH, INC. (IRH) OPERATES THE FOLLOWING HOSPITALS IN OKLAHOMA: INTEGRIS CANADIAN VALLEY HOSPITAL, INTEGRIS MIAMI HOSPITAL, INTEGRIS BASS BAPTIST HEALTH CENTER, AND INTEGRIS GROVE HOSPITAL, WHICH ARE ALL PART OF THE INTEGRIS HEALTH SYSTEM. IRH PROVIDES AMOUNTS OF UNCOMPENSATED SERVICES. UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED COST CARE, WHICH INCLUDES CHARITY CARE AND UNPAID COSTS OF MEDICAID PROGRAMS. AS NOT-FOR PROFIT HOSPITALS, IRH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE COVERAGE. THUS, IT PROVIDES A MUCH-NEEDED SAFETY NET FOR MEMBERS OF THE IRH COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH PROVIDED CHARITY CARE OF $5,195,989. IRH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS FOR WHICH THE ORGANIZATION RECEIVES INADEQUATE PAYMENTS. UNPAID COSTS OF MEDICAID PROGRAMS REFLECT THE DIFFERENCE BETWEEN COSTS TO PROVIDE PATIENT CARE SERVICES AND THE RATE AT WHICH THE HOSPITAL IS REIMBURSED. MEDICAID COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH'S UNPAID COSTS OF MEDICAID PROGRAMS EQUALED $5,491,110. IN ADDITION, IRH BAD DEBT COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH'S BAD DEBT COSTS WERE $5,276,395. IRH ALSO DID SEVERAL COMMUNITY BENEFIT FUNCTIONS DURING THE YEAR. THESE INCLUDED HEALTH FAIRS, FLU SHOT CLINICS, MENTORING AT SCHOOLS, ETC. PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2021 A MESSAGE FROM OUR PRESIDENT AND CEO: INTEGRIS HEALTH IS OKLAHOMA'S LARGEST NOT-FOR-PROFIT HEALTH SYSTEM AND HAS SERVED OKLAHOMA COMMUNITIES FOR MORE THAN 100 YEARS. OUR MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS, INTEGRIS HEALTH PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS TO IMPROVE ACCESS TO HEALTH CARE. SOME EXAMPLES OF THIS INCLUDE FUNDING FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, HEALTH SUPPORT GROUPS, MENTORING PROGRAMS FOR AT-RISK YOUTH, CLEAN UP AFTER NATURAL DISASTERS, ASSISTANCE FOR THE ELDERLY AND SERVING AS A LEADER DURING A PANDEMIC. THIS REPORT HIGHLIGHTS IN GREATER DETAIL A FEW WAYS INTEGRIS HEALTH POSITIVELY IMPACTED OUR COMMUNITIES LAST YEAR. WE ARE GRATEFUL AND HUMBLED TO BE OKLAHOMANS' MOST TRUSTED PARTNER FOR HEALTH. WARMLY, TIMOTHY PEHRSON PRESIDENT AND CEO MISSION: PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES VISION: THE MOST TRUSTED PARTNER FOR HEALTH VALUES: ICARE-INTEGRITY. COMPASSION. ACCOUNTABILITY. RESPECT. EXCELLENCE. INTEGRIS HEALTH COMMUNITY GIVING FUND INTEGRIS HEALTH HAS LONG BEEN A LEADER IN COMMUNITY HEALTH OUTREACH. MANY ARE NOT AWARE OF THE COMMUNITY BENEFIT ASPECT OF OUR ORGANIZATION'S WORK. THIS GRANT INITIATIVE IS A GREAT OPPORTUNITY TO TELL THE STORY TO OUR INTERNAL AND EXTERNAL COMMUNITIES. INTEGRIS HEALTH HAS ESTABLISHED PRIORITIES FOR IMPROVING COMMUNITY HEALTH FOR 2020 THROUGH 2022. INTEGRIS HEALTH'S 2020-2022 COMMUNITY HEALTH PRIORITY IS TO ADDRESS OBESITY, MENTAL HEALTH, ACCESS TO CARE, FOOD INSECURITY AND TOBACCO THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING AND TREATMENT STRATEGIES. THE GRANTS ALLOW US TO PARTNER WITH OTHER ORGANIZATIONS, HELPING PEOPLE LIVE HEALTHIER LIVES AND MAXIMIZING THE IMPACT OF OUR COMMUNITY BENEFIT DOLLARS TO IMPROVE HEALTH OUTCOMES. FOR MORE INFORMATION CONTACT TOBI.CAMPBELL@INTEGRISOK.COM. VARIETY CARE NAME OF PROJECT: VARIETY CARE MAMMOGRAPHY PLAN IN PARTNERSHIP WITH THE URBAN LEAGUE PROJECT DESCRIPTION: VARIETY CARE AND THE URBAN LEAGUE WORK TOGETHER TO PROVIDE A PROGRAM OF OUTREACH, CLIENT NAVIGATION, CASE MANAGEMENT AND COUNSELING TARGETING AFRICAN AMERICAN WOMEN TO INCREASE ACCESS TO MAMMOGRAMS. PROGRESS: AS OF SEPTEMBER 2021, THE URBAN LEAGUE REFERRED 29 AFRICAN AMERICAN WOMEN TO VARIETY CARE FOR THEIR INITIAL HEALTH VISIT, WITH 16 OF THE 29 COMPLETING THEIR VISIT. FOURTEEN REFERRED BY THE URBAN LEAGUE ARE IN THE PROCESS OF OBTAINING AN APPOINTMENT. THE URBAN LEAGUE CONTINUES TO PROVIDE ENROLLMENT, CASE MANAGEMENT, PROMOTIONS AND FOLLOW-UP ACTIVITIES WITH CLIENTS. IN OCTOBER, THE URBAN LEAGUE HOSTED A "DAY OF PINK" BRUNCH EVENT FOR LOW-INCOME, UNINSURED AND UNDERINSURED AFRICAN AMERICAN WOMEN TO PROMOTE BREAST CANCER AWARENESS AND ASSIST CLIENTS TO REGISTER FOR THEIR VARIETY CARE OFFICE VISIT AND INTEGRIS HEALTH MAMMOGRAM. THE DAY OF PINK EVENT PROVIDED RESOURCES, SUPPORT AND INFORMATION FOR AFRICAN AMERICAN WOMEN WHO HAVE LOST LOVED ONES, ARE WORRIED