2017-05-04T13:32:44-05:00 2016-06-30 KPMG LLP 210 Park Ave Suite 2850 Oklahoma City OK 73102 990 2015-07-01 731444504 INTEGRIS RURAL HEALTH INC % CHERYL PERRY INTE 4059496026 5300 N INDEPENDENCE AVE STE 130 OKLAHOMA CITY OK 73112 DANIEL DAVIS CFO 4059512736 2017-04-27 true MORGAN L SOUZA P00652612 4052396411 2017-04-19 2015 2021-01-29 14:40:06Z SEE SCHEDULE O C BRUCE LAWRENCE 5300 N INDEPENDENCE AVE OKLAHOMA CITY OK 73112 263084612 false X WWW.INTEGRISOK.COM X 1994 OK TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. X 7 3 1320 1439 632043 93216 3525365 3375598 229938385 256285340 6637432 3215126 -764818 163201 239336364 263039265 0 7973 0 0 98685264 103286731 0 0 0 151029712 162347140 249714976 265641844 -10378612 -2602579 341379363 307085419 129628528 102982669 211750835 204102750 X TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. false false 228980801 7973 256285340 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 AND 3 FOR ADDITIONAL DETAILS. 228980801 true true false false false false false false false false true true false false true false false true false false false false false false false false true true false true true false false false false true false true true true false false true true true false false false true X 0 0 1320 true true true false false false false false false false false false X 7 3 true false true false true true true true true false false true true true true true true true true true true OK X CHERYL PERRY 4059512747 5300 N INDEPENDENCE AVE STE 130 OKLAHOMA CITY OK 73112 X BRIAN COATES DIRECTOR 1.0 0.0 X 0 0 0 J STEVE GRIBSBY DO DIRECTOR 1.0 39.0 X 0 354040 49946 RICHARD L HROMAS MD DIRECTOR 1.0 39.0 X 0 172674 28711 DENNIS LUCKINBILL DIRECTOR 1.0 0.0 X 0 13800 0 JACKIE KREEGER DIRECTOR 1.0 0.0 X X 0 0 0 C BRUCE LAWRENCE CHAIRMAN/CEO 1.0 39.0 X X 0 1404018 387641 JEFF LUNGREN DIRECTOR/VICE CHAIR 1.0 0.0 X X 0 0 0 JIM BRIGGS ASST. TREASURER 1.0 39.0 X 0 296911 48619 DAVID R HADLEY CFO 1.0 39.0 X 0 714874 111515 CHRIS HAMMES EVP/COO 1.0 39.0 X 0 874874 163454 BETH A PAUCHNIK ASST. SECRETARY 1.0 39.0 X 0 599379 118035 JORDAN CASH PRESIDENT 40.0 0.0 X 266404 0 45240 EDWARD HERRMAN PRESIDENT 40.0 0.0 X 338128 0 54253 DUANE MILLER CFO-VP 40.0 0.0 X 250716 0 18914 VALERIE REEVES CFO-VP 40.0 0.0 X 231413 0 33989 REX VANMETER PRESIDENT 40.0 0.0 X 293132 0 44923 TIM BOWEN PRESIDENT 40.0 0.0 X 337756 0 39695 DAVID ATCHLEY CERTIFIED RN ANESTHETIST 40.0 0.0 X 318816 0 37990 MICHAEL FELDMAN PHYSICIAN/MEDICAL DIRECTOR 40.0 0.0 X 356396 0 24377 JERROMY JONES CERTIFIED RN ANESTHETIST 40.0 0.0 X 299537 0 36220 CHRISTOPHER KNOWLES CERTIFIED RN ANESTHETIST 40.0 0.0 X 282295 0 31235 KEITH PERRY CERTIFIED RN ANESTHETIST 40.0 0.0 X 301850 0 21509 GREG MARTIN FORMER KEY EMPLOYEE 40.0 0.0 X 145326 0 0 CINDY A WHITE FORMER KEY EMPLOYEE 40.0 0.0 X 222871 0 0 3644640 4430570 1296266 80 true true false SEE SCHEDULE O GENERAL STATEMENT 1 11477098 40 3351825 5000 18773 615439 3375598 NET PATIENT REVENUE 621990 247444395 247444395 RENTAL INCOME 532000 1522000 1522000 ELECTRONIC MEDICAL RECORDS 900099 3898458 3898458 FEE FOR SERVICE INCOME 623000 632043 632043 CAFETERIA 722514 1251889 1251889 1536555 1082168 454387 256285340 3214675 3214675 0 0 0 0 0 45798 45347 451 451 451 0 0 0 MISC. INCOME 900099 163201 130246 32955 163201 263039265 254077267 632043 4954357 0 7973 7973 0 0 2049171 2049171 387896 387896 75985859 75985859 6151616 6151616 13144305 13144305 5567884 5567884 37861043 1200000 36661043 0 175 175 0 0 0 5991576 5991576 121712 121712 39700611 39700611 0 0 4392158 4392158 549598 549598 0 179872 179872 5210234 5210234 0 12933477 12933477 2348975 2348975 PURCHASED SERVICES 21384611 21384611 0 0 RIF & RECRUITMENT 18105547 18105547 0 0 SHOPP FEE 7497333 7497333 0 0 UNRELATED BUS.INCOME TAXES 12700 12700 0 0 6057518 6057518 