INTEGRIS RURAL HEALTH INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: INTEGRIS RURAL HEALTH INC (EIN 73-1444504)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-08
IRS object ID: 201821289349301117
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule L
Schedule M
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-08T09:21:46-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	210 Park Ave Suite 2650	AddressLine1Txt
City	Oklahoma City	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	731444504	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INTEGRIS RURAL HEALTH INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JAQUETTA CLEMONS	InCareOfNm
Business Name Control	INTE	BusinessNameControlTxt
Phone	4059496026	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5300 N INDEPENDENCE AVE STE 130	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73112	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL DAVIS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4059512736	PhoneNum
Signature	2018-04-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MORGAN L SOUZA	PreparerPersonNm
PTIN	P00652612	PTIN
Phone	4052396411	PhoneNum
Preparation	2018-04-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	C BRUCE LAWRENCE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5300 N INDEPENDENCE AVE	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73112	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$253,075,517	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.INTEGRISOK.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	OK	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	1256	TotalEmployeeCnt
Total Volunteers	1145	TotalVolunteersCnt
Total Gross UBI	$623,806	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$64,450	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,375,598	PYContributionsGrantsAmt
CY Contributions Grants	$3,189,057	CYContributionsGrantsAmt
PY Program Service Revenue	$256,285,340	PYProgramServiceRevenueAmt
CY Program Service Revenue	$247,303,376	CYProgramServiceRevenueAmt
PY Investment Income	$3,215,126	PYInvestmentIncomeAmt
CY Investment Income	$2,434,549	CYInvestmentIncomeAmt
PY Other Revenue	$163,201	PYOtherRevenueAmt
CY Other Revenue	$26,510	CYOtherRevenueAmt
PY Total Revenue	$263,039,265	PYTotalRevenueAmt
CY Total Revenue	$252,953,492	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,973	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$103,286,731	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$100,146,064	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$162,347,140	PYOtherExpensesAmt
CY Other Expenses	$155,476,941	CYOtherExpensesAmt
PY Total Expenses	$265,641,844	PYTotalExpensesAmt
CY Total Expenses	$255,624,005	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,602,579	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,670,513	CYRevenuesLessExpensesAmt
Total Assets BOY	$307,085,419	TotalAssetsBOYAmt
Total Assets EOY	$313,252,474	TotalAssetsEOYAmt
Total Liabilities BOY	$102,982,669	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,148,315	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$204,102,750	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$212,104,159	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$220,993,686	ExpenseAmt
Grant	$1,000	GrantAmt
Revenue	$247,303,376	RevenueAmt
Desc	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 STATEMENTS 2 THROUGH 4 FOR ADDITIONAL DETAILS.	Desc
Total Program Service Expenses	$220,993,686	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1256	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JAQUETTA CLEMONS	PersonNm
Phone	4059512732	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5300 N INDEPENDENCE AVE STE 130	AddressLine1Txt
City	OKLA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73112	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LUKE R CORBETT
DIRECTOR	1.0	1.0	Yes (X)	Yes (X)	$0	$28,100	$0
C BRUCE LAWRENCE
CHAIRMAN/CEO	1.0	39.0	Yes (X)	Yes (X)	$0	$1,041,789	$384,000
MARSHALL SNIPES
DIRECTOR	1.0	1.0	Yes (X)	Yes (X)	$0	$29,910	$0
DAVID L THOMPSON
DIRECTOR	1.0	1.0	Yes (X)	Yes (X)	$0	$43,320	$0
CHRISTOPHER C TURNER
DIRECTOR	1.0	1.0	Yes (X)	Yes (X)	$0	$29,812	$0
DAVID R HADLEY
CHIEF FINANCIAL OFF. THRU 8/16	0.0	0.0		Yes (X)	$0	$651,258	$20,313
TOM HONAN
INTERIM CFO THRU 10/16	1.0	39.0		Yes (X)	$0	$296,574	$0
DANIEL DAVIS
CHIEF FINANCIAL OFFICER	1.0	39.0		Yes (X)	$0	$74,212	$290
TIM BOWEN
PRESIDENT	40.0	0.0			$254,036	$0	$62,193	Yes (X)
JORDAN CASH
PRESIDENT	40.0	0.0			$218,843	$0	$59,739	Yes (X)
TERESA GRAY
VP PATIENT SVS CNO	40.0	0.0			$186,022	$0	$8,768	Yes (X)
EDWARD HERRMAN
PRESIDENT	40.0	0.0			$281,268	$0	$70,172	Yes (X)
DUANE MILLER
CFO-VP	40.0	0.0			$195,519	$0	$20,201	Yes (X)
VALERIE REEVES
CFO-VP	40.0	0.0			$190,656	$0	$36,135	Yes (X)
REX VANMETER
PRESIDENT	40.0	0.0			$230,081	$0	$58,961	Yes (X)
DAVID ATCHLEY
CERTIFIED RN ANESTHETIST	40.0	0.0			$303,375	$0	$36,569		Yes (X)
MICHAEL FELDMAN
PHYSICIAN	40.0	0.0			$371,919	$0	$21,457		Yes (X)
JERROMY JONES
CERTIFIED RN ANESTHETIST	40.0	0.0			$284,870	$0	$35,889		Yes (X)
STEVEN MAREBURGER
PHYSICIAN	40.0	0.0			$278,256	$0	$23,165		Yes (X)
KEITH PERRY
CERTIFIED RN ANESTHETIST	40.0	0.0			$275,851	$0	$21,438		Yes (X)
RICHARD L HROMAS MD
FORMER DIRECTOR	0.0	40.0			$0	$178,352	$23,955			Yes (X)
J STEVE GRIGSBY DO
FORMER DIRECTOR	0.0	40.0			$0	$344,794	$43,851			Yes (X)
JIM BRIGGS
FORMER OFFICER	0.0	40.0			$0	$265,705	$44,533			Yes (X)
CHRIS HAMMES
FORMER OFFICER	0.0	40.0			$0	$639,089	$186,555			Yes (X)
BETH A PAUCHNIK
FORMER OFFICER	0.0	40.0			$0	$456,815	$128,908			Yes (X)
MUZAFFAR HUSSAIN
FORMER HIGHEST PAID EMPLOYEE	0.0	40.0			$0	$1,044,309	$32,807			Yes (X)
DAVID W VANHOOSER
FORMER HIGHEST PAID EMPLOYEE	0.0	40.0			$0	$1,190,186	$40,668			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,070,696	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,314,225	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,360,567	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	65	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	SEE SCHEDULE O GENERAL STATEMENT 1	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress
Compensation	$20,090,801	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,180,557	RelatedOrganizationsAmt
All Other Contributions	$8,500	AllOtherContributionsAmt
Noncash Contributions	$715,796	NoncashContributionsAmt
Total Contributions	$3,189,057	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	621990	$241,543,787	$241,543,787
RENTAL INCOME	532000	$1,373,183	$1,373,183
ELECTRONIC MEDICAL RECORDS	900099	$828,740	$828,740
340B PHARMACY INCOME	446110	$651,676	$651,676
CAFETERIA	722514	$1,135,369		$1,135,369

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,770,621	TotalRevenueColumnAmt
Related Or Exempt Func Income	$667,451	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$623,806	UnrelatedBusinessRevenueAmt
Exclusion	$479,364	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$247,303,376	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,483,515	TotalRevenueColumnAmt
Exclusion	$2,483,515	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$73,059	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$122,025	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$48,966	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$48,966	TotalRevenueColumnAmt
Exclusion	-$48,966	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISC. INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$26,510	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,095	RelatedOrExemptFuncIncomeAmt
Exclusion	$12,415	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$26,510	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$252,953,492	TotalRevenueColumnAmt
Related Or Exempt Func Income	$245,078,932	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$623,806	UnrelatedBusinessRevenueAmt
Exclusion	$4,061,697	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,000	TotalAmt
Program Services	$1,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,734,543	TotalAmt
Program Services	$1,734,543	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$83,165	TotalAmt
Program Services	$83,165	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$74,533,256	TotalAmt
Program Services	$74,533,256	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,214,816	TotalAmt
Program Services	$5,214,816	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,168,177	TotalAmt
Program Services	$13,168,177	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,412,107	TotalAmt
Program Services	$5,412,107	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$35,830,319	TotalAmt
Program Services	$1,200,000	ProgramServicesAmt
Management And General	$34,630,319	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$300	TotalAmt
Program Services	$300	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$832	TotalAmt
Program Services	$832	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,418,638	TotalAmt
Program Services	$6,418,638	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$114,909	TotalAmt
Program Services	$114,909	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,598,918	TotalAmt
Program Services	$39,598,918	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,924,670	TotalAmt
Program Services	$3,924,670	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$480,966	TotalAmt
Program Services	$480,966	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$156,931	TotalAmt
Program Services	$156,931	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,116,412	TotalAmt
Program Services	$5,116,412	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,296,070	TotalAmt
Program Services	$13,296,070	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,968,425	TotalAmt
Program Services	$1,968,425	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SERVICES	$21,562,902	$21,562,902	$0	$0
RIF & RECRUITMENT	$16,984,445	$16,984,445	$0	$0
SHOPP FEE	$7,897,073	$7,897,073	$0	$0
UNRELATED BUS.INCOME TAXES	$67,000	$67,000	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,058,131	TotalAmt
Program Services	$2,058,131	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$255,624,005	TotalAmt