ABOUT DEVELOPING BREAST CANCER OR NEED ANSWERS TO QUESTIONS ABOUT PREVENTING AND RECOGNIZING SYMPTOMS OF BREAST CANCER. IN ADDITION TO WOMEN IDENTIFIED BY THE URBAN LEAGUE, VARIETY CARE CARE MANAGEMENT STAFF LINK PATIENTS WITH RESOURCES FOR MAMMOGRAMS AND PERFORM IN-REACH WITH STAFF AND PATIENTS. BETWEEN JANUARY 1 AND SEPTEMBER 15, 2021, 3,165 WOMEN WERE REFERRED FOR MAMMOGRAMS, 279 (8.8%) OF WHICH WERE AFRICAN AMERICAN/BLACK, AN INCREASE FROM 7.9% AT THE SIX-MONTH MARK. UNINSURED WOMEN COMPRISED 1,382 (43.7%) OF THOSE REFERRED FOR MAMMOGRAMS. VARIETY CARE NAME OF PROJECT: MENTAL HEALTH AWARENESS AND REFERRAL TO TREATMENT PROJECT DESCRIPTION: VARIETY CARE MEDICAL ASSISTANTS SCREEN PATIENTS AGE 12 AND OLDER FOR DEPRESSION. IF THE SCREEN IS POSITIVE, THE MEDICAL PROVIDER WILL MAKE AN IN-HOUSE REFERRAL TO A BEHAVIORAL HEALTH PROVIDER. PROGRESS: IN THE FIRST NINE MONTHS OF THE GRANT YEAR, MEDICAL TEAMS SCREENED 22,609 (60.2%) OUT OF 37,574 MEDICAL PATIENTS FOR DEPRESSION AND DEVELOPED A TREATMENT PLAN FOR THOSE WITH A POSITIVE SCREEN. OF THOSE, 7,192 (31.8%) WERE UNINSURED. WE HAVE SEEN AN INCREASE IN THE NEED FOR BEHAVIORAL HEALTH DURING THE PANDEMIC. SOME THERAPISTS ARE SCHEDULED OUT FOUR TO FIVE WEEKS, WITH PSYCHIATRISTS BOOKED OUT ABOUT THREE WEEKS. IN ADDITION TO AN INCREASE IN THE NEED FOR TREATMENT OF DEPRESSION AND ANXIETY, WE SEE A CONTINUING NEED FOR MEDICATION ASSISTED TREATMENT. TELEHEALTH REMAINS AN ESSENTIAL METHOD OF SERVICE DELIVERY IN RESPONSE TO THE PANDEMIC. VARIETY CARE NAME OF PROJECT: OBESITY PREVENTION, REFERRAL TO TREATMENT AND HEALTHY FOOD ACCESS PROJECT DESCRIPTION: VARIETY CARE DIETITIANS AND BEHAVIORAL HEALTH STAFF WORK WITH OVERWEIGHT PATIENTS WITH DIABETES OR HYPERTENSION TO ATTAIN A HEALTHY WEIGHT. PROGRESS: IN THE FIRST NINE MONTHS OF THE GRANT YEAR, VARIETY CARE MEDICAL TEAMS DOCUMENTED BMI FOR 14,646 OUT OF 20,153 CHILDREN (72.7%) AND 14,689 OUT OF 31,232 ADULTS (47.0%), PROVIDING COUNSELING TO THOSE WHOSE WEIGHT WAS OUTSIDE NORMAL PARAMETERS. OF THE 14,646 CHILDREN WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 395 (2.0%) MADE SUSTAINED PROGRESS TOWARD IDEAL WEIGHT. OF THE 14,689 ADULTS WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 13,224 (90.0%) MADE PROGRESS TOWARD THEIR IDEAL WEIGHT. OF THOSE WHOSE BMI WAS DOCUMENTED AND WHO RECEIVED COUNSELING, 8.3% OF CHILDREN AND 19.6% OF ADULTS WERE UNINSURED. HEALTHY FOODS ARE AN ESSENTIAL PART OF A DAILY DIET. OBTAINING FRESH FRUITS AND VEGETABLES IS ESPECIALLY DIFFICULT FOR LOW-INCOME PATIENTS. VARIETY CARE REGISTERED DIETITIANS DISTRIBUTED 41 $50 GIFT CARDS TO LOW-INCOME PATIENTS WITH HYPERTENSION AND/OR PREDIABETES OR DIABETES TO REMOVE A BARRIER TO THEIR ABILITY TO CHOOSE FRESH FRUITS AND VEGETABLES. THIRTEEN OF THE PATIENTS THAT RECEIVED GIFT CARDS FOR HEALTHY FOOD WERE UNDER AGE 18. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED YMCA OF GREATER OKLAHOMA CITY NAME OF PROJECT: EXERCISE IS MEDICINE PROJECT DESCRIPTION: THE EXERCISE IS MEDICINE PROGRAM INCORPORATES CARDIOVASCULAR, FLEXIBILITY, STRENGTH TRAINING AND MIND BODY EXERCISES, AWARENESS OF NUTRITIONAL IMPACT ON HEALTH, APPLICATION OF SUSTAINED HEALTHY HABITS, AND BEHAVIORAL AND ENVIRONMENTAL SUPPORT TO ELICIT LONG-TERM SUCCESS. PARTICIPANTS ARE REFERRED BY HEALTH CARE PROVIDERS. INSTRUCTION IS OVERSEEN BY A TEAM OF EXERCISE IS MEDICINE TRAINERS FOR 12 WEEKS, TWICE PER WEEK FOR A TOTAL OF 24 ONE-HOUR SESSIONS. THIS PROGRAM IS FACILITATED IN A SMALL GROUP SETTING WITH A RATIO OF 1:8 FOR OPTIMAL INSTRUCTION. PROGRESS: THE FIRST COHORT HAS FINALIZED THEIR PROGRAMMING AND ASSESSMENTS. WE ARE IN THE PROCESS OF RECRUITING FOR THE NEXT COHORT OF APPROXIMATELY 40 PARTICIPANTS THROUGH A PARTNERSHIP WITH LYNN INSTITUTE. THE NEXT QUARTER WILL BE THE LARGEST FOR PARTICIPATION AND EXPENDITURES. YWCA ENID NAME OF PROJECT: YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) AND COUNSELING PROGRAMS. PROJECT DESCRIPTION: YWCA ENID'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM OFFERS FREE FORENSIC EXAMS TO ADULT VICTIMS OF SEXUAL ASSAULT. THE SPECIALLY TRAINED SANE NURSE PROVIDES AN EXAM AND PROTOCOL MEDICATIONS TO VICTIMS IN A COMFORTABLE AND CONFIDENTIAL MEDICAL ROOM ON-SITE AT THE YWCA. REQUESTS ARE RECEIVED FROM INDIVIDUALS FOR EXAMS, OR REFERRALS FROM LAW ENFORCEMENT. AFTER THE EXAM IS COMPLETE