265641844 228980801 36661043 0 3756585 3858003 39004196 47556480 0 0 25780515 27453224 0 0 0 0 0 0 6007912 5676550 211070 217406 312364281 155238426 155583745 157125855 0 0 106881614 65151161 0 0 0 0 4153726 46740 341379363 307085419 127497058 102091967 0 0 0 74411 0 0 0 0 0 0 0 0 0 0 2131470 816291 129628528 102982669 X 211750835 204102750 0 0 0 0 211750835 204102750 341379363 307085419 X -2602579 -5039809 -5697 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8336100 8336100 173300136 64360813 108939323 376605 376605 0 119854522 88848664 31005858 10496918 1652344 8844574 157125855 INVESTMENT - BOARD DESIGNATED 63096 F INVESTMENT IN IH FOUNDATION 4127333 F INVESTMENT IN FDN - BAPTIST 159165 F POOLED FUND INVESTMENTS 60801567 F 65151161 0 DUE TO AFFILIATES 5564 ANNUITY PAYMENT LIABILITY 51449 OTHER LONG TERM LIABILITIES 14683 ASSET RETIREMENT OBLIGATION 744595 816291 true true X true X true X true true true false true true 5344586 0 5344586 0.02010 31327455 29708793 1618662 0.00610 36672041 29708793 6963248 0.02620 407264 0 407264 0.00150 1830200 209507 1620693 0.00610 408142 204 407938 0.00150 2645606 209711 2435895 0.00910 39317647 29918504 9399143 0.03530 7545 0 7545 500 0 500 42695 0 42695 0.00020 50740 0 50740 0.00020 false 5922701 296135 70840741 80802553 -9961812 X true true 5 1 INTEGRIS BASS BAPTIST HEALTH CENTER 600 SOUTH MONROE ENID OK 73702 WWW.INTEGRISOK.COM 2244 X X X 2 INTEGRIS CANADIAN VALLEY HOSPITAL 1201 HEALTH CENTER PARKWAY YUKON OK 73099 WWW.INTEGRISOK.COM 2343 X X X 3 INTEGRIS GROVE HOSPITAL 1001 E 18TH STREET GROVE OK 74344 INTEGRISOK.COM 2184 X X X 4 INTEGRIS BAPTIST REGIONAL HEALTH CTR 200 2ND AVENUE SOUTHWEST MIAMI OK 74354 WWW.INTEGRISOK.COM 2193 X X X 5 INTEGRIS BASS PAVILION 401 SOUTH 3RD STREET ENID OK 73701 WWW.INTEGRISOK.COM 2349 X X INTEGRIS BASS BAPTIST HEALTH CENTER 1 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X X true 15 true SEE PART V, SECTION C false true X 150. 300. X X X true true X X X true X SEE PART V, SECTION C X X X true X false X X X X true X false false INTEGRIS CANADIAN VALLEY HOSPITAL 2 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X X true 15 true SEE PART V, SECTION C false true X 150. 300. X X X true true X X X true X SEE PART V, SECTION C X X X true X false X X X X true X false false INTEGRIS GROVE HOSPITAL 3 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X X true 15 true SEE PART V, SECTION C false true X 150. 300. X X X true true X X X true X SEE PART V, SECTION C X X X true X false X X X X true X false false INTEGRIS BAPTIST REGIONAL HEALTH CTR 4 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X X true 15 true SEE PART V, SECTION C false true X 150. 300. X X X true true X X X true X SEE PART V, SECTION C X X X true X false X X X X true X false false INTEGRIS BASS PAVILION 5 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X X true 15 true SEE PART V, SECTION C false true X 150. 300. X X X true true X X X true X SEE PART V, SECTION C X X X true X false X X X X true X false false 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 BAPTIST REGIONAL HEALTH CENTER-MIAMI: 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 BAPTIST REGIONAL HEALTH CTR. - 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 INTEGRISOK.COM/COMMUNITY-WELLNESS-SERVICES-OKLAHOMA-COMMUNITY-HEALTH-I MPROVEMENT SUPPLEMENTAL INFORMATION 8 PART V, SECTION B, LINES 16B INTEGRISOK.COM/PRICING-FINANCIAL-ASSISTANCE SUPPLEMENTAL INFORMATION 1 SCHEDULE H, PART VI: 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 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 <$513> (GROSS CHARGES) WAS ADDED TO PART IX LINE 25(A) $265,641,844 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 PART III, LINES 2, 3 AND 4: NET PATIENT SERVICE REVENUE IS RECORDED AT ESTABLISHED RATES, NET OF CONTRACTUAL