Program Services	$220,993,686	ProgramServicesAmt
Management And General	$34,630,319	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,858,003	BOYAmt
EOY	$3,733,018	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$47,556,480	BOYAmt
EOY	$51,096,978	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,453,224	BOYAmt
EOY	$30,929,452	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,676,550	BOYAmt
EOY	$5,840,062	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$217,406	BOYAmt
EOY	$202,625	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$326,055,015	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$168,438,557	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$157,125,855	BOYAmt
EOY	$157,616,458	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$65,151,161	BOYAmt
EOY	$63,808,822	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$46,740	BOYAmt
EOY	$25,059	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$307,085,419	BOYAmt
EOY	$313,252,474	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$102,091,967	BOYAmt
EOY	$100,316,984	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$74,411	BOYAmt
EOY	$38,873	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$816,291	BOYAmt
EOY	$792,458	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,982,669	BOYAmt
EOY	$101,148,315	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$204,102,750	BOYAmt
EOY	$212,104,159	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$204,102,750	BOYAmt
EOY	$212,104,159	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$307,085,419	BOYAmt
EOY	$313,252,474	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$2,670,513	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,671,922	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,336,100	OtherCostOrOtherBasisAmt
Book Value	$8,336,100	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$181,369,374	OtherCostOrOtherBasisAmt
Depreciation	$69,585,234	DepreciationAmt
Book Value	$111,784,140	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$640,605	OtherCostOrOtherBasisAmt
Depreciation	$382,505	DepreciationAmt
Book Value	$258,100	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,030,032	OtherCostOrOtherBasisAmt
Depreciation	$96,660,179	DepreciationAmt
Book Value	$33,369,853	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,678,904	OtherCostOrOtherBasisAmt
Depreciation	$1,810,639	DepreciationAmt
Book Value	$3,868,265	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$157,616,458	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT - BOARD DESIGNATED	$60,938	F
INVESTMENT IN IH FOUNDATION	$4,127,333	F
INVESTMENT IN FDN - BAPTIST	$170,118	F
POOLED FUND INVESTMENTS	$59,450,433	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$63,808,822	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$5,752
ANNUITY PAYMENT LIABILITY	$49,390
ASSET RETIREMENT OBLIGATION	$737,316

Field	Value	IRS element (for citing)
Total Liability	$792,458	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,476,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,476,146	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,654,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,207,422	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,447,194	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,130,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,207,422	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,923,340	NetCommunityBenefitExpnsAmt
Total Expense	0.02710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$335,577	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$335,577	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$422,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$422,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$428,926	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$428,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,186,744	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,186,744	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,317,506	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,207,422	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,110,084	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,758	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,329	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,680	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,767	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,767	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,712,232	BadDebtExpenseAmt
Bad Debt Expense Attributable	$235,612	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$72,030,212	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$83,054,297	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,024,085	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
INTEGRIS BASS BAPTIST HEALTH CENTER
1	600 SOUTH MONROE	ENID	OK	73702	WWW.INTEGRISOK.COM	2244	Yes (X)	Yes (X)	Yes (X)
INTEGRIS CANADIAN VALLEY HOSPITAL
2	1201 HEALTH CENTER PARKWAY	YUKON	OK	73099	WWW.INTEGRISOK.COM	2343	Yes (X)	Yes (X)	Yes (X)
INTEGRIS GROVE HOSPITAL
3	1001 E 18TH STREET	GROVE	OK	74344	WWW.INTEGRISOK.COM	2184	Yes (X)	Yes (X)	Yes (X)
INTEGRIS MIAMI HOSPITAL
4	200 2ND AVENUE SOUTHWEST	MIAMI	OK	74354	WWW.INTEGRISOK.COM	2193	Yes (X)	Yes (X)	Yes (X)
INTEGRIS BASS PAVILION
5	401 SOUTH 3RD STREET	ENID	OK	73701	WWW.INTEGRISOK.COM	2349	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
INTEGRIS BASS BAPTIST HEALTH CENTER
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	150.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
INTEGRIS CANADIAN VALLEY HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	150.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
INTEGRIS GROVE HOSPITAL
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	150.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
INTEGRIS MIAMI HOSPITAL
4	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	150.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
INTEGRIS BASS PAVILION
5	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	150.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1	SCHEDULE H, PART V: SUPPLEMENTAL INFORMATION 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.
SUPPLEMENTAL INFORMATION 2	PART V, SECTION B, LINE 5: PUBLIC HEALTH EXPERTISE WAS UTILIZED WITH EACH FACILITY USING THE OKLAHOMA STATE DEPARTMENT OF HEALTH'S TURNING POINT CONSULTANT. EACH CONSULTANT GAVE THEIR INPUT BASED ON COUNTY DATA AND GAVE THEIR APPROVAL OF THE CHOSEN INDICATORS. THEY ALSO SIGNED IN APPROVAL OF THE OVERALL STRATEGIC PLAN. EACH CONSULTANT HELPED THE INDIVIDUAL COALITIONS PRIORITIZE THEIR COUNTY'S NEEDS BASED ON SEVERAL FACTORS. PUBLIC HEALTH EXPERTS 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 BRODRICK INTEGRIS GROVE HOSPITAL: TURNING POINT CONSULTANT: SARAH J. JOHNSON INTEGRIS MIAMI HOSPITAL: TURNING POINT CONSULTANT: SARAH J. JOHNSON IN CONDUCTING THE CHNA, THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY SURVEYS, LISTENING SESSIONS, FOCUS GROUPS, AND LOCAL DATA COLLECTION. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINIC, CHURCHES, HEALTH DEPARTMENT, HUMAN SERVICES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES.
SUPPLEMENTAL INFORMATION 3	PART V, SECTION B, LINE 6A: THE FACILITIES LISTED IN THE METRO AREA USED THE SAME SURVEY, BUT SOME CONTENTS OF THE PLANS WERE CHANGED DUE TO SOME DEMOGRAPHIC ASPECTS OF THE COMMUNITIES (IE LARGE HISPANIC POPULATION, HIGHER SOCIO ECONOMIC FACTORS, ETC). THOSE FACILITIES INCLUDED: INTEGRIS HEALTH EDMOND, INTEGRIS BAPTIST MEDICAL CENTER, LAKESIDE WOMEN'S HOSPITAL, OKLAHOMA CENTER OF ORTHOPEDIC MULTI-SPECIALTY SURGERY, INTEGRIS SOUTHWEST MEDICAL CENTER, AND INTEGRIS CANADIAN VALLEY HOSPITAL. DUE TO THEIR CLOSE PROXIMITY AND GEOGRAPHIC LOCATION, INTEGRIS GROVE HOSPITAL AND INTEGRIS BAPTIST REGIONAL HEALTH CENTER USED THE SAME. INTEGRIS BASS BAPTIST HEALTH CENTER AND INTEGRIS NORTHWEST SPECIALTY HOSPITAL USED THE SAME SURVEY SINCE THEY SHARE THE SAME ZIP CODE. EACH FACILITY PLACED THE ASSESSMENT SURVEY ON THEIR WEB SITE'S HOME PAGE.
SUPPLEMENTAL INFORMATION 4	PART V, SECTION B, LINE 6B: 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
SUPPLEMENTAL INFORMATION 5	PART V, SECTION B, LINE 7D: THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS, AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL.
SUPPLEMENTAL INFORMATION 6	PART V, SECTION B, LINE 11: THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS SERVICE AREAS. MANY OF THE NEEDS IDENTIFIED WERE COMMON WITHIN THE VARIOUS SERVICE AREAS, INCLUDING HEART DISEASE, DIABETES, TOBACCO USE, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE. OTHERS, HOWEVER, SUCH AS CHILD ABUSE AND TEEN PREGNANCY, WERE NOT AS PREDOMINANT. THE NEEDS IDENTIFIED BY THE CHNA WERE INITIALLY PRIORITIZED THROUGH COLLABORATION WITH THE LOCAL COMMUNITY COALITIONS. THESE LOCAL PRIORITIZED NEEDS WERE THEN REEXAMINED BY INTEGRIS TO DETERMINE WHICH NEEDS COULD MOST EFFECTIVELY BE IMPACTED BY INTEGRIS THROUGH ADMINISTRATION OF THE DEVELOPED CHIP AND WHICH, IF ANY OF THE REMAINING, WERE CURRENTLY BEING ADDRESSED THROUGH OTHER COMMUNITY RESOURCES AND/OR SERVICES. INTEGRIS OPTED TO CONCENTRATE ON THE SAME THREE FOCUS AREAS FOR THE CHIPS IN EACH OF THE SERVICE AREAS-HEART DISEASE, MENTAL HEALTH, AND OBESITY-BELIEVING THAT A UNITED EFFORT WOULD ALLOW FOR A SHARING OF RESOURCES, PERSONNEL, PROGRAMS, ETC. AND ENSURE CONSISTENCY IN IMPLEMENTATION AND EVALUATION METHODS, THEREBY INCREASING THE POTENTIAL TO MORE EFFECTIVELY COMBAT THE ISSUES SYSTEM-WIDE. OTHER COMMONLY IDENTIFIED NEEDS SUCH AS DIABETES, TOBACCO USE, AND SUBSTANCE ABUSE THAT ARE ASSOCIATED RISK FACTORS FOR THE PRIMARY FOCUS AREAS ARE ADDRESSED IN ONE OR MORE OF THOSE RESPECTIVE SECTIONS OF THE CHIP. IT WAS DETERMINED THAT THE REMAINING NEEDS THAT WERE HIGHLY PRIORITIZED WITHIN CERTAIN SERVICE AREAS WERE PREVIOUSLY IDENTIFIED AND ALREADY BEING ADDRESSED THROUGH LOCAL AGENCY AND/OR COALITION AND PARTNERSHIP EFFORTS WITHIN THE COMMUNITIES. AS SUCH, INTEGRIS COMMITTED TO PROVIDE SUPPORT AND RESOURCES TO THE COMMUNITY PARTNERS TAKING THE LEAD ON THOSE PARTICULAR ISSUES.