AND EVIDENCE IS TURNED OVER TO LAW ENFORCEMENT, THE SANE NURSE WILL THEN FOLLOW UP WITH THE VICTIM TWO WEEKS AFTER THE EXAM TO PROVIDE NEEDED RESOURCES AND ADDITIONAL MEDICAL ASSISTANCE. SEXUAL ASSAULT RESPONSE ADVOCATES (SARAS) ARE SPECIALLY TRAINED RECRUITED VOLUNTEERS PROVIDING EMOTIONAL SUPPORT AND RESOURCES TO VICTIMS AT THE TIME OF THE EXAM AND IN THE WEEKS FOLLOWING. THE STAFF COURT ADVOCATE IS ALSO AVAILABLE TO ACCOMPANY THE VICTIMS IN THE INSTANCE OF PROSECUTION. THE SANE NURSE REGULARLY TESTIFIES IN COURT TO AID IN THIS PROSECUTION. WITHOUT YWCA'S SANE PROGRAM, VICTIMS WOULD TRAVEL TO WOODWARD, STILLWATER OR PONCA CITY FOR AN EXAM IN THE MIDST OF THEIR TRAUMATIC INCIDENT. YWCA ENID'S COUNSELING PROGRAM OFFERS FREE INDIVIDUAL AND GROUP COUNSELING TO VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING, AS WELL AS THE COMMUNITY AT LARGE. REQUESTS COME FROM INDIVIDUALS FOR SERVICES, AND OCCASIONALLY OKDHS ARE RECEIVED WITH THIS PROGRAM. THE LICENSED PROFESSIONAL COUNSELOR WILL MEET WITH THOSE INDIVIDUALLY OR IN A GROUP SETTING TO FACILITATE AN UNDERSTANDING OF TRAUMA, NORMALIZE THEIR EXPERIENCE AND PROVIDE SUPPORT AND HEALTHY COPING SKILLS. OTHER SKILLS FOSTERED ARE APPROPRIATE PARENTING SKILLS AND TECHNIQUES TO MANAGE ANXIETY, DEPRESSION AND PTSD. PROGRESS: THE SANE NURSE PROVIDED ONE DOMESTIC VIOLENCE AND THREE SEXUAL ASSAULT EXAMS IN JULY 2021, TWO SEXUAL ASSAULT EXAMS IN AUGUST 2021, AND ONE SEXUAL ASSAULT EXAM IN SEPTEMBER. IN TOTAL, THE SANE NURSE PERFORMED SEVEN EXAMS THIS QUARTER. 100% OF INDIVIDUALS REQUESTING A SANE/DVNE EXAM WERE PROVIDED WITH ONE. 100% OF CLIENTS SERVED BY THE YWCA CRISIS CENTER SHELTER WERE ALSO OFFERED A SANE/DVNE EXAM. YWCA'S SANE NURSE ALSO FACILITATED 81 HOURS OF ADVOCACY SERVICES FOR THESE VICTIMS AND SUPPLIED FOUR LAW ENFORCEMENT DEPARTMENTS WITH FORENSIC EVIDENCE FOR PROSECUTION. ADDITIONALLY, THE SANE NURSE PROVIDED ONE TRAINING TO LAW ENFORCEMENT THIS QUARTER. YWCA HOSTED A SEXUAL ASSAULT RESPONSE ADVOCATE (SARA) OPEN HOUSE IN OCTOBER DURING DOMESTIC VIOLENCE AWARENESS MONTH TO RECRUIT MORE VOLUNTEERS TO ASSIST WITH THE SANE PROGRAM. YWCA ENID'S COUNSELING PROGRAM HAS BEEN EXTREMELY BUSY THIS QUARTER. IN FACT, AFTER REVIEWING METRICS FROM LAST FISCAL YEAR, COUNSELING SERVICES HAVE INCREASED BY 70% SINCE THE ONSET OF THE COVID-19 PANDEMIC. DURING THIS QUARTER (JULY- SEPTEMBER 2021), THE LICENSED PROFESSIONAL COUNSELOR PROVIDED 144 HOURS OF COUNSELING TO 70 CLIENTS. NINE OF THESE CLIENTS WERE NEW ADMISSIONS, AND 85% WERE NON-RESIDENTIAL COMMUNITY MEMBERS. 100% OF VICTIMS REQUESTING SERVICES IN ANY CAPACITY WERE OFFERED COUNSELING AT NO CHARGE. 92% OF CLIENTS SERVED ACQUIRED HEALTHY COPING SKILLS AND DEMONSTRATED IMPROVEMENT IN THEIR QUALITY OF LIFE. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED NORTH ENID LIONS CLUB NAME OF PROJECT: EYEGLASSES FOR NEEDY RESIDENTS PROJECT DESCRIPTION: AS A CIVIC CLUB, THE GOAL IS TO PROVIDE SERVICE PROJECTS. THE PROJECT WE ARE WORKING ON IS TO PROVIDE EYE EXAMS AND GLASSES TO NEEDY INDIVIDUALS. PROGRESS: THE NORTH ENID LIONS CLUB HAS SPENT A TOTAL OF $1,115 ON EYEGLASSES FROM MAY THROUGH SEPTEMBER 2021. COMMUNITY DEVELOPMENT SUPPORT ASSOCIATION, INC. (CDSA) NAME OF PROJECT: EMERGENCY MEDICATION AND SHORT-TERM MEDICATION AND MEDICAL SUPPLIES SUPPORT PROJECT DESCRIPTION: PROGRAM SUPPORT TO ADDRESS THE LONG-STANDING NEED FOR EMERGENCY MEDICATIONS AND SHORT-TERM MEDICATION SUPPORT WHILE ACCESSING OTHER ASSISTANCE AND EMERGENCY MEDICAL SUPPLY NEEDS, INCLUDING THE NEED FOR ADULT INCONTINENCE SUPPLIES. PROGRESS: 1. PURCHASED INCONTINENCE SUPPLIES. 2. BEGAN MARKETING AVAILABILITY OF SUPPLIES. 3. DISTRIBUTED INCONTINENCE SUPPLIES TO FOUR INDIVIDUALS IN THE FIRST QUARTER AND SEVEN IN THE SECOND QUARTER DURING 2021. 4. DEVELOPED PARTNERSHIP WITH FAMILY PHARMACY FOR DISCOUNTED MEDICATION/SUPPLIES PRICING. 5. DISTRIBUTED TEST STRIPS AND TESTING MACHINE TO ONE DIABETIC PATIENT. 6. MARKETED SERVICES TO ENID COMMUNITY CLINIC, LOAVES AND FISHES, OUR DAILY BREAD, MEADOWS POINT APARTMENTS, AREA AGENCY ON AGING, ENID SENIOR CENTER AND TO RSVP TO DISTRIBUTE MATERIALS TO RECIPIENTS OF ENID MOBILE MEALS. 7. PROVIDED FIRST AID SUPPLIES (BANDAGES, ANTIBIOTIC OINTMENT, CLEANSING PADS, HOT/COLD PACKS AND TYLENOL FOR OUTREACH TO ENID SOS FOR HOMELESS OUTREACH. 