ADJUSTMENTS, CHARITY CARE ADJUSTMENTS, ADMINISTRATIVE ADJUSTMENTS, AND NET PATIENT BAD DEBT. RETROACTIVELY CALCULATED CONTRACTUAL ADJUSTMENTS ARISING UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED. ADJUSTMENTS TO ESTIMATES IN FUTURE PERIODS ARE RECORDED AS FINAL SETTLEMENTS ARE DETERMINED OR AS ADDITIONAL INFORMATION BECOMES AVAILABLE. ACCOUNTS RECEIVABLE ARE RECORDED NET OF AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS OF APPROXIMATELY $645,936,000 AND $551,223,000 AT JUNE 30, 2016 AND 2015, RESPECTIVELY WHICH IS FROM THE CONSOLIDATED AUDIT. ALTHOUGH INTEGRIS HEALTH ESTIMATES UNCOLLECTIBLE ACCOUNTS ON A REASONABLE BASIS, THE NET PATIENT ACCOUNTS RECEIVABLE BALANCE IS SUBJECT TO AN ACCOUNTING LOSS IF PATIENTS AND THIRD-PARTY PAYORS ARE UNABLE TO MEET THEIR CONTRACTUAL OBLIGATIONS. THE ALLOWANCE AND RESULTING PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND PAYMENT TRENDS BY PAYOR CATEGORY. PATIENT ACCOUNTS ARE ALSO MONITORED, AND, IF NECESSARY, PAST DUE ACCOUNTS ARE PLACED WITH COLLECTION AGENCIES IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY INTEGRIS HEALTH. ALL PATIENT BALANCES REGARDLESS OF PAYOR SOURCE ARE COLLECTED IN ACCORDANCE WITH A PREDEFINED TIME LIMITED PROCESS DESIGNED TO GIVE THE PATIENT AN OPPORTUNITY TO PAY THE BALANCE BEFORE WRITING OFF THE BALANCE TO BAD DEBT EXPENSE AND TURNING THE ACCOUNT OVER TO A COLLECTION AGENCY. IRH AND CERTAIN OTHERS OF THE HEALTHCARE RELATED CONTROLLED ENTITIES OF INTEGRIS HEALTH, INC. PROVIDE CARE WITHOUT CHARGE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER INTEGRIS HEALTH'S CHARITY CARE POLICY. BECAUSE THESE ENTITIES DO NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET REVENUE OR INCLUDED IN NET ACCOUNTS RECEIVABLE. THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON PART III, LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. INTEGRIS HEALTH CONTRIBUTES RESOURCES, ADVOCACY AND COMMUNITY SUPPORT TO PROMOTE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. INTEGRIS HEALTH BELIEVES THAT MEDICALLY NECESSARY HEALTH CARE SERVICES SHOULD BE ACCESSIBLE TO ALL REGARDLESS OF RACE, ANCESTRY, RELIGION, NATIONAL ORIGIN, CITIZENSHIP STATUS, AGE, DISABILITY OR GENDER. INTEGRIS HEALTH IS COMMITTED TO PROVIDING HEALTH SERVICES AND ACKNOWLEDGES THAT IN SOME CASES THE PATIENT WILL NOT BE ABLE TO PAY FOR THE SERVICES RECEIVED AND IN THOSE CASES ASSOCIATED BAD DEBT COULD BE CONSIDERED AS A COMMUNITY BENEFIT. INTEGRIS HEALTH HAS ADOPTED A PRESUMPTIVE PROCESS TO ACCURATELY IDENTIFY THOSE PATIENTS WHO WOULD QUALIFY FOR CHARITY ASSISTANCE. THE PROCESS REVIEWS THE PATIENT'S ABILITY TO PAY BASED ON AN ALGORITHM DEVELOPED BY AN EXTERNAL VENDOR AND REVIEWED BY KPMG, THE EXTERNAL AUDITOR FOR INTEGRIS. ALL BAD DEBT ACCOUNTS ARE REVIEWED USING THIS ALGORITHM AND THOSE THAT MEET THE CHARITY THRESHOLD OF 150% OF THE FEDERAL POVERTY LEVEL ARE RECLASSIFIED AS CHARITY CARE. THE RESULTANT EFFECT IS THAT INTEGRIS BELIEVES THAT LESS THAN 5% OF BAD DEBT EXPENSE MIGHT BE ABLE TO BE CLASSIFIED AS CHARITY EXPENSE. SUPPLEMENTAL INFORMATION 8 PART III, LINE 8: COMMUNITY BENEFIT: ------------------ THE HOSPITAL BELIEVES THAT ALL OF THE $9,961,812 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 BAPTIST REGIONAL HEALTH CENTER INTEGRIS BAPTIST REGIONAL HEALTH CENTER 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 STATEMENT 3 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 true HIGH SCHOOL SCHOLARSHIPS 3 3000 HARDSHIP DUE TO MEDICAL EXPENSES/DISASTER RELIEF 5 4973 SUPPLEMENTAL INFORMATION 1 SCHEDULE I, PART I, LINE 2 COLLEGE SCHOLARSHIPS ARE PROVIDED TO EMPLOYEES' CHILDREN WHO QUALIFY BASED ON CERTAIN CRITERIA. A COLLEGE TRANSCRIPT MUST BE PROVIDED FOR EACH SEMESTER AS LONG AS THE SCHOLARSHIP IS IN PLACE. THE PEOPLE IN NEED (PIN) FUND PROVIDES FINANCIAL ASSISTANCE