SUPPLEMENTAL INFORMATION 7	PART V, SECTION B, LINE 7A AND LINE 10A: HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTS
SUPPLEMENTAL INFORMATION 8	PART V, SECTION B, LINES 16A, 16B, AND 16C: INTEGRISOK.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE
SUPPLEMENTAL INFORMATION 9	INTEGRIS HEALTH SYSTEMS INTERNAL AUDIT FUNCTION PERFORMED A COMPLIANCE ASSESSMENT OF THE SYSTEMS ADHERENCE TO THE FINAL SECTION 501(R) REGULATIONS, APPLICABLE TO ALL INTEGRIS HEALTH SYSTEM HOSPITAL FACILITIES BEGINNING WITH THE FISCAL YEAR ENDED JUNE 30, 2017. FIELDWORK WAS INITIATED, PERFORMED, AND COMPLETED DURING APRIL MAY 2017. THE OBJECTIVE OF THIS ASSESSMENT WAS TO EVALUATE THE COMPLIANCE OF EACH INTEGRIS HOSPITAL FACILITY WITH THE FINAL REGULATIONS ISSUED ON DECEMBER 30, 2014, IDENTIFY ANY COMPLIANCE GAPS, AND IMMEDIATELY FACILITATE THE CORRECTION OF ANY IDENTIFIED DEFICIENCIES. DURING THAT ASSESSMENT, THE FOLLOWING DEFICIENCIES WERE IDENTIFIED AND CORRECTED: LIMITATIONS ON CHARGES 1. DURING FISCAL YEAR ENDED JUNE 30, 2017, THE METHODS USED FOR DETERMINING AND APPLYING AMOUNTS GENERALLY BILLED (AGB) DID NOT MEET THE SPECIFIC REQUIREMENTS OF TREAS. REG. SECTION 1.501(R)-5. THOUGH INTEGRIS CHOSE TO APPLY THE LOOK-BACK METHOD OF DETERMINING AGB, THE AGB PERCENTAGE WAS APPLIED ON A FISCAL YEAR BASIS RATHER THAN WITHIN 120 DAYS OF THE END OF THE 12-MONTH PERIOD USED IN CALCULATING THE AGB PERCENTAGES. AS A RESULT, INTEGRIS INADVERTENTLY APPLIED AN ERRONEOUS AGB PERCENTAGE, INITIALLY APPLYING A 28% AGB RATHER THAN A 27% AGB TO ALL FACILITIES WITHIN THE SYSTEM, AS THIS WAS THE LOWEST AGB FOR ANY FACILITY. REFUNDS OF THE ABG DIFFERENCES WERE MADE TO AFFECTED FAP-ELIGIBLE PATIENTS. IT WAS SUBSEQUENTLY DISCOVERED THAT CERTAIN PATIENT REFUNDS WERE DUE TO PATIENTS WHO HAD MADE A PAYMENT AND THEN WERE DETERMINED TO BE FAP-ELIGIBLE FOR 100% FREE CARE. INTEGRIS BEGAN PROCESSING THOSE REFUNDS AS SOON AS THEY WERE DISCOVERED. 2. UPON CALCULATION OF THE CORRECTED AGB, IMPLEMENTATION OF THE CORRECTED AGB WAS IMMEDIATELY ENACTED AND INTEGRIS REVIEWED PATIENT ACCOUNTS TO DETERMINE WHETHER ANY PATIENT WAS OVERBILLED AS A RESULT OF THE ERROR. FOR THE CALENDAR YEAR 2017 FINANCIAL ASSISTANCE POLICY (FAP), THE AGB FOR THE LOOK-BACK PERIOD WAS DETERMINED TO BE 27%. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE IN 2017 WERE NOT CHARGED MORE THAN 27% OF BILLED CHARGES FOR ANY MEDICALLY NECESSARY SERVICES. THIS CALCULATION WILL BE DONE YEARLY AND IMPLEMENTED BY THE 120TH DAY AFTER THE END OF THE 12-MONTH PERIOD USED BY INTEGRIS IN CALCULATING THE AGB PERCENTAGES TO DETERMINE THE AGB. REFUNDS OF THE ABG DIFFERENCES WERE MADE TO AFFECTED PATIENTS. ALTHOUGH TOTAL PATIENT REFUNDS TO FAP-ELIGIBLE PATIENTS FOR THE FISCAL YEAR CAN BE DETERMINED, THE EXACT NUMBER OF INDIVIDUALS AND DOLLAR AMOUNTS ATTRIBUTABLE SOLELY TO THE ABG MISCALCULATION CANNOT BE EASILY IDENTIFIED. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, THE AGB CALCULATION WILL BE DONE YEARLY AND IMPLEMENTED BY THE 120TH DAY AFTER THE END OF THE 12-MONTH PERIOD USED BY INTEGRIS IN CALCULATING THE AGB PERCENTAGES TO DETERMINE THE AGB. THE LOWEST AGB OF ALL INTEGRIS HOSPITAL FACILITIES WILL BE APPLIED TO ALL HOSPITAL FACILITIES WITHIN THE SYSTEM. FINANCIAL ASSISTANCE POLICY 1. AT THE TIME OF THE COMPLIANCE ASSESSMENT, THE FAP WAS NOT FULLY COMPLIANT WITH SECTION 501(R) REGULATIONS. NECESSARY REVISIONS INCLUDED DESCRIBING THE METHOD FOR DETERMINING AGB, OUTLINING THE PERCENTAGES FOR AGB, DESCRIBING ALL DISCOUNTS AVAILABLE AND ELIGIBILITY CRITERIA FOR EACH DISCOUNT, INCLUDING A COMPLETE LIST OF PROVIDERS DELIVERING EMERGENCY OR MEDICALLY NECESSARY CARE, DESCRIBING THE REFUND PROCESS IF AN ELIGIBLE PATIENT WAS CHARGED IN EXCESS OF AGB, AND PROVIDING CONTACT INFORMATION TO OBTAIN INFORMATION ABOUT THE POLICY AND/OR ASSISTANCE WITH THE APPLICATION PROCESS. 2. TO CORRECT THESE DEFICIENCIES, THE FAP WAS REVISED AND REVIEWED WITH INTEGRIS LEGAL COUNSEL TO MEET ALL 501(R) CRITERIA, AND APPROVED BY INTEGRIS BOARD OF DIRECTORS. ALL REQUIRED DOCUMENTATION, INCLUDING THE FAP, PLAIN LANGUAGE SUMMARY, AND BILLING AND COLLECTIONS POLICY, WAS MADE AVAILABLE IN ALL REQUIRED LANGUAGES ON THE INTEGRIS HEALTH SYSTEM PUBLIC WEBSITE AND AVAILABLE TO PATIENT ACCESS AREAS. ALL CORRECTIVE ACTIONS WERE TAKEN BEFORE JUNE 30, 2017. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, THE FAP WILL BE REVIEWED ANNUALLY BY THE SYSTEM BUSINESS OFFICE IN CONCURRENCE WITH 501(R) GUIDELINE POLICIES, APPLICATIONS, AND PLAIN LANGUAGE SUMMARIES. FURTHER, SPECIFIC 501(R) TRAINING AND EDUCATION WAS PROVIDED TO APPLICABLE PERSONNEL TO ENSURE A COMPLETE, THOROUGH, AND CONSISTENT UNDERSTANDING BY ALL STAFF WITH RELATED RESPONSIBILITIES, PRIOR TO JUNE 30, 2017. WIDE PUBLICATION AND AVAILABILITY OF FINANCIAL ASSISTANCE POLICY (FAP) AND RELATED INFORMATION 1. AT THE TIME OF THE COMPLIANCE ASSESSMENT, NOT ALL SIGNAGE DISPLAYS AND TRANSLATED FAP INFORMATION REQUIRED UNDER TREAS. REG. SECTION 1.501(R)-4 WERE PRESENT IN THE INTEGRIS HOSPITAL FACILITIES EMERGENCY AND/OR ADMISSION AREAS, AS WELL AS ON THE ORGANIZATIONS PUBLIC WEBSITE. 2. TO CORRECT THESE DEFICIENCIES, POSTERS AT ALL IDENTIFIED ACCESS POINTS WERE COMPLETED BY APRIL 30, 2017 AND INTEGRIS IMPLEMENTED A POLICY THAT SYSTEM LEADERSHIP WILL AUDIT FOR POSTER COMPLIANCE AT LEAST QUARTERLY. THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE ALL MADE AVAILABLE IN LANGUAGES WITH SIGNIFICANT POPULATIONS (ENGLISH, SPANISH, AND VIETNAMESE), PRIOR TO JUNE 30, 2017. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, DEPARTMENT EDUCATION FOR ALL ACCESS AND PATIENT FINANCIAL SERVICES STAFF WAS PERFORMED BEFORE JUNE 30, 2017 AND WILL BE CONDUCTED ANNUALLY THEREAFTER. SYSTEM WIDE COMMUNICATION ABOUT THE LAW AND INTEGRIS RESPONSIBILITIES TO MAKE FAP INFORMATION WIDELY AVAILABLE WAS SENT TO ALL EMPLOYEES AND INTEGRIS QUERIED ALL APPLICABLE OUTSOURCED VENDORS TO INSURE COMPLIANCE WITH INTEGRIS POLICIES, WHERE APPLICABLE, AND REQUIRE THEM TO TRAIN THEIR STAFF, PROVIDE DOCUMENTATION AND AUDIT REGULARLY. THESE MEASURES WERE IMPLEMENTED PRIOR TO JUNE 30, 2017. BILLING AND COLLECTIONS POLICY 1. AT THE TIME OF THE COMPLIANCE ASSESSMENT, THE BILLING AND COLLECTIONS POLICY WAS NOT FULLY COMPLIANT WITH SECTION 501(R) REGULATIONS. NECESSARY REVISIONS INCLUDED THE DESCRIPTION OF PROCESS, TIMEFRAMES, AND REASONABLE EFFORTS THE HOSPITAL WILL MAKE TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE BEFORE ENGAGING INTO EXTRAORDINARY COLLECTION ACTIVITIES AS WELL AS THE OFFICE, DEPARTMENT, COMMITTEE OR OTHER BODY WITH THE FINAL AUTHORITY OR RESPONSIBILITY FOR DETERMINING THE HOSPITAL HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE AND MAY THEREFORE ENGAGE IN ECAS AGAINST THE INDIVIDUAL. FURTHER, ALTHOUGH THE FAP SPECIFIES INTEGRIS HAS A SEPARATE POLICY, NEITHER THE FAP NOR THE BCP STATE HOW THE PUBLIC CAN OBTAIN COPIES OF THE SEPARATE BCP (AND ANY NECESSARY TRANSLATIONS). 2. TO CORRECT THESE DEFICIENCIES, THE BILLING AND COLLECTION POLICY WAS REVISED AND REVIEWED WITH INTEGRIS LEGAL COUNSEL TO MEET ALL 501(R) CRITERIA, AND APPROVED BY INTEGRIS BOARD OF DIRECTORS. INDIVIDUALS CAN OBTAIN THE POLICY IN A NUMBER OF WAYS AS DESCRIBED IN SECTION 4.0 OF THE BILLING AND COLLECTIONS POLICY. 3. TO MINIMIZE THE LIKELIHOOD OF RECURRING ERRORS AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, THE BILLING AND COLLECTION POLICY WILL BE REVIEWED ANNUALLY BY THE SYSTEM BUSINESS OFFICE IN CONCURRENCE WITH 501(R) GUIDELINE POLICIES, APPLICATIONS, AND PLAIN LANGUAGE SUMMARIES. THE PROCESS TO REVIEW AND ENSURE THAT DUE DILIGENCE IS COMPLETED WILL BE DONE BY THE SYSTEM DIRECTOR OVER CUSTOMER SERVICE ON AN AS NEEDED BASIS (I.E., AS PATIENTS BECOME ELIGIBLE FOR ECAS). THEY WILL REVIEW RANDOM ACCOUNTS TO ENSURE THAT THE INDIVIDUAL IS RECEIVING THE CORRECT NUMBER OF STATEMENTS AND CALLS AS OUTLINED AND IN COMPLIANCE WITH INTEGRIS BILLING AND COLLECTION POLICY.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1	SCHEDULE H, PART VI: 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.