8. ASSISTED 13 CLIENTS WITH MEDICATIONS CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OKLAHOMA CITY (CCAOKC) NAME OF PROJECT: COUNSELING SERVICES AND FAMILY SUPPORT SERVICES PROJECT DESCRIPTION: CATHOLIC CHARITIES OFFERS COUNSELING SERVICES THROUGH THEIR REGIONAL OFFICE. LICENSED PROFESSIONAL COUNSELORS OFFER AFFORDABLE OUTPATIENT COUNSELING FOR INDIVIDUALS, FAMILIES AND CHILDREN TO ADDRESS LIFE'S STRESSES AND PROBLEMS HINDERING THEIR DAILY FUNCTIONING. COUNSELORS PROVIDE A MENTAL HEALTH CONTINUUM OF CARE THAT INCLUDES SUPPORT, PREVENTION, INTERVENTION AND TREATMENT. THE SKILLED AND CARING STAFF ARE GUIDED BY EVIDENCE-BASED STRATEGIES AND WORK COLLABORATIVELY WITH THE CLIENT TO DEVELOP CARE PLANS THAT ARE INDIVIDUALIZED. ALSO OFFERED THROUGH THIS REGIONAL OFFICE IS THE FAMILY SUPPORT SERVICES PROGRAM, WHICH HAS TWO KEY COMPONENTS (EMERGENCY RENT AND UTILITY ASSISTANCE, AND FAMILY HOPE) THAT ADDRESS IMMEDIATE CLIENT NEEDS AND FACILITATE A PATH TO A STABLE AND ECONOMICALLY INDEPENDENT FUTURE. THROUGH THE EMERGENCY RENT AND UTILITY ASSISTANCE PROGRAM CLIENTS FACING A FINANCIAL CRISIS ARE ASSISTED WITH A PORTION OF THEIR PAST DUE RENT AND/OR UTILITY PAYMENT. THE PROGRAM OBJECTIVES ARE TO PREVENT HOMELESSNESS AND UNSAFE LIVING CONDITIONS BY HELPING CLIENTS AVOID EVICTION DUE TO OVERDUE RENT OR UTILITY SHUT-OFFS, WHICH IS GROUNDS FOR EVICTION IN OKLAHOMA. THE FAMILY HOPE (HELP, ORGANIZE, PRIORITIZE AND EMPOWER) PROGRAM PROMOTES INDEPENDENCE AND EQUIPS CLIENTS WITH THE SKILLS TO OVERCOME OBSTACLES AND GAIN ECONOMIC STABILITY. CASE MANAGERS WORK WITH CLIENTS TO CREATE ACTION-ORIENTED, GOAL- CENTERED SERVICE PLANS. SERVICE PLANS FOCUS ON UNMET NEEDS (E.G., FINANCIAL MANAGEMENT, EDUCATION, HEALTH AND WELLNESS, EMPLOYMENT, HOUSING AND MENTAL HEALTH) AND STEPS FOR GOAL COMPLETION. PROGRESS: COUNSELING SERVICES PROGRAM BENCHMARK PERCENTAGES HAVE BEEN MET, ADDING FIVE FAMILIES TO OUR COUNSELING PROGRAM, THUS IMPACTING THE LIVES OF 19 MORE PEOPLE. EMERGENCY RENT AND UTILITY ASSISTANCE PROGRAM WE HAVE MET OUT BENCHMARK PERCENTAGES IN EMERGENCY ASSISTANCE, INCLUDING COVID RELIEF. WE HAVE SERVED A TOTAL OF 254 PEOPLE WITH THESE SERVICES. FAMILY HOPE PROGRAM THE BENCHMARK PERCENTAGES CONTINUE TO BE MET FOR FAMILY HOPE. THERE ARE SIX NEW FAMILIES IN THIS PROGRAM, MAKING A TOTAL OF 10 ACTIVE CASES. DIABETES SOLUTIONS-OK, INC. NAME OF PROJECT: DSOK CAMP ENDRES PROJECT DESCRIPTION: THE DIABETES CAMPS, CAMP ENDRES, PROVIDE A CRUCIAL PART OF CHILDREN'S JOURNEY WITH DIABETES. WITH HELP FROM INTEGRIS HEALTH, WHEN WE FIRST FORMED DSOK IN 2000, WE HOSTED ONE 10-DAY SUMMER CAMP PROGRAM. CURRENTLY WE HOST SIX ANNUAL CAMPING PROGRAMS TO SUIT EVERYONE'S NEEDS. ROUGHLY 300 CHILDREN, TEENS, ADULTS AND FAMILIES ARE HOSTED DIRECTLY WITH CAMP ENDRES PROGRAMS THROUGHOUT THE CALENDAR YEAR. PROGRESS: DUE TO COVID-19, THE SPRING FLING FOR TEENS AND THE SEPTEMBER ADULT GETAWAY WERE CANCELLED. WE HOPE TO RESUME THESE TWO PROGRAMS IN 2022. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED CHRISTIAN MEDICAL CLINIC OF GRAND LAKE, INC. NAME OF PROJECT: FILLING THE GAP IN THE COMMUNITY'S HEALTH CARE SYSTEM. PROJECT DESCRIPTION: HELP WITH PURCHASING MEDICATIONS FOR OUR PATIENTS. PROGRESS: OVER 500 PATIENTS ARE SEEN FROM OUR FOUR COUNTIES EVERY THREE MONTHS. DURING JULY THROUGH SEPTEMBER 2021, 1,733 PRESCRIPTIONS WERE FILLED AT NO COST TO THE PATIENTS. YOUTH & FAMILY SERVICES OF NORTH CENTRAL OKLAHOMA NAME OF PROJECT: CHAMPION DAY TREATMENT PROGRAM PROJECT DESCRIPTION: THE TREATMENT PROGRAM, CHAMPION, IS DESIGNED TO HELP STUDENTS WHO HAVE DIFFICULTY WITH SCHOOL DUE TO POSSIBLE MENTAL HEALTH SYMPTOMOLOGY RELATED TO ENVIRONMENTAL FACTORS, TRAUMA EXPOSURE, DEPRESSION AND ANXIETY, OR LACK OF EMOTIONAL REGULATION. OFTEN, THESE ARE CHILDREN WHO WOULD BE STEPPING DOWN FROM THE INTEGRIS HEALTH MEADOWLAKE FACILITY. FOR THESE PARTICULAR CHILDREN, THE SCHOOL SYSTEM SIMPLY CANNOT MEET THEIR NEEDS. THE PROGRAM PROVIDES COUNSELING, EDUCATION AND PROBLEM-SOLVING SKILLS WHILE COLLABORATING WITH THE TEACHER IN AN EFFORT TO REINTEGRATE STUDENTS INTO THE MAINSTREAM CLASSROOM SETTING. THE MODEL FOCUSES ON THE STUDENT'S PERSONAL STRENGTHS AND ABILITIES AS THEY RELATE TO ACADEMICS, SOCIAL SKILLS AND COLLABORATIVE PROBLEM SOLVING. PROGRESS: SINCE JUNE 2021, WE HAVE MAINTAINED SIX CHILDREN FROM THE PROGRAM AND WERE ABLE TO WORK WITH THEM