FOR CURRENT PATIENTS AND OR EMPLOYEES OF INTEGRIS GROVE HOSPITAL OR PATIENTS OF A PHYSICIAN WHO HAS PRIVILEGES AT INTEGRIS GROVE THAT ARE IN NEED. THE PIN FUND DOES NOT PAY FOR MEDICAL EXPENSES ALREADY INCURRED. COVERED EXPENSES INCLUDE BUT ARE NOT LIMITED TO MEDICAL SUPPLIES OR MEDICATIONS, PHYSICIAN AND MEDICAL SERVICES, AND OTHER MEDICAL ITEMS OR EXPENSES AS APPROVED BY THE PIN BOARD. THE PIN FUND IS UNDER THE DIRECTION OF THE PIN BOARD THAT INCLUDES A REPRESENTATIVE FROM NURSING, PHARMACY, DISCHARGE PLANNING, ADMINISTRATION, ACCESS FINANCIAL COUNSELORS, IGH FOUNDATION, AND A PHYSICIAN. ONCE A PATIENT IS IDENTIFIED, THE PATIENT MUST COMPLETE A PIN APPLICATION. ALL OTHER AVENUES OF FUNDING MUST BE EXPLORED AND EXHAUSTED BEFORE THE PIN BOARD WILL CONSIDER FUNDING. A COPY OF THE PIN APPLICATION WILL BE SENT TO THE ENTIRE PIN BOARD FOR REVIEW. ALL PIN BOARD MEMBERS WILL COMMENT AND VOTE TO APPROVE OR DENY EACH APPLICATION IN A TIMELY MANNER. AT LEAST ONE FINANCIAL COUNSELOR WILL REVIEW THE APPLICATION AND GIVE THEIR OPINION ON FINANCIAL NEED WHENEVER POSSIBLE. ANY PATIENT WITH OUTSTANDING ACCOUNTS WITH INTEGRIS GROVE MUST MAKE ADEQUATE FINANCIAL ARRANGEMENTS PRIOR TO FUNDING. CASE MANAGERS MAY AUTHORIZE UP TO $300 FOR PRESCRIPTIONS/MEDICATIONS AND/OR TRANSPORTATION COSTS FOR INDIGENT PATIENTS AT THEIR DISCRETION. ALL APPLICATIONS REQUESTING PRESCRIPTIONS OR MEDICATIONS ABOVE THE AUTHORIZED AMOUNT REQUIRE THE APPROVAL OF AT LEAST TWO PIN BOARD MEMBERS. ALL OTHER REQUESTS REQUIRE AT LEAST FOUR PIN BOARD MEMBERS TO APPROVE AND MUST BE APPROVED BY AT LEAST ONE FINANCIAL COUNSELOR. ANY PIN BOARD MEMBER MAY REQUEST A HOLD (NOT TO EXCEED 24 HOURS) ON APPROVAL OR FUNDING UNTIL FURTHER DISCUSSION CAN TAKE PLACE AMONG THE PIN BOARD MEMBERS. THE IGH FOUNDATION COORDINATOR WILL BE RESPONSIBLE FOR NOTIFYING THE APPLICANT OF APPROVAL OR DENIAL AND MAKE ARRANGEMENTS FOR PAYMENT. A COMPLETE REPORT OF PIN FUND INCOME AND EXPENSES WILL BE REPORTED TO THE IGH FOUNDATION BOARD ON A MONTHLY BASIS. true true false false false false false true false J STEVE GRIBSBY DO DIRECTOR 0 341929 0 1853 0 10258 0 37825 0 12121 0 403986 0 0 RICHARD L HROMAS MD DIRECTOR 0 158723 0 13418 0 533 0 22575 0 6136 0 201385 0 0 C BRUCE LAWRENCE CHAIRMAN/CEO 0 978354 0 390993 0 34671 0 375231 0 12410 0 1791659 0 0 JIM BRIGGS ASST. TREASURER 0 230981 0 55738 0 10192 0 37825 0 10794 0 345530 0 0 DAVID R HADLEY CFO 0 511015 0 179513 0 24346 0 95862 0 15653 0 826389 0 0 CHRIS HAMMES EVP/COO 0 629915 0 226957 0 18002 0 147611 0 15843 0 1038328 0 0 BETH A PAUCHNIK ASST. SECRETARY 0 431657 0 152210 0 15512 0 106280 0 11755 0 717414 0 0 JORDAN CASH PRESIDENT 200049 0 57170 0 9185 0 29671 0 15569 0 311644 0 0 0 EDWARD HERRMAN PRESIDENT 259019 0 69172 0 9937 0 38765 0 15488 0 392381 0 0 0 DUANE MILLER CFO-VP 179550 0 39994 0 31172 0 7529 0 11385 0 269630 0 0 0 VALERIE REEVES CFO-VP 181761 0 41565 0 8087 0 26986 0 7003 0 265402 0 0 0 REX VANMETER PRESIDENT 218158 0 66016 0 8958 0 29467 0 15456 0 338055 0 0 0 TIM BOWEN PRESIDENT 233357 0 66167 0 38232 0 25883 0 13812 0 377451 0 0 0 DAVID ATCHLEY CERTIFIED RN ANESTHETIST 301945 0 16144 0 727 0 22465 0 15525 0 356806 0 0 0 MICHAEL FELDMAN PHYSICIAN/MEDICAL DIRECTOR 354104 0 0 0 2292 0 17025 0 7352 0 380773 0 0 0 JERROMY JONES CERTIFIED RN ANESTHETIST 277199 0 21571 0 767 0 20800 0 15420 0 335757 0 0 0 CHRISTOPHER KNOWLES CERTIFIED RN ANESTHETIST 266148 0 15380 0 767 0 15834 0 15401 0 313530 0 0 0 KEITH PERRY CERTIFIED RN ANESTHETIST 288547 0 10881 0 2422 0 10400 0 11109 0 323359 0 0 0 GREG MARTIN FORMER KEY EMPLOYEE 0 0 0 0 145326 0 0 0 0 0 145326 0 0 0 CINDY A WHITE FORMER KEY EMPLOYEE 167219 0 44141 0 11511 0 0 0 0 0 222871 0 0 0 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, GREG MARTIN. $144,240 OF THE CALENDAR YEAR 2015 