SUPPLEMENTAL INFORMATION 2	PART I, LINE 3C: N/A
SUPPLEMENTAL INFORMATION 3	PART I, LINE 6A: INTEGRIS HEALTH, INC., (EIN: 73-1192764), THE PARENT ORGANIZATION OF INTEGRIS RURAL HEALTH, INC., PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC.
SUPPLEMENTAL INFORMATION 4	PART I, LINE 7, COLUMN F: BAD DEBT OF $0 (GROSS CHARGES) WAS SUBTRACTED FROM PART IX LINE 25(A) $255,624,005 TO ARRIVE AT TOTAL EXPENSE.
SUPPLEMENTAL INFORMATION 5	PART I, LINE 7: COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON PART 1, LINE 7. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
SUPPLEMENTAL INFORMATION 6	PART II: COMMUNITY BUILDING ACTIVITIES COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS.
SUPPLEMENTAL INFORMATION 7	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
SUPPLEMENTAL INFORMATION 8	PART III, LINE 8: COMMUNITY BENEFIT: ------------------ THE HOSPITAL BELIEVES THAT ALL OF THE $11,024,085 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.
SUPPLEMENTAL INFORMATION 9	PART III, LINE 9B: PATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES. ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED. IRH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.
SUPPLEMENTAL INFORMATION 10	PART VI, LINE 2: NEEDS ASSESSMENT INTEGRIS HEALTH UTILIZES A VARIETY OF TOOLS TO DETERMINE THE HEALTH CARE NEEDS OF OUR COMMUNITIES. THESE INCLUDE PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES AND ORGANIZATIONS TO DETERMINE SPECIFIC TARGET MARKET NEEDS, PROGRAM SURVEYS AND COMMUNITY FOCUS GROUPS, PROGRAM EVALUATIONS FROM PARTICIPANTS IN OUR COMMUNITY HEALTH SCREENINGS, HEALTH EDUCATION AND SUPPORT GROUPS, THE COUNTY HEALTH RANKINGS REPORT AND THE OKLAHOMA STATE HEALTH DEPARTMENT'S "STATE OF THE STATE HEALTH REPORT." AFTER REVIEWING THESE MATERIALS FOR ISSUES CONCERNING ACCESS TO CARE, HEALTH EDUCATION NEEDS AND GAPS IN SERVICES IN OUR COMMUNITIES, INTEGRIS HEALTH DETERMINES HOW TO ADDRESS THESE ISSUES BY DEVELOPING PROGRAMS/SERVICES TO IMPLEMENT, INCLUDING, BUT NOT LIMITED TO, HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION AND WELLNESS PROGRAMS, SUPPORT GROUPS, AND ACCESS TO HEALTH CARE FACILITIES. INTEGRIS HEALTH UTILIZES OUR HEALTH SYSTEM RESOURCES, FACILITIES AND PERSONNEL FOR MANY OF THESE PROGRAMS, BUT ALSO PARTNERS WITH OUR COMMUNITIES AND DEVELOPS COLLABORATIONS WITH LOCAL NON-PROFIT AGENCIES, CIVIC ORGANIZATIONS, SCHOOLS, AND CHURCHES TO IMPROVE THE ISSUES IDENTIFIED.
SUPPLEMENTAL INFORMATION 11	PART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY FOR ASSISTANCE INTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES: POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS. A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS. A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ON-LINE CHARITY APPLICATION. A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL. FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.
SUPPLEMENTAL INFORMATION 12	PART VI, LINE 4: COMMUNITY INFORMATION INTEGRIS HEALTH SYSTEM IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS, WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN'S CLINICS, MENTAL HEALTH FACILITIES, CANCER CENTERS, INDEPENDENT LIVING CENTERS, AND HOME HEALTH AGENCIES THROUGHOUT MOST OF THE STATE. ALL COUNTIES IN WHICH INTEGRIS HEALTH OPERATES INCLUDE ONE OR MORE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. INTEGRIS 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 BAPTIST REGIONAL 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.
SUPPLEMENTAL INFORMATION 13	PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY GROUPS. ALL 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 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 LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, ROTARY, AND KIWANIS CLUBS, TECHNOLOGY SCHOOLS, COMMUNITY COLLEGES, CHURCHES, AND LOCAL SCHOOLS IN A VARIETY OF EVENTS AND PROGRAMS TO EDUCATE THE COMMUNITY ON HEALTH/WELLNESS ISSUES, CREATE OPPORTUNITIES FOR HEALTH ACCESS, PROVIDE COMMUNITY SCREENINGS IN UNDERSERVED AREAS OF OKLAHOMA, AND TO GIVE STUDENTS AND COMMUNITY MEMBERS THE OPPORTUNITY TO VOLUNTEER FOR THESE EVENTS. THIS INCLUDES MEDICAL STUDENTS WHO WORK WITH INTEGRIS ACROSS THE STATE AT OUR EVENTS TO LEARN MORE ABOUT PROVIDING HEALTH SERVICES TO THE COMMUNITY AND TO HELP TRAIN THEM FOR FUTURE WORK IN THE HEALTHCARE ARENA. THE HOSPITAL'S ROLE IN WORKING WITH OTHERS TO IDENTIFY COMMUNITY NEEDS AND ADDRESS COMMUNITY PROBLEMS. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE ALLIANCE FOR THE UNINSURED, THE OKLAHOMA STATE HEALTH DEPARTMENT, THE OKLAHOMA MENTAL HEALTH ASSOCIATION, AND LOCAL NON-PROFIT ORGANIZATIONS SUCH AS THE OKLAHOMA CHAPTERS OF AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, AND OTHER LOCAL HEALTH AND WELLNESS ORGANIZATIONS AND AGENCIES TO DETERMINE HEALTH CARE NEEDS IN THE STATE, ISSUES CONCERNING SPECIFIC CITIES, ACCESS TO HEALTH ISSUES, NEIGHBORHOOD AND ENVIRONMENT ISSUES, AND OTHER SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE LIVES OF OUR RESIDENTS. A VARIETY OF COALITIONS, TASK FORCES, AND COMMITTEES HAVE BEEN STARTED TO ADDRESS SPECIFIC HEALTH AND WELLNESS ISSUES AND TO DETERMINE INTERVENTIONAL STRATEGIES FOR IMPLEMENTATION. THE IMPACT PROGRAMS ARE HAVING ON COMMUNITY HEALTH, ESPECIALLY PREVENTION ACTIVITIES, EFFORTS TO IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES, AND REDUCING HEALTH CARE COSTS. INTEGRIS COMMUNITY HEALTH PROGRAMS ACROSS THE STATE ARE IMPLEMENTED TO EDUCATE OUR RESIDENTS ABOUT HEALTH AND WELLNESS ISSUES AFFECTING THEM AND THEIR COMMUNITIES. WORKING WITH PARTNER AGENCIES AND ORGANIZATIONS IN THE COMMUNITIES WE SERVE GIVES US THE OPPORTUNITY TO CREATE PROGRAMS THAT SPECIFICALLY ADDRESS NEGATIVE HEALTH INDICATORS AFFECTING THE COMMUNITY. PREVENTION AND HEALTH EDUCATION HAVE BEEN THE PRIORITY FOR INTEGRIS FOR MANY YEARS IN AN EFFORT TO BETTER EDUCATE THE PUBLIC ON TAKING CARE OF THEIR HEALTH AND CREATING AWARENESS ABOUT HOW THEIR BEHAVIORS MAY NEGATIVELY AFFECT THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. WORKING WITH PARTNER AGENCIES, ORGANIZATIONS, PHYSICIANS, AND LOCAL CLINICS, INTEGRIS HAS BEEN ABLE TO HELP SLOWLY IMPROVE HEALTH IN SOME INDICATORS, SUCH AS CHILDHOOD IMMUNIZATIONS, ADULT IMMUNIZATIONS, AND SMALL STEP TOWARD IMPROVING CHILDHOOD OBESITY WITH SEVERAL PROGRAMS IMPLEMENTED IN THE METROPOLITAN AREAS, INCREASING ACCESS BY DEVELOPING REFERRAL NETWORKS BETWEEN FREE CLINICS ACROSS OKLAHOMA CITY AND IN SOME RURAL AREAS. ALL OF THESE PROGRAMS AND PARTNERSHIPS, COUPLED WITH EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, CAN HELP US CONTINUE TO REDUCE SOME OF THE HEALTHCARE COSTS WE SEE IN OUR HOSPITALS, CLINICS, AND EMERGENCY DEPARTMENTS.
SUPPLEMENTAL INFORMATION 14	PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES 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, GENERAL STATEMENTS 3 THROUGH 4 FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM.