IN PERSON OVER THE SUMMER AT OUR FACILITY. UNDERSTANDING HOSPITAL CHARGES CAN SOMETIMES BE CHALLENGING: AT INTEGRIS HEALTH OUR GOAL IS TO DELIVER THE HIGHEST QUALITY CARE AT THE MOST REASONABLE PRICES THROUGH OUTSTANDING CUSTOMER SERVICE. WE PLEDGE TO BE TRANSPARENT IN OUR COST, QUALITY AND CUSTOMER SERVICE REPORTING. THESE DAYS PATIENTS ARE SHARING MORE IN THE COSTS OF THEIR OWN HEALTH CARE, THEREFORE INTEGRIS HEALTH BELIEVES YOU SHOULD HAVE ACCESS TO THE INFORMATION YOU NEED TO MAKE INFORMED HEALTH CARE CHOICES. OUR PRICING PHILOSOPHY IS THIS: INTEGRIS HEALTH SEEKS TO ESTABLISH PRICES THAT ARE FAIR TO PATIENTS AND PAYORS, REASONABLE IN THE MARKETS WE SERVE, CONSISTENT WITH OUR PEERS WHO PROVIDE SIMILAR SERVICES WHILE IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE ALSO BELIEVE IT IS IMPORTANT FOR YOU TO UNDERSTAND HOW EACH DOLLAR OF BILLED CHARGES IS SPENT AT INTEGRIS HEALTH. AS A NOT-FOR-PROFIT COMPANY, INTEGRIS HEALTH REINVESTS ANY BUDGET SURPLUS BACK INTO THE ORGANIZATION TO IMPROVE THE LEVEL OF SERVICES THAT IT PROVIDES TO THE COMMUNITY. WHILE YOUR HEALTH PLAN OR PERSONAL PREFERENCE MAY DICTATE WHERE YOU DECIDE TO RECEIVE CARE, COMPARING CHARGES BETWEEN LOCAL PROVIDERS FOR SIMILAR PROCEDURES, COMBINED WITH QUALITY DATA, MAY BETTER PROVIDE YOU WITH AN OVERALL PICTURE OF THE TOTAL VALUE YOU WILL RECEIVE AT THE HOSPITAL OF YOUR CHOICE. INTEGRIS HEALTH HOSPITAL BILLS DO NOT INCLUDE FEES FOR PHYSICIAN SERVICES. YOU MAY RECEIVE MORE THAN ONE BILL FOR YOUR HOSPITAL VISIT. 2021 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS HEALTH PROVIDED $72,073,512.56 IN COMMUNITY BENEFITS. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR COMMUNITY. IT TAKES THE FORM OF HUNDREDS OF PROGRAMS AND ACTS OF CHARITY PROVIDED DAILY ACROSS THE STATE OF OKLAHOMA FREE HEALTH SCREENINGS, SUPPORT GROUPS, MEDICAL SERVICES, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND MORE AS REFLECTED IN THE PREVIOUS PAGES. OUR RETURNSHIP EFFORTS EQUALED $5,656,217.41. 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 $107,306. UNCOMPENSATED SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS HEALTH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH-NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. INTEGRIS HEALTH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY CARE BY OFFERING FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. INTEGRIS HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED COST OF $41,886,204.13. BAD DEBT IN ADDITION TO CHARITY CARE, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $20,912,368.12 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE SYSTEM ANTICIPATED BUT DID NOT RECEIVE PAYMENT. THIS HAPPENS WHEN PATIENTS ARE UNABLE TO PAY THEIR BILLS BUT DO NOT APPLY FOR FINANCIAL ASSISTANCE OR ARE UNWILLING TO PAY THEIR BILLS. MEDICAID SERVICES INTEGRIS HEALTH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. THIS INCLUDES THE ACTUAL UNPAID COST OF PROVIDING CARE TO MEDICAID PATIENTS AND REPRESENTS A SHORTFALL BETWEEN COST OF CARE AND PAYMENTS RECEIVED BY MEDICAID. INTEGRIS HEALTH PROVIDED MEDICAID SERVICES AT AN ESTIMATED COST OF $24,423,785.02. PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS A CHANCE TO CHANGE ACS - HOPE LODGE GROUNDBREAKING CEREMONY ACS - OK STATEWIDE BOARD CALL ACS - OK STATEWIDE BOARD MEETING ACS BOARD COMM ENGAGEMENT SUBCOMMITTEE MEETING ACS CATTLE BARON'S BRAINSTORMING MEETING ALA - 2021 FFAC PLANS & COMMITTEE MEETING ALA - FFAC COMMITTEE ALA - FFAC COMMITTEE MEETING ALA - FIGHT FOR AIR CLIMB MEETING ALA FFAC COMMITTEE ALA FIGHT FOR AIR CLIMB COMMITTEE MEETING ALZHEIMER'S ASSOCIATION OF OKLAHOMA AMERICAN CANCER SOCIETY AMERICAN CANCER SOCIETY - CHAD RICHISON LODGE - GROUNDBREAKING CEREMONY AMERICAN CANCER SOCIETY - OKTXNM AREA BOARD MEETING AMERICAN CANCER SOCIETY - OKTXPAN AREA BOARD MEETING AMERICAN CANCER SOCIETY MEETING AMERICAN CANCER SOCIETY STATEWIDE BOARD MEETING AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION AMERICAN LUNG ASSOCIATION - FFAC COMMITTEE AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR CLIMB AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR CLIMB BOOTH AT IBMC-NW AMERICAN LUNG ASSOCIATION - FIGHT FOR AIR LUNG CLIMB AMERICAN LUNG ASSOCIATION - LUNG FORCE GALA AN INTRODUCTION TO COMPASSION CULTIVATION ASK THE DIETITIAN DIETARY CONSULTS