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 JAMES D. MOORE BETH A. PAUCHNIK REX VANMETER 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. VALERIE REEVES EMPLOYEE 444 DISCOUNT ON HOSPITAL BILL FINANCIAL ASSISTANCE N HROMAS WIFE OF BOARD MEMBER 84953 EMPLOYMENT SERVICES false LUCKINBILL INC MUTUAL BOARD MEMBER 368090 FACILITY MAINTENANCE false SEE PART V false 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: $844,082 (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 OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. THE INTERESTED PERSON IS A GREATER THAN 35% OWNED ENTITY OF INTEGRIS BAPTIST MEDIAL CENTER, A SUBSTANTIAL CONTRIBUTOR TO THE FILING ORGANIZATION. THE TRANSACTIONS REPORTED ON SCHEDULE L, PART IV 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. X MEDICAL EQUIPMENT 8 606049 FMV X MISCELLANEOUS 5 9390 FMV false true false REIMBURSEMENT OF EXPENSES 238901448 COST 731192764 INTEGRIS HEALTH INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 501(c)(3) true true false false SUPPLEMENTAL INFORMATION 1 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: C. BRUCE LAWRENCE DAVID R. HADLEY BETH A. PAUCHNIK JIM BRIGGS CHRIS HAMMES 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 CANADIAN VALLEY HOSPITAL HENRY G. BENNETT, JR FERTILITY INSTITUTE INTEGRIS CANADIAN VALLEY HOSPITAL - BFI 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 INTEGRIS MARSHALL COUNTY MEDICAL CENTER WOMEN'S HEALTH CARE 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 REGENCY HOME MEDICAL EQUIPMENT 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 GENERATIONS AT ENID INTEGRIS GENERATIONS AT MIAMI INTEGRIS GENERATIONS OUTPATIENT AT MIAMI INTEGRIS ONE CARE INTEGRIS MIAMI HOSPITAL WESTERN OKLAHOMA STROKE CENTER 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 BAPTIST REGIONAL HEALTH CENTER, INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS GROVE HOSPITAL, AND INTEGRIS BASS PAVILION, WHICH ARE ALL PART OF THE INTEGRIS HEALTH SYSTEM. IRH PROVIDES AMOUNTS OF UNCOMPENSATED SERVICES. UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED COST CARE, WHICH INCLUDES CHARITY CARE AND UNPAID COSTS OF MEDICAID PROGRAMS. AS NOT-FOR PROFIT HOSPITALS, IRH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE COVERAGE. THUS, IT PROVIDES A MUCH-NEEDED SAFETY NET FOR MEMBERS OF THE IRH COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH PROVIDED CHARITY CARE OF $5,344,586. 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 $1,599,958. IN ADDITION, IRH BAD DEBT COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH's BAD DEBT COSTS WERE $5,922,701. 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 STATEMENT 3. GENERAL STATEMENT 3 PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFITS ANNUAL REPORT 2016 FROM OUR PRESIDENT AND CEO INTEGRIS IS WIDELY RECOGNIZED FOR ITS EXCELLENT HEALTH CARE AND CONTINUED COMMITMENT TO ENSURE ALL OKLAHOMANS HAVE EASY ACCESS TO THE MOST COMPREHENSIVE CONTINUUM OF CARE IN THE STATE. FROM OUR WORLD-CLASS BURN CENTER TO OUR PIONEERING TRANSPLANT AND IMPLANT PROGRAMS AND EVERY CENTER OF EXCELLENCE AND SPECIALTY WE OFFER BEGINNING WITH PRIMARY CARE INTEGRIS PHYSICIANS ARE ON THE FOREFRONT OF MEDICINE. LESS RECOGNIZED ARE THE DAY-TO-DAY COMMUNITY OUTREACH PROGRAMS INTEGRIS OFFERS THAT HELP ENCOURAGE EVERYONE, FROM SMALL CHILDREN TO SENIORS, TO LIVE EACH DAY IN A MORE HEALTHY WAY. OUR 2016 COMMUNITY BENEFIT REPORT HIGHLIGHTS A SAMPLING OF THOSE EFFORTS. IT PROVIDES A BRIEF OVERVIEW OF PROGRAMS OFFERED TO THE PEOPLE AND COMMUNITIES WE SERVE. AS YOU WILL SEE IN THESE PAGES, INTEGRIS IS FOCUSED ON KEEPING PEOPLE WELL AND NOT JUST ON CARING FOR THEM, IF AND WHEN THEY BECOME ILL. THE PROGRAMS FEATURED WITHIN THESE PAGES ARE BUT A HANDFUL OF EXAMPLES THAT SHOWCASE INTEGRIS AND ITS EMPLOYEES LIVING OUR