SUPPLEMENTAL INFORMATION 15	PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT ALL STATES WITH WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: OK

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
C BRUCE LAWRENCE
CHAIRMAN/CEO	$0	$992,513	$0	$0	$0	$49,276	$0	$371,936	$0	$12,064	$0	$1,425,789	$0	$0
TIM BOWEN
PRESIDENT	$243,403	$0	$0	$0	$10,633	$0	$46,864	$0	$15,329	$0	$316,229	$0	$0	$0
JORDAN CASH
PRESIDENT	$209,394	$0	$0	$0	$9,449	$0	$44,475	$0	$15,264	$0	$278,582	$0	$0	$0
TERESA GRAY
VP PATIENT SVS CNO	$173,790	$0	$3,676	$0	$8,556	$0	$8,202	$0	$566	$0	$194,790	$0	$0	$0
EDWARD HERRMAN
PRESIDENT	$270,447	$0	$0	$0	$10,821	$0	$54,959	$0	$15,213	$0	$351,440	$0	$0	$0
DUANE MILLER
CFO-VP	$182,686	$0	$0	$0	$12,833	$0	$8,898	$0	$11,303	$0	$215,720	$0	$0	$0
VALERIE REEVES
CFO-VP	$181,787	$0	$0	$0	$8,869	$0	$29,217	$0	$6,918	$0	$226,791	$0	$0	$0
REX VANMETER
PRESIDENT	$220,859	$0	$0	$0	$9,222	$0	$43,943	$0	$15,018	$0	$289,042	$0	$0	$0
DAVID ATCHLEY
CERTIFIED RN ANESTHETIST	$279,414	$0	$23,168	$0	$793	$0	$21,978	$0	$14,591	$0	$339,944	$0	$0	$0
MICHAEL FELDMAN
PHYSICIAN	$360,000	$0	$458	$0	$11,461	$0	$14,765	$0	$6,692	$0	$393,376	$0	$0	$0
JERROMY JONES
CERTIFIED RN ANESTHETIST	$250,302	$0	$33,770	$0	$798	$0	$21,200	$0	$14,689	$0	$320,759	$0	$0	$0
STEVEN MAREBURGER
PHYSICIAN	$276,440	$0	$0	$0	$1,816	$0	$12,503	$0	$10,662	$0	$301,421	$0	$0	$0
KEITH PERRY
CERTIFIED RN ANESTHETIST	$258,232	$0	$15,100	$0	$2,519	$0	$10,600	$0	$10,838	$0	$297,289	$0	$0	$0
JIM BRIGGS
FORMER OFFICER	$0	$93,472	$0	$164,818	$0	$7,415	$0	$33,434	$0	$11,099	$0	$310,238	$0	$0
DAVID R HADLEY
CHIEF FINANCIAL OFF. THRU 8/16	$0	$239,281	$0	$197,232	$0	$214,745	$0	$12,731	$0	$7,582	$0	$671,571	$0	$197,232
CHRIS HAMMES
FORMER OFFICER	$0	$617,867	$0	$0	$0	$21,222	$0	$170,945	$0	$15,610	$0	$825,644	$0	$0
BETH A PAUCHNIK
FORMER OFFICER	$0	$439,938	$0	$0	$0	$16,877	$0	$117,518	$0	$11,390	$0	$585,723	$0	$0
RICHARD L HROMAS MD
FORMER DIRECTOR	$0	$122,175	$0	$55,623	$0	$554	$0	$17,957	$0	$5,998	$0	$202,307	$0	$0
J STEVE GRIGSBY DO
FORMER DIRECTOR	$0	$331,065	$0	$1,800	$0	$11,929	$0	$31,800	$0	$12,051	$0	$388,645	$0	$0
TOM HONAN
INTERIM CFO THRU 10/16	$0	$296,574	$0	$0	$0	$0	$0	$0	$0	$0	$0	$296,574	$0	$0
MUZAFFAR HUSSAIN
FORMER HIGHEST PAID EMPLOYEE	$0	$694,009	$0	$343,334	$0	$6,966	$0	$17,225	$0	$15,582	$0	$1,077,116	$0	$0
DAVID W VANHOOSER
FORMER HIGHEST PAID EMPLOYEE	$0	$1,168,182	$0	$13,213	$0	$8,791	$0	$33,125	$0	$7,543	$0	$1,230,854	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION 1	SCHEDULE J, 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.
SUPPLEMENTAL INFORMATION 2	SCHEDULE J, PART I, LINE 4A A SEVERANCE PAYMENT WAS MADE TO A FORMER KEY EMPLOYEE, JIM BRIGGS. $164,818 OF THE CALENDAR YEAR 2016 COMPENSATION REPORTED FOR THIS INDIVIDUAL ON FORM 990, PART VII AND SCHEDULE J, PART II REPRESENTS A SEVERANCE PAYMENT.
SUPPLEMENTAL INFORMATION 3	SCHEDULE J, 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 BUT DID NOT RECEIVE A PAYMENT DURING THE YEAR. TIM BOWEN JORDAN CASH CHRIS HAMMES EDWARD HERRMAN C. BRUCE LAWRENCE BETH A. PAUCHNIK REX VANMETER DAVID R. HADLEY RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR EQUAL TO $197,232.
SUPPLEMENTAL INFORMATION 4	SCHEDULE J, PART I, LINE 7 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. IN THE SECOND PLAN, CERTAIN EMPLOYED PHYSICIANS ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION PURSUANT TO THEIR WRITTEN EMPLOYMENT AGREEMENTS. ALL INCENTIVE COMPENSATION IS SUBJECT TO A CAP AND DOES NOT EXCEED 50% OF THE PHYSICIAN'S TOTAL COMPENSATION. THERE ARE A VARIETY OF METHODS USED TO CALCULATE INCENTIVE COMPENSATION BASED ON THE PHYSICIAN'S PERSONAL PRODUCTION, RANGING FROM (I) A SPECIFIED PERCENTAGE OF NET INCOME LESS EXPENSES; (II) A SPECIFIED PERCENTAGE OF TOTAL COLLECTIONS LESS EXPENSES; (III) A SPECIFIED PERCENTAGE OF BASE SALARY BASED COMPLIANCE WITH CERTAIN QUALITY, PATIENT SATISFACTION, PRODUCTION AND FINANCIAL INDICATORS; (IV) A SPECIFIED PERCENTAGE OF BASE SALARY BASED ON COMPLIANCE WITH QUALITY, GUIDING VALUES, PATIENT SATISFACTION AND PRODUCTRION CRITERIA; (V) A SPECIFIED PERCENTAGE OF FEE-BASED COLLECTIONS AND CAPITATION COLLECTIONS, IF APPLICABLE, IN EXCESS OF QUARTERLY SALARY; (VI) QUARTERLY BONUSES MEASURED BY RVUS THAT EXCEED A SPECIFIED TARGET PER QUARTER; AND (VII) PRO RATA SHARE OF ANNUAL INCENTIVE POOLS BASED UPON PRODUCTION, COMPLIANCE WITH CLINICAL GUIDELINES, QUALITY AND PATIENT SATISFACTION CRITERIA.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
N HROMAS
WIFE OF FORMER BRD MEMBER	$83,165	EMPLOYMENT SERVICES	false
SEE PART V
			false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SUPPLEMENTAL INFORMATION 1

SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF INTERESTED PERSON: DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $4,379,065 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF INTERESTED PERSON: INTEGRIS PROHEALTH, INC. (B) RELATIONSHIP: SEE PART V, SUPPLEMENTAL INFORMATION 2 (C) AMOUNT: $139,934 (D) DESCRIPTION OF TRANSACTION: SEE PART V, SUPPLEMENTAL INFORMATION 2 (E) SHARING OF ORGANIZATION'S REVENUES: NO

SUPPLEMENTAL INFORMATION 2

SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS THE FILING ORGANIZATION AND THE INTERESTED PERSON ARE BOTH AFFILIATES WITHIN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. THE INTERESTED PERSONS REPORTED ON SCHEDULE L, PART V, SUPPLEMENTAL INFORMATION 1 ARE EACH GREATER THAN 35% CONTROLLED ENTITIES OF INTEGRIS HEALTH, INC. AND/OR INTEGRIS BAPTIST MEDICAL CENTER. THE TRANSACTIONS REPORTED CONSIST OF ROUTINE TRANSACTIONS WITHIN THE ACTIVITY OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE TRANSACTIONS INCLUDE EXPENSE REIMBURSEMENTS, LEASING OF FACILITIES, PURCHASE OF SERVICES, EQUITY CONTRIBUTIONS AND DISTRIBUTIONS, AND OTHER INTERCOMPANY TRANSFERS.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICAL EQUIPMENT	15	$714,796	FMV
Yes (X)	MISCELLANEOUS	2	$1,000	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule N IRS990ScheduleN

Field	Value	IRS element (for citing)
Liquidation Of Assets Table		LiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	REIMBURSEMENT OF EXPENSES	AssetsDistriOrExpnssPaidDesc
Fair Market Value Of Asset	$230,052,613	FairMarketValueOfAssetAmt
Method Of FMV Determination	COST	MethodOfFMVDeterminationTxt
EIN	731192764	EIN
Person	INTEGRIS HEALTH INC	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5300 N INDEPENDENCE AVE STE 130	AddressLine1Txt
City	OKLAHOMA CITY	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73112	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	Yes (true)	DirectorOfSuccessor2Ind
Employee Of Successor2	Yes (true)	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION 1	FormAndLineReferenceDesc