BAM INFUSIONS BRIGHT FUTURES MENTORING BUFFALO RUN CASINO HEALTH FAIR CALM WATERS CENTER FOR CHILDREN AND FAMILIES CARDIOLOGY EDUCATION TO GREAT PLAINS RESIDENTS CENTRAL OKLAHOMA HEALTH IMPACT TEAM CHANGING YOUR WEIGHS (SEVEN SESSIONS) WEIGHT MANAGEMENT CHANGING YOUR WEIGHS (EIGHT SESSION) WEIGHT MANAGEMENT CHILD ABUSE MEDICAL EXAMINER FOR DELAWARE COUNTY CHNA FOCUS GROUP CI HEALTH GROUP INTERNSHIP COMMUNITY CLINICS COMMUNITY COVID EDUCATION COMMUNITY EDUCATION STROKE AWARENESS COMMUNITY EDUCATION STROKE EDUCATION COMMUNITY FLU SHOTS AND BP READINGS COMMUNITY GRANT RECIPIENT - CATHOLIC CHARITIES OF OKC REGIONAL COMMUNITY GRANT RECIPIENT - CDSA COMMUNITY GRANT RECIPIENT - LIONS CLUB NORTH ENID COMMUNITY GRANT RECIPIENT - YWCA COMMUNITY HEALTH FAIR AT WILL ROGERS SENIOR CENTER COMMUNITY HOURS FOR TAMARA CLIFT, FY 2020-21 COMMUNITY HOURS FOR TIM PEHRSON, CEO, FY2020-21 COMMUNITY ROTATION FOR DIETETIC INTERNS FROM OUHS COMMUNITY WELLNESS BUDGET FY 2020-21 COPING SKILLS PRESENTATION MIAMI HIGH SCHOOL COVID VACCINATION CLINIC FOR PACIFIC ISLANDERS COVID VACCINATION SHOTS DAYCARE FLU SHOTS AND BP READINGS DCCAN FLU SHOTS AND BP READINGS DCCP COVID ANTIBODY TESTING DE MUJER A MUJER DELAWARE COUNTY ELDERS DRIVE THRU HEALTH FAIR DIABETES EDUCATION AT ICC DIABETES PREVENTION PROGRAM (DPP) EASTERN OKLAHOMA LIBRARY HEALTH SERIES EATING WELL WITH DIABETES MABEL C FRY LIBRARY ADULT PROGRAMS ECONOMIC DEVELOPMENT FOR RONDA LITTLE, FY20-21 ECONOMIC DEVELOPMENT FOR TIM PEHRSON, CEO FOR FY20 EMERGENCY MEDICAL SERVICE COMMUNITY SERVICE FACEBOOK LIVE INFORMATION SESSIONS IN SPANISH FOCUS GROUP MEETING FOR CHNA IN ENID, OK FOCUS GROUP MEETING FOR CHNA IN MUSTANG, OK FOOD DEMONSTRATION AT THE MOORE FOOD AND RESOURCE FOOD DISTRIBUTIONS FOR COMMUNITY MEMBERS FRANCIS TUTTLE CART ! SPRING 2021 RESPIRATORY THERAPY CLINICAL FRANCIS TUTTLE NICU RESPIRATORY THERAPY CLINICALS FRANCIS TUTTLE PFT RESPIRATORY THERAPY CLINICALS FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS (FALL 2020) FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS (FALL 220) CART 1 FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS CART 1 SUMMER 2020 FRANCIS TUTTLE RESPIRATORY THERAPY STUDENTS FALL 2020 FRANCIS TUTTLE SUMMER 2020 RESPIRATORY THERAPY STUDENTS FY21 EXPENSES FOR NON-EMPLOYED STUDENTS, RESIDENTS FY21 STUDENT, RESIDENT AND FELLOW EDUCATION HOURS FY21 STUDENT, RESIDENT AND FELLOW EDUCATION HOURS WITH PHYSICIANS GO RED FOR YOUR HEART/VESTIDO ROJO GRACELAND UNIVERSITY NURSING STUDENT GRADUATE MEDICAL EDUCATION SUPERVISOR SALARY GROVE PASTORAL CARE GROVE TWEEN FAIR HEALTH ALLIANCE FOR THE UNINSURED HEALTHY LIVING, LIVESTRONG AT THE YMCA HEDGES SILENT FILM SPONSORSHIP HES 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 HES 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 HISPANIC HERITAGE MONTH MEN'S HEALTH PRESENTATION HISPANIC RADIO, TELEVISION AND NEWSPAPER HOSPICE CIRCLE OF LOVE MINT JULEP JUBLIEE SPONSOR INTEGRIS HEALTH COMMUNITY CLINIC INTEGRIS HEALTH GROVE RESPIRATORY THERAPY STUDENTS (AUGUST 2020-MAY 2021) INTEGRIS HEALTH JIM THORPE REHAB STUDENT HOURS INTEGRIS HEALTH MOBILE CARE CLINIC INTEGRIS HEALTH PHARMACEUTICAL ASSISTANCE PROGRAM FY 2020-21 INTEGRIS HEALTH PHYSICIAN MEDICAL MEETINGS INTEGRIS HEALTH REHAB AND SPORTS MEDICINE STUDENTS HOURS J & M FARMS HEALTH FAIR JOHN ADAMS-OBI (OK BLOOD INSTITUTE) BOARD MEETINGS JOHN ADAMS-SOUTH OKC CHAMBER OF COMMERCE ADVISORY JOHN ADAMS-SOUTH OKLAHOMA CITY CHAMBER OF COMMERCE LEADERSHIP OKC BOARD MEETING PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED LEADERSHIP OKLAHOMA CITY - EXECUTIVE COMMITTEE LEADERSHIP OKLAHOMA CITY EXECUTIVE COMMITTEE MEETING LEADERSHIP OKLAHOMA CITY HOLIDAY DRIVE THROUGH EVENT LEUKEMIA & LYMPHOMA SOCIETY LEUKEMIA & LYMPHOMA SOCIETY - LIGHT THE NIGHT KICK LYNN INSTITUTE LYNN INSTITUTE ON THE ROAD TO HEALTH WELLNESS PROGRAM MAKE-A-WISH SPONSORSHIP MEALS ON WHEELS FY 2020-21 MEDICAL STUDENT FAMILY MEDICINE ROTATION 20-21 MEDITATION MEETINGS WITH NON PROFIT ORGANIZATIONS MENTORING PROGRAM FY 2020-21 MIAMI FIRE DEPARTMENT REFRESHER COURSE MIAMI LIONS CLUB MIAMI RESPIRATORY THERAPY STUDENTS (AUGUST 2020-MAY 2021) MINI HEALTH FAIRS MONTHLY LECTURES / CONFERENCIAS MENSUALES MPS OSWE MT 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 NEO NURSING STUDENTS NON-REIMBURSED IRB FEES FY 2021 (JULY 2020-JUNE 2021) NORTHEAST TRIBAL HEALTH SYSTEM HEALTH AWARENESS NORTHEASTERN TRIBAL HEALTH SYSTEM (NTHS) DIABETES BOARD MEETINGS NTC AFTON NURSING STUDENTS NTC KANSAS NURSING STUDENTS NURSES, AUA, SURGICAL TECH AND PARAMEDIC STUDENTS NURSING STUDENTS IN A CLINICAL NURSE INTERN ROLE NUTRITION CLASS SERIES / CLASE DE NUTRICIN NUTRITION PROGRAM FOR OKC VILLAGES (ZOOM) OK ACS CAN NATIVE AMERICAN HEALTH DISPARITIES CONFERENCE OK BLACK PHYSICIAN'S ALLIANCE: HEART HEALTHY COOKING OK COLORECTAL CANCER COALITION MEETING OK SCHOOL OF SCIENCE AND MATHEMATICS BOARD MEETING OKC CHAMBER STATE OF HEALTH CONFERENCE OKLAHOMA BLOOD INSTITUTE - BLOODMOBILE OKLAHOMA MEN COUNT SPONSORSHIP OKLAHOMA SCHOOL OF SCIENCE AND MATHEMATICS FOUNDATION OSSM BOARD MEETING OSSM FOUNDATION OUTREACH COMMITTEE MEETING OSU COMMUNITY RURAL HEALTH ROTATION OT AND OTA 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 OT AND OTA 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 OT AND OTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 OT AND OTA 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31, 2020 OTTAWA COUNTY FARMERS MARKET BOARD MEETINGS OTTAWA COUNTY UNITED WAY CORPORATE CHALLENGE COMMITTEE POSITIVE DIRECTIONS MENTORING PROGRAM FY 2020-21 PRE AND POST CONFERENCE ROOMS FOR CLINICAL NURSING PROJECT 31 PT 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 PT 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 PT AND PTA 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 PT AND PTA 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 RADIOLOGY STUDENTS RESOURCE ROOM ROOSEVELT ELEMENTARY COPING SKILLS PRESENTATION ROOSEVELT ELEMENTARY FIELD DAY ROSE STATE FALL 2020 RESPIRATORY THERAPY FLOOR ROSE STATE FALL 2020 RESPIRATORY THERAPY STUDENTS FLOOR ROSE STATE RESPIRATORY THERAPY CLINICALS SUMMER 2021 ROSE STATE RESPIRATORY THERAPY STUDENTS FALL 2020 ROSE STATE RESPIRATORY THERAPY STUDENTS NICU SUMMER 2020 ROSE STATE RESPIRATORY THERAPY STUDENTS SUMMER 2021 ROSE STATE SUMMER 2020 RESPIRATORY THERAPY STUDENT SCHOOL COOKS TRAINING INFORMATIONAL BAGS SHA COMMUNITY CLINIC SINK FOR PINK SPONSORSHIP SLP 100 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 SLP 100 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 SLP 200 STUDENT INTERNSHIPS JANUARY 1 TO JUNE 30, 2021 SLP 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31, 2020 SPANISH CANCER SUPPORT GROUP/GRUPO DE APOYO DE CANCER SPORTS PHYSICAL BY HEALTH DEPARTMENT SPORTS PHYSICALS FOR ENID HIGH SCHOOL STUDENTS STANLEY HUPFELD ACADEMY BUDGET FY 2020-21 STITCHING FOR SANITY STRESS COPING SKILLS PRESENTATION TERESA GRAY: YUKON CC 2021 THE FOUNDATION FOR OKCPS THE OKLAHOMA CARING FOUNDATION, INC. TOBACCO AND VAPE PRESENTATION MIAMI HIGH SCHOOL TURMERIC, THE SPICE OF LIFE UCO COMMUNITY & PUBLIC HEALTH INTERNSHIPS UNITED WAY GOLF TOURNAMENT SPONSOR UNITED WAY OF CENTRAL OKLAHOMA UNITED WAY OF CENTRAL OKLAHOMA SNOWFLAKE GALA VOLUNTEER CLINICAL INSTRUCTOR FOR APRN STUDENT WASHINGTON ELEMENTARY COPING SKILLS PRESENTATION YMCA YMCA GOLF TOURNAMENT SPONSORSHIP YODA NIDRA EXPERIENCE YOGA HEALING THROUGH MOVEMENT/SAFER AT HOME YOGA 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 2020 TAX YEAR. FORM 990, PART VI, SECTION A, LINE 1 THE HOSPITAL ADVISORY BOARD FULFILLS THE NECESSARY GOVERNANCE AUTHORITY FOR MEDICAL STAFF MEMBERSHIP AND QUALITY OF CARE OVERSIGHT AS REQUIRED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES CONDITIONS OF PARTICIPATION. FORM 990, PART VI, SECTION A, LINE 4 INTEGRIS HEALTH UPDATED ALL HOSPITAL ENTITY BYLAWS IN THE FALL OF 2019 TO SUBORDINATE THE HOSPITAL BOARDS TO THE INTEGRIS HEALTH, INC. GOVERNING BOARD. AS THE SOLE MEMBER OF THE HOSPITAL ENTITIES, INTEGRIS HEALTH, INC. GOVERNING BOARD HAS THE CAPABILITY TO REMOVE AND REPLACE ANY HOSPITAL ADVISORY BOARD MEMBER AT ANY TIME. THE INTEGRIS HEALTH GOVERNING BOARD RETAINS ALL FINANCIAL AUTHORITY AND FIDUCIARY RESPONSIBILITY FOR THE HOSPITAL OPERATIONS. FORM 990, PART VI, SECTION A, LINE 6 INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS RURAL HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS RURAL HEALTH, INC. AND AS SUCH IT HAS THE POWER (1) TO CONFIRM OR DENY THE ELECTION OF EACH MEMBER OF THE BOARD OF DIRECTORS, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, (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 AND (4) TO SET THE FEES AND COMPENSATION, IF ANY, FOR DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE ORGANIZATION AND TO AUTHORIZE REIMBURSEMENT FOR EXPENSES. FORM 990, PART VI, SECTION A, LINE 7B INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS RURAL HEALTH, INC. AND AS SUCH IT HAS THE POWER (1) TO CONFIRM OR DENY THE ELECTION OF EACH MEMBER OF THE BOARD OF DIRECTORS, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, (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 AND (4) TO SET THE FEES AND COMPENSATION, IF ANY, FOR DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE ORGANIZATION AND TO AUTHORIZE REIMBURSEMENT FOR EXPENSES. FORM 990, PART VI, SECTION B, LINE 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. FORM 990, PART VI, SECTION B, LINE 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. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). COMPENSATION FOR THE CEO, MANAGING DIRECTORS AND 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. FORM 990, PART VI, SECTION C, LINE 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. BAPTIST HEALTHCARE OF OKLAHOMA LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 237456301 HEALTH CARE OK 0 0 IRH GRAND LAKE REGIONAL CARDIOLOGY SVCSLLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731622843 HEALTH CARE OK 0 0 IRH INTEGRIS AMBULATORY CARE CORPORATION 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731192765 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HOSPICE INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731369586 HEALTH CARE OK 501(C)(3) LINE 10 IH 0 INTEGRIS BAPTIST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731034824 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731192764 HEALTH CARE OK 501(C)(3) LINE 12A, I N/A 0 INTEGRIS SOUTHWEST MEDICAL CENTER INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731089149 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS HEALTH FOUNDATION INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731047338 FUNDRAISING OK 501(C)(3) LINE 7 IH 0 WESTERN VILLAGE ACADEMY INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731588764 SCHOOL OK 501(C)(3) LINE 2 IACC 0 INTEGRIS HEALTH EDMOND INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 451027361 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 INTEGRIS MENTAL HEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 730738716 HEALTH CARE OK 501(C)(3) LINE 3 IH 0 BMPA LTD 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731228665 MED. OFFICE BLDG OK N/A N/A 0 0 QC-III 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 208723857 MEDICAL OK N/A N/A 0 0 DIAGNOSTIC LAB 500 PLAZA DR TAX DEPT FL 8 SECAUCUS NJ 07094 731560760 CLINICAL LAB NJ N/A N/A 0 0 MPI CENTER 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731283942 MEDICAL OK N/A N/A 0 0 LAKESIDE HOSPITAL 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731493662 MEDICAL OK N/A N/A 0 0 5300 GRAND 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731306794 REAL ESTATE OK N/A N/A 0 0 INTEGRISUSP HEALTH 14201 DALLAS PARKWAY DALLAS TX 75254 352632292 MEDICAL SERVICES TX N/A N/A 0 0 INTEGRIS EMERGENCY HOSPITAL 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 901215089 HEALTH CARE TX N/A N/A 0 0 INTEGRIS DDSI ENDOSCOPY CENTERS LLC 3366 NORTHWEST EXPRESSWAY STE 400 OKLAHOMA CITY OK 73112 854253589 HEALTH CARE OK N/A N/A 0 0 INTEGRIS PROHEALTH INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731046179 RETAIL PHARMACY OK N/A C 0 THE STANLEY F HUPFELD CHAR REMAIN TRUST 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 266238051 FINANCIAL OK N/A T 0 QUALITY ALLIANCE ASSURANCE CO PO BOX 10027 GRAND CAYMAN CAYMAN ISLANDS CJ KYI-1001 981060671 INSURANCE CJ N/A C 0 BAPTIST HEALTH SYSTEM INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 731477468 DORMANT OK N/A C 0 ONE CARE INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 DORMANT OK N/A C 0 VADOVATIONS INC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 270821922 HEALTH CARE OK N/A C 0 INTEGRIS HEALTH PARTNERS LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 453482852 HEALTH CARE OK N/A C 0 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC 3001 QUAIL SPRINGS PARKWAY OKLAHOMA CITY OK 73134 462867352 HEALTH CARE OK N/A C 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 1