MISSION. I AM PROUD TO BE PART OF SUCH A GIVING AND CARING TEAM OF PEOPLE. SINCERELY, BRUCE LAWRENCE, PRESIDENT AND CEO INTEGRIS FROM OUR CHAIRMAN OF THE BOARD AS CHAIRMAN OF THE INTEGRIS HEALTH BOARD, I AM PLEASED THIS YEARS COMMUNITY BENEFIT REPORT SHARES EXAMPLES OF COMMUNITY OUTREACH THAT ILLUSTRATE FOR YOU THE EVERYDAY EFFORTS TO ENCOURAGE FELLOW OKLAHOMANS TO LIVE MORE HEALTHY LIVES. EACH IS BUT ONE OF HUNDREDS OF EVENTS AND ACTIVITIES INTEGRIS OFFERS TO PROMOTE HEALTH AND WELLNESS. FROM A BIGGER-PICTURE PERSPECTIVE, AS OKLAHOMAS LARGEST, LOCALLY OWNED AND OPERATED NOT-FOR-PROFIT HEALTH CARE SYSTEM, I ALSO ENCOURAGE YOU TO CONSIDER THE FACT THAT, WHEN TOTALED, INTEGRIS RETURNSHIP AND COMMUNITY BUILDING EFFORTS EQUALED NEARLY $6 MILLION IN 2016. IF YOU FACTOR UNCOMPENSATED SERVICES THE SYSTEM PROVIDES INTO THAT EQUATION, THE NUMBER SWELLS NEARLY TENFOLD TO MORE THAN $55 MILLION. EACH DOLLAR REPRESENTS HIGH-QUALITY CARE AND THE INVESTMENT BY INTEGRIS OF SIGNIFICANT RESOURCES BACK TO THE MEN, WOMEN AND CHILDREN OF OKLAHOMA. DESPITE ECONOMIC AND INDUSTRY UNCERTAINTY AT TIMES, IT IS COMFORTING TO SEE THAT INTEGRIS CONTINUES TO DO WHATEVER IT CAN TO UPHOLD OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. SINCERELY, DAVID THOMPSON, CHAIRMAN INTEGRIS BOARD OF DIRECTORS INTEGRIS BAPTIST MEDICAL CENTER CHALLENGE YOURSELF: HEALTH AND FITNESS PROGRAM THE INTEGRIS CHALLENGE YOURSELF: HEALTH AND FITNESS PROGRAM FOCUSES ON THE PREVENTION OF OBESITY AND HYPERTENSION. THE PROGRAM INCREASES ACCESS TO CARE BY PROVIDING HEALTH LECTURES, EXERCISE CLASSES, NUTRITION CLASSES AND DEMONSTRATIONS. THE PROGRAM ALSO PROVIDES SCREENINGS AND REFERRAL RESOURCES FOR AT-RISK OKLAHOMA CITY RESIDENTS. SPECIFICALLY, THIS PROGRAM IS AIMED AT OKLAHOMA CITYS AFRICAN AMERICAN AND HISPANIC POPULATIONS WHO ARE AT-RISK NOT ONLY FOR OBESITY AND HEART DISEASE, BUT FOR MANY OTHER CHRONIC CONDITIONS. THE LACK OF ACCESS TO CARE REMAINS A BARRIER TO LIVING A HEALTHIER LIFESTYLE. THE PROGRAM HAS FOUR CORE TENETS: NUTRITION, PHYSICAL ACTIVITY, MENTAL HEALTH AND HEALTH SCREENINGS. WEEKLY SESSIONS ADDRESS HEALTH TOPICS INCLUDING NUTRITION, MENTAL HEALTH, HEALTHY WEIGHT AND ACTIVE LIFESTYLES. INCLUDED IS AN INTRODUCTION TO DIVERSE EXERCISE MODALITIES SUCH AS WALKING, CHAIR EXERCISES, RESISTANCE BANDS AND CARDIO CALISTHENICS THAT MOTIVATE PARTICIPANTS TO STAY ACTIVE AND MAKE HEALTHIER CHOICES. INTEGRIS BASS BAPTIST HEALTH CENTER (ENID) KIDS IN THE KITCHEN KIDS IN THE KITCHEN IS A PROGRAM OFFERED ONCE A MONTH FOR CHILDREN AGES 8 TO 12 YEARS. THE PROGRAM ENCOURAGES KIDS TO COOK BY TEACHING THEM TO MAKE SIMPLE, HEALTHY MEALS. PARTICIPATING KIDS PREPARE A HEALTHY MEAL DURING CLASS AND THEN THE PARENTS ARE INVITED TO EAT THE MEAL WITH THEIR CHILD. KIDS SHARE THE RECIPE WITH THE PARENTS AND TALK ABOUT WHAT THEY DID IN CLASS. THE IDEA IS TO ENCOURAGE FAMILIES TO EAT MORE MEALS AT HOME. THE PROGRAM TEACHES NUTRITION AND COOKING IN A FUN, HANDS-ON WAY. KIDS WHO LEARN ABOUT HEALTHY FOOD CHOICES WILL BE MORE LIKELY TO HAVE BETTER HABITS AS AN ADULT. THIS PROGRAM IS A COLLABORATIVE EFFORT OF INTEGRIS, THE OSU EXTENSION CENTER AND MULTIPLE CHURCHES. THE CHURCHES PROVIDE KITCHEN SPACE, WHICH HELPS US REACH THE UNDERSERVED CHILDREN AND FAMILIES WE ARE TARGETING. SINCE THE PROGRAM STARTED, 261 KIDS AND PARENTS HAVE PARTICIPATED. NEARLY 100 PERCENT OF KIDS SURVEYED SAY THAT AFTER TAKING THE PROGRAM, THEY WILL TRY TO EAT HEALTHIER. ON THE THREE MONTH FOLLOW UP, 85 PERCENT OF KIDS HAD MADE AT LEAST THREE MEALS AT HOME SINCE TAKING THE COURSE. INTEGRIS CANADIAN VALLEY HOSPITAL (YUKON) YOGA FOR KIDS YOGA FOR KIDS WAS DEVELOPED BY THE UNIVERSITY OF ARKANSAS DIVISION OF AGRICULTURE RESEARCH AND EXTENSION. THE PROGRAM IS INTENDED FOR AGES 5 TO 19 AND INCORPORATES ADULT YOGA POSES INTO KID-FRIENDLY YOGA ROUTINES