Explanation	SCHEDULE N, PART II, LINE 2A AND 2B INTEGRIS RURAL HEALTH, INC. (IRH) IS A MEMBER OF INTEGRIS HEALTH (INTEGRIS), AN INTEGRATED HEALTHCARE SYSTEM. IRH IS REIMBURSING INTEGRIS FOR EXPENSES RELATED TO MANAGEMENT, HOUSEKEEPING, UTILITIES, SECURITY AND OTHER INTEGRATED SERVICES PROVIDED BY INTEGRIS. THE FOLLOWING INDIVIDUALS WERE OFFICERS, DIRECTORS, OR EMPLOYEES OF BOTH ORGANIZATIONS AT THE TIME OF THE TRANSACTIONS: LUKE R. CORBETT C. BRUCE LAWRENCE MARSHALL SNIPES DAVID L. THOMPSON CHRISTOPHER C. TURNER DAVID R. HADLEY TOM HONAN DANIEL DAVIS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GENERAL STATEMENT 1	FORM 990, BOX C: DOING BUSINESS AS INTEGRIS BASS BAPTIST HEALTH CENTER INTEGRIS GROVE GENERAL HOSPITAL INTEGRIS BAPTIST REGIONAL HEALTH CENTER TRINITY LIFECARE ADVANCED HOME HEALTH ADVANCED HOME HEALTH CARE COMMUNITY LINKS INTEGRIS CANADIAN VALLEY REGIONAL HOSPITAL - IRH INTEGRIS CANADIAN VALLEY HOSPITAL INTEGRIS FAMILY FIRST ANKLE AND FOOT SURGERY OF ENID HENRY G. BENNETT, JR. FERTILITY INSTITUTE INTEGRIS CANADIAN VALLEY HOSPITAL HENRY G. BENNETT, JR FERTILITY INSTITUTE INTEGRIS CANADIAN VALLEY HOSPITAL - BFI INTEGRIS MIAMI HOSPITAL INTEGRIS BASS HOME SERVICES PLUS INTEGRIS BASS HOME HEALTH CARE LIFE'S ADVANTAGE HOME HEALTH SERVICES HOSPICE OF PAWNEE COUNTY GRAND LAKE FAMILY PRACTICE GRAND LAKE ORTHOPEDIC GROVE SURGERY COMMERCIAL CHECKING PEDIATRIC & FAMILY MEDICINE INTEGRIS CLINTON REGIONAL HOSPITAL INTEGRIS BLACKWELL REGIONAL HOSPITAL INTEGRIS CHOCTAW MEMORIAL HOSPITAL INTEGRIS DRUMRIGHT MEMORIAL HOSPITAL INTEGRIS MAYES COUNTY MEDICAL CENTER INTEGRIS PAWNEE MUNICIPAL HOSPITAL INTEGRIS STROUD MUNICIPAL HOSPITAL INTEGRIS CANADIAN VALLEY REGIONAL HOSPITAL INTEGRIS REGENCY HOSPICE OF INTEGRIS BAPTIST REGIONAL HEALTH CENTER INTEGRIS MARSHALL MEMORIAL HOSPITAL DRUG TESTING LABORATORY INTEGRIS MARSHALL MEMORIAL HOSPITAL CLIA LABORATORY INTEGRIS MARSHALL MEMORIAL HOSPITAL HOME HEALTH INTEGRIS MARSHALL MEMORIAL HOSPITAL RURAL HEALTH CLINIC INTEGRIS MARSHALL MEMORIAL HOSPITAL INTEGRIS REGENCY HOSPICE INTEGRIS BASS PAVILION STROKE CENTER OF WESTERN OKLAHOMA WESTERN OKLAHOMA STROKE CENTER INTEGRIS MARSHALL COUNTY MEDICAL CENTER WOMEN'S HEALTH CENTER OF PRYOR TRINITY HOME MEDICAL EQUIPMENT INTEGRIS HOSPICE OF MAYES COUNTY INTEGRIS SEMINOLE MEDICAL CENTER INTEGRIS EXPRESS CARE WESTERN OKLAHOMA HOSPICE OF INTEGRIS CLINTON REGIONAL HOSPITAL SAMARITAN HOME CARE OF INTEGRIS CLINTON REGIONAL HOSPITAL INTEGRIS NORTHWEST FAMILY MEDICINE RESIDENCY PROGRAM INTEGRIS SLEEP INSTITUTE OF ENID INTEGRIS HEART AND VASCULAR INSTITUTE OF NORTHWEST OKLAHOMA INTEGRIS GROVE HOSPITAL INTEGRIS NORTHWEST SPECIALTY HOSPITAL INTEGRIS BLACKWELL REGIONAL HOME HEALTH INTEGRIS MAYES COUNTY MEDICAL CENTER ER PHYSICIANS INTEGRIS MAYES COUNTY MEDICAL CENTER ANESTHESIA INTEGRIS REGENCY HOME CARE INTEGRIS WOMEN TO WOMEN OBSTETRICS AND GYNECOLOGY INTEGRIS REGENCY HOME MEDICAL EQUIPMENT BAPTIST REGIONAL ASSOCIATED PHYSICIANS INTEGRIS BAPTIST REGIONAL ASSOCIATED PHYSICIANS HONEYCREEK RETIREMENT VILLAGE SAMARITAN HOME CARE INTEGRIS BLACKWELL REGIONAL HOSPITAL HOME HEALTH INTEGRIS VILLAGE AT CORDELL INTEGRIS MAYES COUNTY MEDICAL CENTER HOME HEALTH INTEGRIS VILLAGE IN MIAMI INTEGRIS BASS BEHAVIORAL HEALTH CENTER INTEGRIS HOME CARE ENID INTEGRIS HOME CARE GROVE INTEGRIS HOME CARE AND HOSPICE MIAMI INTEGRIS HOSPICE MIAMI INTEGRIS GENERATIONS AT ENID INTEGRIS GENERATIONS AT MIAMI INTEGRIS GENERATIONS OUTPATIENT AT MIAMI INTEGRIS MARSHALL MEMORIAL HOSPITAL HOSPICE INTEGRIS MIAMI EMS INTEGRIS GROVE EMS
GENERAL STATEMENT 2	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 $3,476,146. 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 $3,447,194. IN ADDITION, IRH BAD DEBT COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH's BAD DEBT COSTS WERE $4,712,232. IRH ALSO DID SEVERAL COMMUNITY BENEFIT FUNCTIONS DURING THE YEAR. THESE INCLUDED HEALTH FAIRS, FLU SHOT CLINICS, MENTORING AT SCHOOLS, ETC. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFITS, SEE THE ATTACHED COMMUNITY BENEFIT REPORT ON SCHEDULE O STATEMENTS 3 THROUGH 4.
GENERAL STATEMENT 3	PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2017 INTEGRIS BAPTIST MEDICAL CENTER PROSTATES AND PANCAKES: COME FOR ONE...STAY FOR THE OTHER INTEGRIS MENS HEALTH UNIVERSITY OFFERS A HEARTY PANCAKE DINNER AND ROUTINE SCREENINGS FOR PROSTATE CANCER. FREE PSA BLOOD TESTS ARE AVAILABLE FOR MEN 50 YEARS OF AGE AND OLDER UNLESS THEY HAVE A PREVIOUS FAMILY HISTORY. ONE IN SIX MEN WILL BE DIAGNOSED WITH PROSTATE CANCER DURING HIS LIFETIME. A LARGE PERCENTAGE OF MEN HAVE ONLY LIMITED CONTACT WITH PHYSICIANS AND THE HEALTH CARE SYSTEM AS A WHOLE. MEN NOT ONLY FAIL TO GET ROUTINE CHECK-UPS AND PREVENTIVE CARE, BUT OFTEN IGNORE SYMPTOMS OR DELAY SEEKING MEDICAL ATTENTION WHEN SICK OR IN PAIN. BLOOD PRESSURE, GLUCOSE AND CHOLESTEROL HEALTH SCREENINGS WERE ALSO OFFERED TO APPROXIMATELY 55 MEN THIS YEAR. INTEGRIS BASS BAPTIST HEALTH CENTER (ENID) MENTAL HEALTH FIRST AID MENTAL HEALTH FIRST AID IS AN INTERNATIONAL EVIDENCE-BASED PROGRAM MANAGED BY THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH. THE PROGRAM INTRODUCES PARTICIPANTS TO RISK FACTORS AND WARNING SIGNS OF MENTAL HEALTH PROBLEMS, BUILDS UNDERSTANDING OF THEIR IMPACT AND OVERVIEWS APPROPRIATE SUPPORTS. THIS EIGHT-HOUR COURSE USES ROLE-PLAYING AND SIMULATIONS TO DEMONSTRATE HOW TO OFFER INITIAL HELP IN A MENTAL HEALTH CRISIS AND CONNECT PEOPLE TO THE APPROPRIATE PROFESSIONAL, PEER, SOCIAL AND SELF-HELP CARE. THE PROGRAM ALSO TEACHES COMMON RISK FACTORS AND WARNING SIGNS OF SPECIFIC ILLNESSES LIKE ANXIETY, DEPRESSION, SUBSTANCE ABUSE, BIPOLAR DISORDER, EATING DISORDERS AND SCHIZOPHRENIA. MENTAL HEALTH FIRST AID TEACHES PARTICIPANTS A FIVE-STEP ACTION PLAN TO SUPPORT SOMEONE DEVELOPING SIGNS AND SYMPTOMS OF A MENTAL ILLNESS OR EXPERIENCING AN EMOTIONAL CRISIS. INTEGRIS CANADIAN VALLEY HOSPITAL (YUKON) DEEP: DIABETES EMPOWERMENT EDUCATION PROGRAM THE DEEP (DIABETES EMPOWERMENT EDUCATION PROGRAM) IS AN EVIDENCE BASED PROGRAM DEVELOPED TO PROVIDE THE COMMUNITY WITH THE TOOLS TO BETTER MANAGE THEIR DIABETES IN ORDER TO REDUCE COMPLICATIONS AND LEAD HEALTHIER, LONGER LIVES BASED ON PRINCIPLES OF EMPOWERMENT AND ADULT EDUCATION. THE PROGRAM WAS DEVELOPED BY THE MIDWEST LATINO HEALTH RESEARCH, TRAINING AND POLICY CENTER AT THE UNIVERSITY OF ILLINOIS AT CHICAGO IN ENGLISH AND SPANISH AS A CURRICULUM DESIGNED TO ENGAGE COMMUNITY RESIDENTS IN SELF-MANAGEMENT PRACTICES FOR THE PREVENTION AND CONTROL OF DIABETES. THE PROGRAM IS CURRENTLY BEING IMPLEMENTED ACROSS THE U.S., IN PUERTO RICO AND IN PERU. DEEP CURRICULUM EDUCATES PARTICIPANTS ON THE PRIORITY INDICATORS OF HEART DISEASE PREVENTION, NUTRITION AND PHYSICAL ACTIVITY/OBESITY. PROGRAM CURRICULUM ALSO COVERS MENTAL HEALTH ISSUES INCLUDING STRESS RELIEF, DEPRESSION AND COPING WITH DIABETES. INTEGRIS CANCER INSTITUTE 23RD ANNUAL CELEBRATION OF LIFE ART SHOW THE TROY AND DOLLIE SMITH WELLNESS CENTER AT THE INTEGRIS CANCER INSTITUTE CELEBRATED ITS 23RD ANNUAL ART EXHIBIT, DEDICATED TO THE CURATIVE POWERS OF CREATIVITY AND TO ALL WHOSE LIVES HAVE BEEN AFFECTED BY CANCER. THE EXHIBIT SHOWCASES ALL FORMS OF ART INCLUDING FIBER, GRAPHICS, OIL, WATERCOLOR, MIXED MEDIA, PHOTOGRAPHY, POTTERY, SCULPTURE, WRITING AND POETRY. WORK BY ARTISTS OF ALL AGES IS ON DISPLAY EXPRESSING HOW THEIR LIVES HAVE BEEN AFFECTED BY CANCER. MORE THAN 200 PIECES OF ART WERE INCLUDED THIS YEAR AND ARTISTS, CANCER SURVIVORS, FAMILIES AND FRIENDS WERE RECOGNIZED AT AN OPENING RECEPTION. INTEGRIS GROVE HOSPITAL COMMUNITY GARDEN NUTRITION TRAINING IN CONJUNCTION WITH THE DELAWARE COUNTY BOYS AND GIRLS CLUB AND THE DELAWARE COUNTY COMMUNITY COALITION, WE PARTICIPATED IN A NUTRITION TRAINING EVENT WITH APPROXIMATELY 70 CHILDREN FROM THE GROVE AREA. ON DAY ONE, WE VISITED THE COMMUNITY GARDEN. THE STUDENTS TOURED THE GARDEN, THEN GOT UP CLOSE AND PERSONAL WITH SEEDS, HERBS AND FRESH PRODUCE AS WELL AS PACKAGED ITEMS FROM THE GROCERY STORE. ON DAY TWO, WE WENT TO THE DELAWARE COUNTY BOYS AND GIRLS CLUB TO DEMONSTRATE HOW TO MAKE HEALTHY SNACKS WITH ITEMS FROM THE GARDEN. WE CREATED A "SUSHI" TURKEY AND VEGETABLE ROLL WITH CARROTS, CUCUMBERS, RADISHES AND A SPINACH TORTILLA. THE KIDS HAD A GREAT TIME LEARNING ABOUT THE GARDEN AND INCORPORATING THAT INTO MAKING A HEALTHY AND FUN SNACK! MANY OF THEM WERE VERY SURPRISED THEY ENJOYED THE SNACK WITH FRESH PRODUCE IN IT. THEY ALSO LEARNED ABOUT