AND GAMES. THE FOCUS OF YOGA FOR KIDS IS HELPING KIDS ACHIEVE OPTIMAL PHYSICAL, SOCIAL AND MENTAL HEALTH. PRACTICING YOGA BUILDS STRENGTH, FLEXIBILITY AND CONFIDENCE. ALSO, THE BREATHING PROMOTES RELAXATION AND QUIETS THE MIND. YOGA AND STRETCH BREAKS IN THE CLASSROOM 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. SINCE THE PROGRAM BEGAN, 649 STUDENTS HAVE PARTICIPATED. OVER 20 SCHOOL STAFF MEMBERS HAVE BEEN TRAINED AND 92 PERCENT OF TEACHERS ARE CONTINUING TO IMPLEMENT YOGA IN THE CLASSROOM AS OF A SIX MONTH FOLLOW UP. INTEGRIS CANCER INSTITUTE CELEBRATION OF LIFE: NATIONAL CANCER SURVIVORS DAY THE INTEGRIS CANCER INSTITUTE CELEBRATED NATIONAL CANCER SURVIVORS DAY WITH OUR 29TH ANNUAL CELEBRATION OF LIFE ON SUNDAY, JUNE 5, 2016, AT THE NATIONAL COWBOY AND WESTERN HERITAGE MUSEUM IN OKLAHOMA CITY. THE ANNUAL CELEBRATION OF LIFE WAS ALSO HELD IN HUNDREDS OF COMMUNITIES WORLDWIDE. CANCER SURVIVORS, CAREGIVERS, FAMILY MEMBERS, FRIENDS AND HEALTH CARE PROFESSIONALS ALL UNITE ON THE FIRST SUNDAY EVERY JUNE TO SHOW THAT LIFE AFTER A CANCER DIAGNOSIS CAN BE MEANINGFUL, PRODUCTIVE AND INSPIRING. THE INTEGRIS CANCER INSTITUTE RECOGNIZES OUR OWN EVER GROWING FAMILY OF CANCER SURVIVORS EACH YEAR WITH A COMPLIMENTARY COMMUNITY CELEBRATION. ORDAINED EPISCOPAL PRIEST NICK MEZACAPAS HUMOROUS AND INSPIRATIONAL MESSAGE IN 2016 FOCUSED ON OUR RESPONSIBILITY TO LIVE OUR LIVES AS FULLY AND RICHLY AS POSSIBLE. THE DAY INCLUDED A DELICIOUS MEAL, MUSICAL ENTERTAINMENT, A SURVIVOR RECOGNITION IN BOTH ENGLISH AND SPANISH AND A BUTTERFLY RELEASE FOR MORE THAN 400 CANCER SURVIVORS. INTEGRIS GROVE HOSPITAL SOUPER BOWL SATURDAY THE 2016 INTEGRIS GROVE SOUPER BOWL SATURDAY PROVIDED AN OPPORTUNITY FOR COMMUNITY MEMBERS TO VISIT THE INTEGRIS GROVE HOSPITAL CAMPUS, TALK WITH PHYSICIANS AND STAFF, AND LEARN ABOUT NEW EQUIPMENT AND SERVICES BEING OFFERED. FREE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE, CHOLESTEROL, GLUCOSE AND EKGS WERE AVAILABLE. THE EVENT FEATURED HEALTH EDUCATION AND SERVICE INFORMATION. ENTERTAINMENT WAS PROVIDED BY THE GROVE HIGH SCHOOL JAZZ BAND, A LOCAL VENTRILOQUIST, A MAGICIAN AND A DEMONSTRATION BY CHEERS!, A CHEERLEADING AND GYMNASTICS GROUP. ATTENDEES COULD ALSO SUPPORT THE INTEGRIS GROVE HOSPITAL AUXILIARY BY PURCHASING A $5 LUNCH INCLUDING SOUP, DESSERT AND A DRINK. OVER 300 PEOPLE ATTENDED THE EVENT. MULTIPLE HEALTH SCREENINGS WERE PERFORMED INCLUDING 71 EKGS, 63 BONE DENSITY CHECKS, 60 EYE SCREENINGS, AND 90 CHOLESTEROL AND GLUCOSE SCREENINGS. INTEGRIS HEALTH EDMOND TOOLS FOR LIVING TOOLS FOR LIVING WITH CHRONIC CONDITIONS IS AN EVIDENCE BASED COURSE DEVELOPED AT THE STANFORD UNIVERSITY PATIENT EDUCATION RESEARCH CENTER AS A COLLABORATIVE RESEARCH PROJECT BETWEEN STANFORD AND THE NORTHERN CALIFORNIA KAISER PERMANENTE MEDICAL CARE PROGRAM. THE ONGOING SIX-WEEK PROGRAM TEACHES PARTICIPANTS HOW TO BECOME BETTER SELF-MANAGERS OF THEIR HEALTH. TOPICS INCLUDE GOAL SETTING, DEALING WITH DIFFICULT EMOTIONS, MEDICATION USAGE, PHYSICAL ACTIVITY AND NUTRITION, COPING WITH PAIN/DISCOMFORT, COMMUNICATION WITH HEALTH CARE PROVIDERS, MAKING INFORMED TREATMENT DECISIONS AND FACILITATING PEER SUPPORT. THE PROGRAM IS TAUGHT IN COLLABORATION WITH THE INTEGRIS COMMUNITY WELLNESS DEPARTMENT AND AN INTEGRIS MEDICAL GROUP CARE COORDINATOR. PARTICIPANTS COME FROM ALL AGES AND BACKGROUNDS. AS A RESULT OF COMPLETING THE PROGRAM, OVER 80 PERCENT OF THE PARTICIPANTS REPORT AN INCREASE IN HOW OFTEN THEY USE FORMS OF RELAXATION TO DEAL WITH PAIN AND DISCOMFORT AND 90 PERCENT REPORT THEY UNDERSTAND THEIR HEALTH BETTER. INTEGRIS MENTAL HEALTH AMERICAN FOUNDATION FOR SUICIDE PREVENTION: INTERNATIONAL SURVIVORS OF SUICIDE LOSS DAY INTERNATIONAL SURVIVORS OF SUICIDE LOSS DAY IS HOSTED BY THE CENTRAL OKLAHOMA SUICIDE PREVENTION TASK FORCE. THE EVENT IS DESIGNED TO PROVIDE AWARENESS AND COMMUNITY RESOURCES FOR SURVIVORS OF SUICID GENERAL STATEMENT 4 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 2015 TAX YEAR. GENERAL STATEMENT 5 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: C. BRUCE LAWRENCE CHRIS HAMMES DAVID R. HADLEY BETH A. PAUCHNIK J. STEVE GRIGSBY, D.O. RICHARD L. HROMAS, M.D. JIM BRIGGS GENERAL STATEMENT 6 PART VI: SECTION A. GOVERNING BODY AND MANAGEMENT PAERT VI: QUESTION 4 - SUMMARY OF CHANGES TO THE BYLAWS IN ORDER TO MEET THE IRH BOARD NOMINATING NEEDS AND REMOVE ADDITIONAL REQUIREMENTS UNNECESSARY FOR NOMINATING PURPOSES, THE FOLLOWING CHANGES HAVE BEEN MADE TO THE IRH BYLAWS: IN 3.04 QUALIFICATIONS, THERE ARE TWO DELETED CHANGES: -AT LEAST 60% OF ELECTED DIRECTORS SHALL BE MEMBERS OF BAPTIST CHURCHES AT TIME OF ELECTION -THE CHAIRMAN OF THE SOLE MEMBER, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND TWO (2) PHYSICIAN MEMBERS OF THE INTEGRIS RURAL PHYSICIANS ADVISORY COUNCIL AS SELECTED BY THE CHAIR OF THE CORPORATION, SHALL BE EX-OFFICIO VOTING MEMBERS OF THE BOARD OF DIRECTORS. IF THE POSITIONS OF CHIEF EXECUTIVE OFFICER AND CHAIR ARE HELD BY TWO DIFFERENT PEOPLE, THE CHAIR OF THE CORPORATION SHALL BE AN EX-OFFICIO NON-VOTING MEMBER OF THE BOARD OF DIRECTORS, UNLESS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION IS ABSENT AND IN THAT CIRCUMSTANCE, THE CHAIR MAY VOTE IN PLACE OF THE CHIEF EXECUTIVE OFFICER. THE BOARD SHALL ALSO INCLUDE BOTH PHYSICIAN AND LAY REPRESENTATIVES FROM HOSPITALS, WHICH THE CORPORATION OWNS, LEASES OR MANAGES. IN 4.02 MEMBERSHIP, ELECTION AND TERM COMMITTEES THERE IS ONE DELETED CHANGE. THE LANGUAGE BELOW IS THE SAME AS ABOVE IN 3.04. FOR CONSISTENCY IT HAS BEEN REMOVED: -THE CHAIRMAN AND CHIEF EXECUTIVE OFFICER SHALL BE EX-OFFICIO MEMBERS OF ALL COMMITTEES OF THE BOARD OF DIRECTORS AND SHALL HAVE VOTING PRIVILEGES. IF THE POSITIONS OF CHIEF EXECUTIVE OFFICER AND CHAIR ARE HELD BY TWO DIFFERENT PEOPLE, THE CHAIR OF THE CORPORATION SHALL BE AN EX-OFFICIO NON-VOTING MEMBER OF ALL COMMITTEES, UNLESS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION IS ABSENT AND IN THAT CIRCUMSTANCE, THE CHAIR MAY VOTE IN PLACE OF THE CHIEF EXECUTIVE OFFICER. IN 11.02 GOVERNING BOARDS OF HOSPITALS PART (B) QUALIFICATIONS THERE IS ONE DELETED CHANGE: -RESIDENTS OF THE SERVICE AREA OF THE HOSPITALS 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 OF FINANCIAL REPORTING 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 $8,071,803 OF OKLAHOMA, LLC 225 N.E. 97TH STREET OKLAHOMA CITY, OK 73114 ANESTHESIA MEDICAL PROFESSIONALS ANESTHESIA AND $1,026,176 P.O. BOX 1540 CRNA SERVICES EDMOND, OK 73083-1540 EMERGENCY MANAGEMENT MIDWEST, INC.PHYSICIAN STAFFING $ 906,780 P.O. BOX 634850 CINCINNATI, OH 45263-4850 ANESTHESIA OF ENID, LLC ANESTHESIA AND $ 877,964 600 S. MONROE ST. CRNA SERVICES ENID, OK 73701 SODEXO, INC. FOOD SERVICES $ 594,375 P.O. BOX 536922 ATLANTA, GA 30353 GENERAL STATEMENT 13 PART XI: RECONCILIATION OF NET ASSETS, LINE 9 CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT ($5,697) BAPTIST HEALTHCARE OF OKLAHOMA INC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 237456301 HEALTH CARE OK 6534112 4565191 IRH GRAND LAKE REGIONAL CARDIOLOGY SVCSLLC 5300 N INDEPENDENCE AVE STE 130 OKLA CITY OK 73112 731622843 HEALTH CARE OK 0 0 IRH 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 9 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 11-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 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 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 PO BOX 10027 KYI-1001 GRAND CAYMAN CJ 981060671 INSURANCE CJ NA C Corp false 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 false false true false false false false false true false true true false false true true false true