PORTION SIZES FOR EACH FOOD GROUP. INTEGRIS HEALTH EDMOND SUNSET ELEMENTARY SCHOOL MAY 5 CINCO DE MAYO FESTIVAL THE INTEGRIS COMMUNITY WELLNESS DEPARTMENT PARTICIPATED IN THE ANNUAL CINCO DE MAYO FESTIVAL AT SUNSET ELEMENTARY SCHOOL. MANY PARENTS OF THE STUDENTS ATTENDED. THE EVENT INCLUDED FUN PHYSICAL ACTIVITIES INCLUDING MAKING HEALTHY FRUIT SMOOTHIES USING BLENDERS POWERED BY PEDALING BICYCLES. THE RESPONSE FROM THE CHILDREN WAS GREAT, AS THEY COMPETED AGAINST THEIR TEACHERS TO SEE WHO COULD POWER THE BLENDER THE FASTEST. EVERYONE WATCHED HOW TO MAKE ONE, AND MANY SAID THEY WERE GOING TO TRY IT AT HOME. A SAMPLE OF THE SMOOTHIE WAS GIVEN TO APPROXIMATELY 500 CHILDREN AT THE SCHOOL FROM 1ST THROUGH 5TH GRADES. INTEGRIS COMMUNITY WELLNESS CONTINUES TO PARTNER WITH SUNSET ELEMENTARY SCHOOL. THE SCHOOL HAS ONE OF THE HIGHEST PERCENTAGES OF CHILDREN WHO ARE ELIGIBLE FOR FREE OR REDUCED COST LUNCHES IN THE EDMOND PUBLIC SCHOOLS. INTEGRIS MENTAL HEALTH MENTAL HEALTH SCREENING IN PARTNERSHIP WITH INTEGRIS, MEMBERS OF THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENTS WELLNESS NOW MENTAL HEALTH AND ADDICTION RECOVERY WORK GROUP ACCEPTED THE FUTURE OF POPULATION HEALTH AWARD FROM THE PUBLIC HEALTH FOUNDATION IN MAY. THIS AWARD RECOGNIZES EXEMPLARY PRACTICE BY HOSPITALS AND HEALTH SYSTEMS THAT ARE COLLABORATING WITH PUBLIC HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS ON HEALTH IMPROVEMENT STRATEGIES AND IMPLEMENTATION EFFORTS. THE AWARDEES FOR THE 2016 PROGRAM WERE INTEGRIS HEALTH IN OKLAHOMA AND WELLSPAN HEALTH IN PENNSYLVANIA. THESE ORGANIZATIONS ARE ENGAGED IN INNOVATIVE AND AMBITIOUS LOCAL PARTNERSHIPS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES IN THE COMMUNITIES THEY SERVE. "THESE HOSPITALS AND THEIR PARTNERS ARE BUILDING ON ONE ANOTHER'S STRENGTHS AS THEY TAKE ON TOUGH, LONGSTANDING COMMUNITY HEALTH PROBLEMS," SAID PHF PRESIDENT RON BIALEK. "OUR MISSION AT INTEGRIS IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE," SAID BRUCE LAWRENCE, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF INTEGRIS. "IN ORDER TO MAKE A MEANINGFUL DIFFERENCE IN TODAY'S HEALTH CARE ENVIRONMENT WE HAVE TO CHANGE BEHAVIORS, AND THE ONLY WAY TO DO THAT IS THROUGH COLLABORATION." THE GROUP IS RECOGNIZED FOR THEIR JOINT EFFORTS TO PROMOTE THE FREE, ANONYMOUS, ONLINE SCREENINGS PROVIDED BY INTEGRIS THROUGH THE WEBSITE, MENTALHEALTHSCREENING.ORG, AND FOR THE GROUPS' EFFORTS TO PROVIDE MENTAL HEALTH FIRST AID TRAINING THROUGHOUT THE COMMUNITY.
GENERAL STATEMENT 4	PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED INTEGRIS MIAMI HOSPITAL YOGA FOR KIDS YOGA FOR KIDS WAS DEVELOPED BY THE UNIVERSITY OF ARKANSAS DIVISION OF AGRICULTURE RESEARCH AND EXTENSION PROGRAM FOR AGES 5-19. IT INCORPORATES ADULT YOGA POSES INTO KID-FRIENDLY YOGA ROUTINES AND GAMES. THE YOGA FOR KIDS PROGRAM FOCUSES ON HELPING KIDS ACHIEVE OPTIMAL PHYSICAL, SOCIAL AND MENTAL HEALTH. PRACTICING YOGA BUILDS STRENGTH, FLEXIBILITY AND CONFIDENCE. IN ADDITION, THE BREATHING TECHNIQUES PROMOTE RELAXATION AND QUIET THE MIND. YOGA AND STRETCH BREAKS IN THE CLASSROOM ARE PROVEN TO IMPROVE CONCENTRATION. THIS FUN AND SIMPLE EXERCISE PROGRAM COMBINES BREATH, PHYSICAL POSTURES AND MINDFULNESS TO HELP STRENGTHEN AND CALM THE BODY AND MIND. YOGA FOR KIDS PROMOTES STRESS RELIEF AS WELL AS PHYSICAL ACTIVITY. SCHOOLS IN THE MIAMI AND GROVE AREA ARE SO EXCITED THAT WE OFFER THIS FOR THEM IN RURAL OKLAHOMA. MANY OF THE SCHOOLS WERE LOOKING FOR WAYS TO INCORPORATE MENTAL HEALTH AWARENESS, BUT WERE UNSURE WHERE TO TURN. WE NOW HAVE 13 SCHOOL DISTRICTS THAT HAVE YOGA FOR KIDS ON THE CALENDAR FOR THIS SCHOOL YEAR. WE ALSO SERVE EACH LOCAL BOYS AND GIRLS CLUB AT LEAST ONCE A MONTH AND THERE ARE MANY TEACHERS WHO NOW INCORPORATE SOME FORM OF YOGA IN THEIR CLASSROOMS. INTEGRIS SOUTHWEST MEDICAL CENTER GO RED FOR YOUR HEART/CHECK. CHANGE. CONTROL CHECK. CHANGE. CONTROL. IS AN AMERICAN HEART/ STROKE ASSOCIATION EVIDENCE-BASED HYPERTENSION MANAGEMENT PROGRAM THAT UTILIZES AN ONLINE HEALTH TRACKER TO EMPOWER PARTICIPANTS TO TAKE OWNERSHIP OF THEIR CARDIOVASCULAR HEALTH. THE PROGRAM INCORPORATES SELF-MONITORING, MENTORING AND ONLINE TRACKING AS KEY FEATURES TO IMPROVE OUTCOMES IN HYPERTENSION MANAGEMENT, PHYSICAL ACTIVITY AND WEIGHT REDUCTION. PARTICIPANTS ENGAGE IN LEARNING OPPORTUNITIES RELATED TO BLOOD PRESSURE MANAGEMENT SUCH AS HEART HEALTHY NUTRITION, INCREASING PHYSICAL ACTIVITY, REDUCING STRESS AND QUITTING SMOKING. THE PROGRAM HAS A GRAND FINALE WITH THE GO RED FOR YOUR HEART EVENT WHERE THE PARTICIPANTS SHARE THEIR LEARNING EXPERIENCE WITH OTHER PARTICIPANTS FROM ACROSS THE STATE. LAKESIDE WOMENS HOSPITAL RAISES $7,500 FOR MARCH OF DIMES PROGRAMS LAKESIDE WOMENS HOSPITAL PARTICIPATED IN THE 2017 MARCH OF DIMES WALK ON MAY 6 AT THE MYRIAD GARDENS IN OKLAHOMA CITY TO RAISE AWARENESS FOR PREVENTION OF PRE-TERM BIRTHS. THEY RAISED OVER $7,500 TO SUPPORT PROGRAMS THAT HELP PRETERM NEWBORN BABIES AND THEIR MOTHERS. THE MARCH OF DIMES MISSION IS TO WORK IN COMMUNITIES TO IMPROVE THE HEALTH OF MOTHERS AND BABIES THROUGH EDUCATION ON HEALTHY PREGNANCY, PRENATAL CARE AND OTHER SERVICES TO REDUCE THE RISK OF PREMATURE BIRTH AND OTHER POOR BIRTH OUTCOMES, AND TO PROVIDE SUPPORT FOR FAMILIES WHOSE BABIES NEED SPECIALIZED CARE IN THE NICU. LAKESIDE STAFF MEMBERS AND PHYSICIANS ALSO WORKED TO RAISE AWARENESS AND FINANCIAL SUPPORT THROUGH FUNDRAISING THAT INCLUDED A GIFT BASKET AUCTION, HOSTING JEANS DAYS AND SPONSORSHIP OF THE HOPE SECTION AT THE MARCH OF DIMES WALK. IT WAS A FULL EFFORT BY HOSPITAL AND CLINIC PHYSICIANS AND STAFF, AND LAKESIDE PATIENTS, TO RAISE THESE FUNDS TO HELP MEET AN URGENT NEED FOR NEWBORN BABIES AND MOTHERS FOR IMPORTANT RESOURCES AND EDUCATION TO HELP PREVENT PRETERM BIRTHS. SERVING OUR COMMUNITY OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE LEARNED A LONG TIME AGO THAT WE CANT FULLY CARE FOR OUR COMMUNITY BY STAYING EXCLUSIVELY WITHIN THE WALLS OF OUR FACILITIES. THAT'S WHY "RETURNSHIP" IS SUCH AN IMPORTANT PART OF OUR PHILOSOPHY. WHAT IS RETURNSHIP? IT'S GIVING BACK PART OF OURSELVES TO THE COMMUNITIES WE SERVE. AT INTEGRIS HEALTH, THE PHYSICIANS, EMPLOYEES AND VOLUNTEERS TAKE THEIR EDUCATION AND SKILLS INTO THE COMMUNITY TO MAKE A DIFFERENCE IN THE LIVES OF FELLOW OKLAHOMANS. THEIR DEDICATION, COMBINED WITH OUR RESOURCES, HELPS ACCOMPLISH A VARIETY OF THINGS FROM PROVIDING FREE CLINICAL SERVICES, SCREENINGS AND EDUCATION PROGRAMS TO WORKING WITH JUVENILE OFFENDERS AND PROVIDING ACTIVITIES FOR SENIOR CITIZENS. WE ALSO REALIZE THAT THE HEALTH OF A COMMUNITY ISNT JUST PHYSICAL AND MENTAL ITS ECONOMIC AND SPIRITUAL AS WELL. THATS WHY WE OFFER A MYRIAD OF PROGRAMS THAT ADDRESS ALL OF THESE IMPORTANT ISSUES. INTEGRIS PROVIDED $47,862,516 IN COMMUNITY BENEFITS INCLUDING THE COST OF BAD DEBT. THIS INCLUDES OUR RETURNSHIP, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. RETURNSHIP RETURNSHIP EPITOMIZES OUR MISSION OF GIVING BACK TO OUR 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 $5,032,848. 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 $198,041. UNCOMPENSATED SERVICES AND MEDICAID SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY FOR THEIR INSURANCE COVERAGE. THUS, WE PROVIDE A MUCH NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIOS. INTEGRIS ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. INTEGRIS PROVIDED CHARITY CARE AND MEDICAID SERVICES AT AN ESTIMATED COST OF $24,125,641. BAD DEBT IN ADDITION, INTEGRIS INCURRED BAD DEBT WITH AN ESTIMATED COST OF $18,505,986 BASED ON THE OVERALL HOSPITAL COST-TO-CHARGE RATIO.
GENERAL STATEMENT 5	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 2016 TAX YEAR.
GENERAL STATEMENT 6	PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTION 2 THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE FOLLOWING OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BY VIRTUE OF THEIR POSITIONS AS OFFICERS, DIRECTORS, OR EMPLOYEES OF RELATED ENTITIES WITHIN THE SYSTEM: LUKE R. CORBETT C. BRUCE LAWRENCE MARSHALL SNIPES DAVID L. THOMPSON CHRISTOPHER C. TURNER DAVID R. HADLEY TOM HONAN DANIEL DAVIS
GENERAL STATEMENT 7	PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PART VI: QUESTIONS 6, 7A AND 7B - INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS RURAL HEALTH, INC. 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.
GENERAL STATEMENT 8	PART VI: SECTION B. POLICIES PART VI: QUESTION 11B - THE ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (SYSTEM). THE SYSTEM HAS A SINGLE AUDIT COMPLIANCE COMMITTEE WHICH OVERSEES THE CONSOLIDATED FINANCIAL STATEMENT AUDIT AS WELL AS THE FILING OF FEDERAL AND STATE TAX FORMS. THE SYSTEM ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. A DRAFT FORM 990 IS PROVIDED TO THE SYSTEM VICE PRESIDENT, FINANCE FOR REVIEW. A FINAL FORM 990 IS GIVEN TO THE SYSTEM CHIEF FINANCIAL OFFICER FOR REVIEW, APPROVAL, AND SIGNATURE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS, AS WELL AS TO THE SYSTEM'S AUDIT/COMPLIANCE COMMITTEE, FOR REVIEW PRIOR TO FILING THE RETURN.
GENERAL STATEMENT 9	PART VI: SECTION B. POLICIES PART VI: QUESTION 12C - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE INTEGRIS CODE OF CONDUCT. ALL SYSTEM EMPLOYEES RECEIVE TRAINING DURING NEW EMPLOYEE ORIENTATION AND ARE INSTRUCTED TO REPORT ANY POSSIBLE CONFLICTS, TO REFER ANY CONFLICT OF INTEREST QUESTIONS TO THE SYSTEM'S COMPLIANCE OFFICER OR THROUGH THE ANONYMOUS INTEGRITY LINE. ALL NEW MANAGERS RECEIVE ADDITIONAL TRAINING ON CONFLICT OF INTEREST POLICIES DURING LEADERSHIP TRAINING. LEGAL SERVICES REVIEWS ALL CONTRACTS FOR CONFLICTS OF INTEREST. INTERNAL AUDIT CONDUCTS AUDITS FOR POSSIBLE CONFLICTS OF INTEREST BASED ON THEIR ANNUAL RISK ASSESSMENT. CORPORATE COMPLIANCE INCLUDES ASSESSMENTS FOR CONFLICTS OF INTEREST IN ITS ANNUAL WORK PLAN AND CONDUCTS SPECIALIZED TRAINING FOR HIGH RISK AREAS. THE GOVERNANCE COMMITTEE, A COMMITTEE OF THE INTEGRIS HEALTH BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF INTEGRIS AND A DISQUALIFIED PERSON.
GENERAL STATEMENT 10	PART VI: SECTION B. POLICIES PART VI: QUESTION 15A and 15B - 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.
GENERAL STATEMENT 11	PART VI: SECTION C. DISCLOSURE PART VI: QUESTION 19 - THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR INTEGRIS HEALTH, INC., A RELATED CORPORATION. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.
GENERAL STATEMENT 12	PART VII: SECTION B. INDEPENDENT CONTRACTORS DIAGNOSTIC LABORATORY REFERENCE LAB $8,386,541 OF OKLAHOMA, LLC 225 N.E. 97TH STREET OKLAHOMA CITY, OK 73114 OKLAHOMA HEALTHCARE AUTHORITY (OHCA) SHOPP FEE $7,145,588 4345 N. LINCOLN BLVD. OKLAHOMA CITY, OK 73105 EMERGENCY MEDICAL SERVICES INC. EMERGENCY ROOM $2,512,541 P.O. BOX 1467 SERVICES AND ENID, OK 73702 ER MEDICAL DIRECTOR ANESTHESIA OF ENID LLC ANESTHESIA SERVICE $1,059,859 P.O. BOX 6112 ENID, OK 73702 ANESTHESIA MEDICAL PROFESSIONALS ANESTHESIA SERVICE $ 986,272 P.O. BOX 1540 EDMOND, OK 73083

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BAPTIST HEALTHCARE OF OKLAHOMA LLC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	237456301	HEALTH CARE	OK	$4,941,279	$4,984,111	IRH
GRAND LAKE REGIONAL CARDIOLOGY SVCSLLC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731622843	HEALTH CARE	OK	$0	$0	IRH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
INTEGRIS AMBULATORY CARE CORPORATION
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731192765	HEALTH CARE	OK	501(C)(3)	LINE 3	IH	false
INTEGRIS HOSPICE INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731369586	HEALTH CARE	OK	501(C)(3)	LINE 10	IH	false
INTEGRIS BAPTIST MEDICAL CENTER INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731034824	HEALTH CARE	OK	501(C)(3)	LINE 3	IH	false
INTEGRIS HEALTH INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731192764	HEALTH CARE	OK	501(C)(3)	LINE 12-I	NA	false
INTEGRIS SOUTHWEST MEDICAL CENTER INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731089149	HEALTH CARE	OK	501(C)(3)	LINE 3	IH	false
INTEGRIS HEALTH FOUNDATION INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731047338	FUNDRAISING	OK	501(C)(3)	LINE 7	IH	false
WESTERN VILLAGE ACADEMY INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731588764	SCHOOL	OK	501(C)(3)	LINE 2	IACC	false
INTEGRIS HEALTH EDMOND INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	451027361	HEALTH CARE	OK	501(C)(3)	LINE 3	IH	false
INTEGRIS MENTAL HEALTH INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	730738716	HEALTH CARE	OK	501(C)(3)	LINE 3	IH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
BMPA LTD 73-1228665
OKLAHOMA CITY OK 73112	OKLAHOMA CITY	OK	73112	MED. OFFICE BLDG.	OK	NA	N/A
QC-III 20-8723857
OKLAHOMA CITY OK 73112	OKLAHOMA CITY	OK	73112	MEDICAL	OK	NA	N/A
DIAGNOSTIC LAB 73-1560760
LYNDHURST NJ 07071	LYNDHURST	NJ	07071	CLINICAL LAB	NJ	NA	N/A
MPI CENTER 73-1283942
OKLAHOMA CITY OK 73112	OKLAHOMA CITY	OK	73112	MEDICAL	OK	NA	N/A
HILLCRESTINTEGRIS HEALTH LLC
OKLAHOMA CITY OK 73112	OKLAHOMA CITY	OK	73112	DORMANT	OK	NA	N/A
LAKESIDE HOSPITAL 73-1493662
OKLAHOMA CITY OK 73112	OKLAHOMA CITY	OK	73112	MEDICAL	OK	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
INTEGRIS PROHEALTH INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	731046179	RETAIL PHARMACY	OK	NA	C Corp	false
THE STANLEY F HUPFELD CHAR REMAIN TRUST
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	266238051	FINANCIAL	OK	NA	Trust	false
QUALITY ALLIANCE ASSURANCE CO
				981060671	INSURANCE		NA	C Corp	false	PO BOX 10027 KYI-1001	GRAND CAYMAN	CJ	CJ
BAPTIST HEALTH SYSTEM INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112		DORMANT	OK	NA	C Corp	false
ONE CARE INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112		DORMANT	OK	NA	C Corp	false
VADOVATIONS INC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	270821922	HEALTH CARE	OK	NA	C Corp	false
INTEGRIS HEALTH PARTNERS LLC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	453482852	HEALTH CARE	OK	NA	C Corp	false
INTEGRIS CARDIOVASCULAR PHYSICIANS LLC
5300 N INDEPENDENCE AVE STE 130	OKLA CITY	OK	73112	452867352	HEALTH CARE	OK	NA	C Corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd