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        <PersonNm>Jacob Carman DO</PersonNm>
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        <PersonNm>Jeffrey Stewart MD</PersonNm>
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        <PersonNm>Justin Mitchell DO</PersonNm>
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        <PersonNm>Kevin Yunt DO</PersonNm>
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        <PersonNm>Michael Jackson MD</PersonNm>
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        <PersonNm>Michael Weed</PersonNm>
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        <PersonNm>Nancy Nagle MD</PersonNm>
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        <PersonNm>Steve Mareburger MD</PersonNm>
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        <PersonNm>Jonas Rabel</PersonNm>
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        <PersonNm>Keaton Francis</PersonNm>
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        <PersonNm>Kenna Wilson</PersonNm>
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        <PersonNm>Lisa Halstead</PersonNm>
        <TitleTxt>VP Chief Nursing Officer (until Dec 2024)</TitleTxt>
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        <PersonNm>Teresa Gray</PersonNm>
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        <PersonNm>Arlyn Wing</PersonNm>
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        <PersonNm>Brian Whitson</PersonNm>
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        <PersonNm>Deana Miller</PersonNm>
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        <PersonNm>Dustin Baylor</PersonNm>
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        <PersonNm>Rebecca Megli</PersonNm>
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        <PersonNm>Kurt Devaney</PersonNm>
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        <PersonNm>Peter Delaney</PersonNm>
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        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://integrishealth.org/about-integris/serving-our-community/reports</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://integrishealth.org/about-integris/serving-our-community/reports</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://integrishealth.org/patient-information/financial-assistance</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://integrishealth.org/patient-information/financial-assistance</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://integrishealth.org/patient-information/financial-assistance</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>The significant health needs are a prioritized description of the significant health needs of the community and are identified through the CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - FACILITY REPORTING GROUP A. Each community health needs assessment aims to align local planning efforts with assessments and interventions conducted by county health departments. This planning process represents a commitment to a more deliberate approach to working together. Due to the COVID-19 pandemic, local health departments were unavailable for collaboration and unable to publish updated public health data. INTEGRIS Health reviewed and used the most current available data for the purpose of providing a comprehensive overview of the community. In conducting the CHNA, the hospitals took into account input from representatives of the community by secondary data research, community surveys, and focus groups. Focus groups were conducted to dialogue directly with local community members. There was a targeted effort to conduct focus groups with at-risk populations in low socioeconomic zip codes. Community partners that assisted in the data collection for community chats included local health coalitions, nonprofit organizations, local libraries and Rotary clubs. Ethnicities input was obtained from surveys by targeting population gathering places such as community clinics, churches, after school programs, and public transportation services. Contributors included members of underserved, low income and minority populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - FACILITY REPORTING GROUP A. FOUR NON-PROFIT HOSPITALS ENGAGED IN A JOINT COMMUNITY HELATH NEEDS ASSESSMENT: INTEGRIS HEALTH, MERCY HOSPITAL OKLAHOMA CITY, OU HEALTH, AND SSM HEALTH ST. ANTHONY. THIS ASSESSMENT EVALUATED THE HEALTH NEEDS OF OKLAHOMA COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - FACILITY REPORTING GROUP A. THE FOUR NON-PROFIT HOSPITALS ENGAGING IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT FOR OKLAHOMA COUNTY ALSO PARTNERED WITH THE OKLAHOMA CITY COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - FACILITY REPORTING GROUP A. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - FACILITY REPORTING GROUP A. The CHNA process assisted in determining available resources, gaps in services, and both perceived and actual needs within the INTEGRIS Health Service areas. This process led to the identification of three priority areas. Although there is no single factor that predicts a health outcome, the areas identified as priority for Garfield County include: obesity, access to care, and access to healthy food. Canadian County identified the following areas as priority: obesity, chronic disease prevention/management, access to healthy food and tobacco use prevention. Delaware County identified the following areas as priority: obesity, access to health care, access to healthy food, mental health, and tobacco use prevention. Ottawa County identified the following areas as priority: obesity, access to health care, access to healthy food, mental health, and tobacco use prevention. The local prioritized needs were reexamined by INTEGRIS Health through administration of the developed community health improvement plan and which, if any of the remaining, were currently being addressed through other community resources and/or services. INTEGRIS health opted to concentrate on the following priority areas in each of the service areas- access to healthy food and access to healthcare 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 potential to more effectively combat the issues system-wide. In addition to the two priority areas, tobacco use prevention was also added to the system focus areas to continue to address this issue in all service areas. INTEGRIS Bass Baptist Health Center Access to healthy food is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Food Pantries/Distributions, INTEGRIS Health I-CREW, food bank programs, and partnerships with local coalitions. Current goals for the INTEGRIS Health Community Giving Fund are to establish two partnership opportunities. INTEGRIS Health Food Pantries/Distribution plans to serve 50 persons. The INTEGRIS Health I-CREW will establish two partnership opportunities directly targeting improving access to healthy food. INTEGRIS Bass Baptist Health Center will also coordinate at least one food drive. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support and increase access to healthy food. Access to healthcare is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Mobile Care Clinic, Federal Qualified Health Center partnership, Hope Squad grant funding, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to fund one project. INTEGRIS Health Mobile Care Clinic serves 100 community members. INTEGRIS Bass Baptist Health Center will also establish one partnership opportunities for Hope Squad grant funding. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on increasing access to care. Tobacco use prevention is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, Oklahoma Tobacco Helpline Referrals, Social Media Campaigns, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to establish two partnership opportunities. Oklahoma Tobacco Helpline referrals goal is to refer 25 persons for tobacco cessation services. INTEGRIS Health will establish one partnership opportunity for a social media campaign that supports and promotes tobacco use prevention. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on tobacco use prevention. The hospital plans to address the following priority issues under the Access to Care pillar: Obesity. INTEGRIS Health Canadian Valley Hospital Access to healthy food is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Food Pantries/Distributions, INTEGRIS Health I-CREW, food bank programs, and partnerships with local coalitions. Current goals for the INTEGRIS Health Community Giving Fund are to establish two partnership opportunities. INTEGRIS Health Food Pantries/Distribution plans to serve 50 persons. The INTEGRIS Health I-CREW will establish two partnership opportunities directly targeting improving access to healthy food. INTEGRIS Health Canadian Valley Hospital will also coordinate at least one food drive. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support and increase access to healthy food. Access to healthcare is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Mobile Care Clinic, Federal Qualified Health Center partnership, Hope Squad grant funding, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to establish two partnership opportunities. INTEGRIS Health Mobile Care Clinic serves 100 community members. INTEGRIS Health Canadian Valley Hospital will also establish one partnership opportunities for Hope Squad grant funding. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on increasing access to care. Tobacco use prevention is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, Oklahoma Tobacco Helpline Referrals, Social Media Campaigns, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to establish two partnership opportunities. Oklahoma Tobacco Helpline referrals goal is to refer 25 persons for tobacco cessation services. INTEGRIS Health will establish one partnership opportunity for a social media campaign that supports and promotes tobacco use prevention. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on tobacco use prevention. The hospital plans to address the following priority issues under the Access to Care pillar: Obesity and Chronic Disease Prevention/Management.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - FACILITY REPORTING GROUP A. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED INTEGRIS Health Grove Hospital Access to healthy food is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Food Pantries/Distributions, Meals on Wheels, INTEGRIS Health I-CREW, food bank programs, and partnerships with local coalitions. Current goals for the INTEGRIS Health Community Giving Fund is to fund one project. INTEGRIS Health Food Pantries/Distribution plans to establish two partnership opportunities. Meals on Wheels will establish two partnership opportunities. The INTEGRIS Health I-CREW will offer one event directly targeting improving access to healthy food. INTEGRIS Health Grove Hospital will also coordinate at least one food drive. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support and increase access to healthy food. Access to healthcare is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Mobile Care Clinic, Federal Qualified Health Center partnership, Hope Squad grant funding, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to fund one project. INTEGRIS Health Mobile Care Clinic will establish two partnership opportunities. INTEGRIS Health Grove Hospital will also establish one partnership opportunities with a federal qualified health center. The INTEGRIS Health Hope Squad grant will establish one partnership opportunity. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on increasing access to care. Tobacco use prevention is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, Oklahoma Tobacco Helpline Referrals, Social Media Campaigns, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to establish one partnership opportunity. Oklahoma Tobacco Helpline referrals goal is to establish partnership referral process for tobacco cessation services. INTEGRIS Health will establish one partnership opportunity for a social media campaign that supports and promotes tobacco use prevention. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on tobacco use prevention. The hospital plans to address the following priority issues under the Access to Care pillar: Obesity and Mental Health. INTEGRIS Health Miami Hospital Access to healthy food is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Food Pantries/Distributions, Meals on Wheels, INTEGRIS Health I-CREW, food bank programs, and partnerships with local coalitions. Current goals for the INTEGRIS Health Community Giving Fund is to fund one project. INTEGRIS Health Food Pantries/Distribution plans to establish two partnership opportunities. Meals on Wheels will establish two partnership opportunities. The INTEGRIS Health I-CREW will offer one event directly targeting improving access to healthy food. INTEGRIS Health Grove Hospital will also coordinate at least one food drive. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support and increase access to healthy food. Access to healthcare is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, INTEGRIS Health Mobile Care Clinic, Federal Qualified Health Center partnership, Hope Squad grant funding, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to fund one project. INTEGRIS Health Mobile Care Clinic will establish two partnership opportunities. INTEGRIS Health Grove Hospital will also establish one partnership opportunities with a federal qualified health center. The INTEGRIS Health Hope Squad grant will establish one partnership opportunity. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on increasing access to care. Tobacco use prevention is being addressed by the following program implementation: INTEGRIS Health Community Giving Fund, Oklahoma Tobacco Helpline Referrals, Social Media Campaigns, and partnerships with local coalitions. The current goal for the INTEGRIS Health Community Giving Fund is to establish one partnership opportunity. Oklahoma Tobacco Helpline referrals goal is to establish partnership referral process for tobacco cessation services. INTEGRIS Health will establish one partnership opportunity for a social media campaign that supports and promotes tobacco use prevention. In addition to the programs mentioned, INTEGRIS Health will support local efforts with coalitions who support, prevent, and educate on tobacco use prevention. The hospital plans to address the following priority issues under the Access to Care pillar: Obesity and Mental Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INTEGRIS HEALTH CANCER INSTITUTE FUND</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>600 S MONROE</AddressLine1Txt>
            <CityNm>ENID</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73701</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INTEGRIS HEALTH MEADOWLAKE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2216 S VAN BUREN ST</AddressLine1Txt>
            <CityNm>ENID</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73793</ZIPCd>
          </USAddress>
          <FacilityTxt>BEHAVIORIAL HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH INC. 73-1192764, THE PARENT ORGANIZATION OF INTEGRIS RURAL HEALTH, INC., PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST TO CHARGE RATIO WAS USED TO CALCULATE PART I, LINE 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO IRH THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. INTEGRIS Health implemented a policy effective July 1, 2011, that discounted all private pay patient charges according to the Patient Protection and Affordable Care Act. Based on historical experience, a significant portion of INTEGRIS Health's uninsured patients will be unable or unwilling to pay for services provided; thus, INTEGRIS Health records a significant uninsured price concession and/or financial assistance related to uninsured patients in the period the services are provided. These implicit price concessions are based upon management's assessment of historical write-offs and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Patient accounts are monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. Accounts are written off when all reasonable internal and external collection efforts have been performed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>IRH DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>IRH DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF INTEGRIS HEALTH, INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: A PORTFOLIO APPROACH BY MAJOR PAYOR CATEGORIES AND TYPES OF SERVICE WAS USED TO ESTIMATE THE HISTORICAL COLLECTIONS EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED AT LEAST QUARTERLY BASED ON ACTUAL COLLECTIONS EXPERIENCE. INTEGRIS HEALTH BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WAS USED. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE ASSESSED FIRST FOR ELIGIBILITY FOR CHARITY CARE OR RECORDED AS BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL BELIEVES THAT ALL OF THE $6,413,800 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - INTEGRIS BASS BAPTIST HEALTH CENTER: Line 16a URL: https://integrishealth.org/patient-information/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - INTEGRIS BASS BAPTIST HEALTH CENTER: Line 16b URL: https://integrishealth.org/patient-information/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - INTEGRIS BASS BAPTIST HEALTH CENTER: Line 16c URL: https://integrishealth.org/patient-information/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to its triennial Community Health Needs Assessment (CHNA), INTEGRIS Health employs a comprehensive, system-wide approach to continuously assess the health care needs of the diverse communities it serves across Oklahoma. INTEGRIS Health reviews publicly available health data from the Oklahoma State Department of Health, the Centers for Disease Control and Prevention, and other regional sources to monitor key health indicators, including diabetes, cardiovascular disease, substance use, and mortality rates. To better understand non-clinical drivers of health, the system conducts health-related social needs screenings across care settings to identify needs related to food insecurity, housing instability, transportation barriers, utility assistance, interpersonal safety and access to primary and behavioral health services. These factors are particularly significant in rural service areas where provider shortages and geographic barriers may limit access to care. INTEGRIS Health maintains ongoing engagement with a broad network of community stakeholders, including local coalitions, health departments, federally qualified health centers, behavioral health providers, tribal health organizations, schools, and other community-based organizations. Input from these partners, along with outreach activities, provides qualitative insight into emerging needs and service gaps across the system's service areas. In addition, INTEGRIS Health regularly evaluates the effectiveness, utilization, and outcomes of its community benefit programs and outreach initiatives across facilities. This includes targeted programs addressing chronic disease management, behavioral health access, and care coordination for high-risk populations. Findings are used to inform resource allocation and program development at both the local facility and system level. Through these coordinated and ongoing efforts, the organization maintains a continuous understanding of community health needs. It ensures responsiveness to the unique challenges of both urban and rural populations between CHNA cycles.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES: *POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS. *A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS. *A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ONLINE CHARITY APPLICATION. *A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL. FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Garfield County is in northwestern Oklahoma. Enid is the county seat and the largest city in Garfield County. Fifteen small towns are located within the county. Primary industries in the county are agriculture and livestock. In addition, oil and gas and flour milling have proved fruitful for the county. Enid has the most grain storage capacity in the United States and one of the largest grain elevators in the world. Vance Air Force Base is also a major employer of both military and civilian personnel. The county is mostly rural, occupying 1,058.47 square miles. (2) The county has two hospitals, multiple minor emergency clinics, a free community clinic, a federally qualified health center and a county health department. 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. Garfield population is approximately 62,000 with 11.8% living in poverty, a median age of 35.8 years and median household income of $54,006. INTEGRIS CANADIAN VALLEY HOSPITAL INTEGRIS CANADIAN VALLEY HOSPITAL IS LOCATED IN YUKON, OKLAHOMA WHICH IS IN CANADIAN COUNTY IN CENTRAL OKLAHOMA. Canadian County is in central Oklahoma. El Reno is the county seat. Canadian County is also part of the Oklahoma City Metropolitan Statistical Area. According to the U.S. Census Bureau, the county has a total area of 905 square miles, of which 900 square miles are land and 5 square miles are water. (2) Nine cities and towns are located in the county. Oklahoma City is mainly in Oklahoma County, but a small part of the city limits extends into Canadian County. Industry includes agriculture, oil and gas extraction, business and textiles. The county has two county health departments, located in Yukon and El Reno. 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. Canadian County has a population of approximately 140,000 with 8.7% living in poverty, a median age of 35.8 years and median household income of $73,635. INTEGRIS GROVE HOSPITAL INTEGRIS GROVE HOSPITAL IS LOCATED IN GROVE, OKLAHOMA, WHICH IS IN DELAWARE COUNTY IN NORTHEASTERN OKLAHOMA. Delaware County is located in northeastern Oklahoma and comprised of two cities (Grove, Jay) and five towns (Bernice, Colcord, Kansas, Oaks, West Siloam Springs). Other census-designated communities include Cleora, Eucha, Flint Creek, Kenwood, Leach, Twin Oaks, and Zena. The county is bordered on the east by the states of Arkansas and Missouri. The northern part of the county is bordered by Craig and Ottawa County to the north, Adair and Cherokee County to the south and Mayes County to the west. In 2019, the county population was 43,009 (2), of which approximately 81% is rural. The county seat is located in the city of Jay, which has a population of 2,525 (2). Jay is located approximately 60 miles northeast of the Tulsa metropolitan area and 180 miles northeast of the Oklahoma City metropolitan area. The largest city is Grove with a population of 7,149 (2). The largest employers in the county include education, manufacturing, health care, and retail. One hospital serves Delaware County and is located in the city of Grove, INTEGRIS Grove Hospital. THE CAMPUS OFFERS 58 LICENSED BEDS AND SERVES AS A BEACON FOR QUALITY HEALTH CARE FOR NORTHEAST OKLAHOMA, NORTHWEST ARKANSAS AND SOUTHWEST MISSOURI. Delaware County has a population of approximately 42,000 with 17.5% living in poverty, a median age of 47 years and median household income of $41,696. INTEGRIS MIAMI HOSPITAL INTEGRIS MIAMI HOSPITAL IS LOCATED IN MIAMI, OKLAHOMA, WHICH IS IN OTTAWA COUNTY IN NORTHEASTERN OKLAHOMA. Ottawa County in northeastern Oklahoma is comprised of two cities; Commerce and Miami, and six towns (Afton, Fairland, North Miami, Peoria, Quapaw, Wyandotte). Other census-designated communities include Dotyville and Narcissa. The county is bordered on the east by the state of Missouri. The northern part of the county is bordered by the state of Kansas. Ottawa County is bordered by Delaware County to the south and Craig County to the west. In 2019, the county population was 30,285. The county seat, located in the city of Miami, has a population of 13,570. Miami is approximately 90 miles northeast of the Tulsa metropolitan area and 190 miles northeast of the Oklahoma City metropolitan area. The largest employers in the county include education, health care, entertainment, and manufacturing. One hospital serves Ottawa County; INTEGRIS Miami Hospital. THIS FACILITY HAS 117 LICENSED BEDS AND OPENED ON JULY 1, 1919. INTEGRIS MIAMI HOSPITAL SERVES NORTHEAST OKLAHOMA AND THE ADJACENT BORDER AREAS OF KANSAS AND MISSOURI. The Ottawa County has 20.7% living in poverty with a median age of 38 years and median household income of $39,872.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS Health is committed to promoting the health of the communities it serves across Oklahoma through a broad range of community benefit and community-building activities. INTEGRIS Health provides financial and in-kind support to community organizations and initiatives that address health improvement, access to care, and the social determinants of health. These efforts include partnerships with local health departments, schools, nonprofit organizations, and tribal health entities to support programs focused on chronic disease prevention, behavioral health, maternal and child health, and health education. All INTEGRIS Health facilities are governed by a board of directors composed of men and women who live and work in the community, including local business owners, civic leaders, community volunteers, representatives from higher education, utility companies, and a variety of non-profit organizations. The organization's leadership and clinical staff actively participate in community coalitions, advisory boards, and regional planning efforts to improve population health. The system collaborates with the Oklahoma State Department of Health and other partners to align initiatives with state and local priorities. To improve access to care, particularly in underserved and rural areas, INTEGRIS Health supports a network of primary and specialty care providers, telehealth services, mobile clinics, and care coordination programs. The system also provides charity care, financial assistance, and other subsidized health services to eligible patients. As a nonprofit health system, surplus funds are reinvested in the organization to enhance patient care and community benefit. These investments include improvements to facilities and medical equipment, expansion of clinical services, support for medical education and workforce development programs, and participation in clinical training and research activities. These reinvestments enable the organization to respond to evolving community needs and maintain high-quality care across its service areas. Through these efforts, INTEGRIS Health demonstrates its ongoing commitment to improving community health, expanding access to care, and addressing the broader factors that influence health outcomes.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>IRH IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. OTHER FACILITIES OF THE TAXPAYER ARE LISTED ON SCHEDULE H, PART V AND THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>OK</ExplanationTxt>
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          <AddressLine1Txt>3001 QUAIL SPRINGS PARKWAY</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS RURAL HEALTH, INC. (IRH) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS AND ORGANIZATIONS TO SUPPORT THEIR OPERATIONS. IRH DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS. AS PART OF ITS COMMITTMENT TO THE COMMUNITIES IT SERVES, IRH SOMETIMES MAKES GRANTS TO OTHER CHARITABLE AND CIVIC ORGANIZATIONS THAT BENEFIT THOSE COMMUNITITIES. GRANTS ARE REVIEWED AND APPROVED THROUGH THE ANNUAL BUDGETARY PROCESS BY THE CEO AND THE BOARD OF DIRECTORS OF IRH. SEE SCHEDULE O FOR A FULL COPY OF THE INTEGRIS HEALTH SYSTEM COMMUNITY BENEFIT REPORT, WHICH PROVIDES GREATER DETAIL WITH RESPECT TO IRH'S RETURNSHIP AND COMMUNITY BUILDING EFFORTS.</ExplanationTxt>
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        <PersonNm>Jonas Rabel</PersonNm>
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        <PersonNm>Kenna Wilson</PersonNm>
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        <PersonNm>Dustin Baylor</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <PersonNm>Rebecca Megli</PersonNm>
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        <PersonNm>Deana Miller</PersonNm>
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        <PersonNm>Arlyn Wing</PersonNm>
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        <PersonNm>Brian Whitson</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON- QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED DEFERRALS IN THE CURRENT REPORTING YEAR: TIMOTHY PEHRSON - $317,864 MICHAEL WEED - $124,851 TERESA GRAY - $43,162 JONAS RABEL - $40,491 KEATON FRANCIS - $27,219 THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED PAYMENTS IN THE CURRENT REPORTING YEAR: TIMOTHY PEHRSON - $268,940 MICHAEL WEED - $37,281 TERESA GRAY - $35,129 JONAS RABEL - $38,734 KURT DEVANEY -$16,147</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Accomplishments</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $9,460,469. 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 DID NOT HAVE UNPAID COST IN THE FISCAL YEAR AND AS A RESULT CHOSE TO REINVEST THE FUNDING BACK INTO THE COMMUNITY BY FOCUSING ON THE COMMUNITY NEEDS AS DOCUMENTED ON SCHEDULE H, LINE 11.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report (1/3)</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH COMMUNITY BENEFIT REPORT 2024 A MESSAGE FROM OUR PRESIDENT AND CEO INTEGRIS HEALTH IS OKLAHOMA'S LARGEST NOT-FOR-PROFIT HEALTH SYSTEM AND HAS SERVED OKLAHOMA COMMUNITIES FOR MORE THAN 115 YEARS. OUR MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, OUR OBLIGATIONS ARE TO THE COMMUNITIES WE SERVE, NOT SHAREHOLDERS. WE EXIST TO CARE FOR OUR FELLOW NEIGHBORS, WHICH EXTENDS BEYOND OUR HOSPITALS AND CLINICS. BY PARTNERING WITH OTHER ORGANIZATIONS, WE ADDRESS THE UNIQUE HEALTH CARE NEEDS OF THE PEOPLE IN OUR COMMUNITY. WE SEEK TO BRING MORE PROGRAMS INTO OUR COMMUNITIES, SUCH AS FREE CLINICS, HEALTH SCREENINGS, WELLNESS PROMOTIONS, HEALTH EDUCATION, HEALTH SUPPORT GROUPS, MENTORING PROGRAMS FOR AT-RISK YOUTH, ASSISTANCE FOR THE ELDERLY AND SERVING AS A HEALTH CARE THOUGHT LEADER IN OKLAHOMA. I HOPE YOU ENJOY OUR 2024 COMMUNITY BENEFIT REPORT, WHICH HIGHLIGHTS IN GREATER DETAIL THE WAYS INTEGRIS HEALTH POSITIVELY IMPACTED OUR COMMUNITIES LAST YEAR. THANK YOU FOR TRUSTING INTEGRIS HEALTH TO CARE FOR YOU AND YOUR FAMILY. WARMLY, TIMOTHY PEHRSON, PRESIDENT AND CEO MISSION: PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES VISION: THE MOST TRUSTED PARTNER FOR HEALTH VALUES: I-CARE - INTEGRITY. COMPASSION. ACCOUNTABILITY. RESPECT. EXCELLENCE. INTEGRIS HEALTH GROVE HOSPITAL COMPLETES 100TH ROBOTIC SURGERY IN MAY 2024, INTEGRIS HEALTH GROVE HOSPITAL INTRODUCED ROBOT-ASSISTED SURGERY USING THE DA VINCI XI ROBOTIC SURGICAL SYSTEM. JUST FOUR MONTHS LATER, THE HOSPITAL SUCCESSFULLY COMPLETED ITS 100TH ROBOTIC PROCEDURE, MARKING A MAJOR MILESTONE IN SURGICAL INNOVATION. PRECISION AND FASTER RECOVERY THE DA VINCI XI SYSTEM ENHANCES A SURGEON'S PRECISION, ALLOWING FOR MINIMALLY INVASIVE PROCEDURES WITH SHORTER RECOVERY TIMES. SURGEONS HAVE USED THE TECHNOLOGY FOR GYNECOLOGICAL AND GENERAL SURGERIES, SUCH AS HYSTERECTOMIES, HERNIA REPAIRS AND GALLBLADDER REMOVALS. A COMMITMENT TO INNOVATION "OUR ENTIRE OR TEAM HAS EMBRACED THIS TECHNOLOGY WITH A FOCUS ON EFFICIENCY AND PATIENT SAFETY," SAYS DR. HALEY ADAMS. DR. KYLE WOODERSON ADDS, "THE CONTINUED GROWTH OF OUR ROBOTIC PROGRAM SHOWS OUR COMMITMENT TO DELIVERING THE HIGHEST LEVEL OF CARE TO OUR COMMUNITY." INTEGRIS HEALTH SERVING OUR COMMUNITY - GETTING YOU BACK TO YOU AT INTEGRIS HEALTH, OUR MISSION IS PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. AS OKLAHOMA'S LARGEST NOT-FOR-PROFIT COMMUNITY HEALTH SYSTEM, WE ARE COMMITTED TO TRANSFORMATIVE PROGRAMS THAT EXTEND BEYOND HOSPITAL WALLS - BECAUSE TRUE CARE HAPPENS WHEREVER PEOPLE NEED IT MOST. MAKING A LASTING IMPACT OUR PHYSICIANS, STAFF AND VOLUNTEERS BRING THEIR EXPERTISE INTO THE COMMUNITY, OFFERING FREE CLINICAL SERVICES, HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS. WE ALSO IMPROVE ACCESS TO HEALTHY FOOD, TOBACCO CESSATION RESOURCES AND OVERALL WELLNESS INITIATIVES - HELPING OKLAHOMANS REGAIN CONTROL OF THEIR HEALTH AND WELL-BEING. WE RECOGNIZE THAT HEALTH GOES BEYOND PHYSICAL AND MENTAL WELL-BEING - IT INCLUDES ECONOMIC STABILITY, EMOTIONAL SUPPORT AND SPIRITUAL CARE. THAT'S WHY WE PROVIDE PROGRAMS ADDRESSING THESE CRITICAL AREAS, ALL WITH ONE GOAL IN MIND: GETTING YOU BACK TO YOU. INTEGRIS HEALTH EXPANDS ACCESS WITH ALLSET URGENT CARE CLINICS IN 2024, INTEGRIS HEALTH INTRODUCED THE ALLSET URGENT CARE MODEL, WITH 17 OPENING ACROSS OKLAHOMA. THESE CLINICS OFFER A STREAMLINED, PATIENT-CENTERED EXPERIENCE WITH NO WAIT TIMES, TRANSPARENT PRICING AND EXTENDED HOURS. EACH CLINIC FOCUSES ON MAKING CARE MORE ACCESSIBLE WITH ONLINE SCHEDULING, WALK-IN APPOINTMENTS AND AUTOMATIC FOLLOW-UPS WITH INTEGRIS HEALTH PROVIDERS. INCREASED HEALTH CARE ACCESS TO OUR COMMUNITY THIS EXPANSION IS DESIGNED TO INCREASE ACCESS TO HEALTH CARE IN LOCAL COMMUNITIES, HELPING ENSURE THAT OKLAHOMANS RECEIVE TIMELY, COMPASSIONATE CARE WHEN THEY NEED IT MOST. BY THE END OF 2025, ALL 17 ALLSET URGENT CARE LOCATIONS WILL BE OPEN, FURTHER STRENGTHENING OUR COMMITMENT TO SUPPORTING THE HEALTH OF OUR COMMUNITIES. A SHARED FIGHT: MOTHER AND DAUGHTER BATTLE BREAST CANCER TOGETHER AT 41, DENEE HACKER DISCOVERED A LUMP NEAR HER ARMPIT - JUST TWO MONTHS AFTER A NORMAL MAMMOGRAM. ON HER BIRTHDAY, SHE RECEIVED DEVASTATING NEWS: INVASIVE DUCTAL CARCINOMA. UNDER THE CARE OF DR. BRIAN GEISTER AT INTEGRIS HEALTH CANCER INSTITUTE, SHE UNDERWENT CHEMOTHERAPY, RADIATION, A DOUBLE MASTECTOMY AND A FULL HYSTERECTOMY. DESPITE THE GRUELING JOURNEY, SHE REMAINED POSITIVE. "I REFRAMED MY THOUGHTS TO HELP ME SURVIVE," SHE SAYS. A MOTHER'S UNBELIEVABLE NEWS AS DENEE COMPLETED TREATMENT, HER MOTHER, PAT MAYS, WAS DIAGNOSED WITH BREAST CANCER. BOTH WOMEN FOUGHT SIDE BY SIDE, SOMETIMES EVEN SHARING A TREATMENT ROOM. "I WANTED TO SHOW MY DAUGHTER I WOULD BE OKAY," SAYS PAT. DENEE, IN TURN, HOPED TO INSPIRE HER MOTHER'S STRENGTH. A GIFT OF RESILIENCE NOW CANCER-FREE, THE TWO CHERISH MOTHER'S DAY EVEN MORE. THEIR MESSAGE TO OTHERS: GET REGULAR MAMMOGRAMS AND DO SELF-EXAMS - FOR YOURSELF AND FOR THOSE YOU LOVE. A CHAMPION'S COMEBACK: TORY JOHNSON'S ROAD TO RECOVERY RODEO STAR TORY JOHNSON WAS COMPETING IN A CHAMPIONSHIP ROUND IN CORPUS CHRISTI, TEXAS, WHEN DISASTER STRUCK. "I WAS STEER WRESTLING WHEN EVERYTHING JUST WENT WHITE," HE RECALLS. THE ACCIDENT LEFT HIM WITH THREE SKULL FRACTURES, A SHATTERED EAR AND A SPINAL FLUID LEAK - THREATENING BOTH HIS CAREER AND WAY OF LIFE. GRIT AND DETERMINATION DETERMINED TO RECOVER, JOHNSON SOUGHT TREATMENT AT INTEGRIS HEALTH JIM THORPE REHABILITATION, WORKING WITH PHYSICAL THERAPIST TERRY TATARIAN. "SHE DON'T LET ME CUT NO CORNERS," HE SAYS. HIS STUBBORNNESS, ONCE A TRAIT OF A CHAMPION, HAS NOW BECOME A TOOL FOR HEALING. LOOKING AHEAD THOUGH HIS GOAL IS TO RETURN TO RODEO, JOHNSON REMAINS OPEN TO INSPIRING YOUNG COWBOYS. NO MATTER WHAT'S NEXT, HIS RESILIENCE PROVES HE'S STILL A CHAMPION. A JOURNEY OF STRENGTH: DECLAN THOMAS' STORY AT JUST THREE YEARS OLD, DECLAN THOMAS HAS UNDERGONE MULTIPLE SURGERIES, INCLUDING OPEN-HEART SURGERY AT SIX WEEKS OLD. THE PROCEDURE LED TO A VOCAL CORD INJURY, REQUIRING A TRACHEOSTOMY AND G-TUBE. HIS FAMILY FOUND HOPE WITH INTEGRIS HEALTH AND PEDIATRIC OTOLARYNGOLOGIST DR. GERMAN DIGOY. COMPASSIONATE CARE AT INTEGRIS HEALTH "OUR FIRST STAY AT INTEGRIS HEALTH BAPTIST MEDICAL CENTER WAS AFTER A RESUSCITATION EPISODE FROM HIS TRACH," SAYS DECLAN'S MOTHER, ANNELYSE. THE ICU AND DR. DIGOY ADJUSTED HIS CARE, AND THE HOSPITAL BECAME A TRUSTED PLACE FOR HIS TREATMENTS. "EVERY STAY HAS BEEN EASY, WELCOMING AND JUST AN OVERALL GREAT EXPERIENCE," SHE SHARES. A BRIGHT FUTURE IN SEPTEMBER, DECLAN HAD HIS TRACHEOSTOMY REMOVED. NOW, HE'S AN ACTIVE TODDLER, ENJOYING DANCE PARTIES, OUTDOOR ADVENTURES AND HIDEAND-SEEK. HIS FAMILY LOOKS FORWARD TO HIS CONTINUED GROWTH AND, ONE DAY, "GRADUATING" FROM HIS BEADS OF COURAGE. A LIFE TRANSFORMED: POLLY HALL'S WEIGHT LOSS JOURNEY A STRUGGLE FOR CHANGE AT 495 POUNDS, NANCY "POLLY" HALL FELT TRAPPED IN HER OWN BODY. MOBILITY ISSUES KEPT HER FROM DRIVING AND ENJOYING OUTINGS WITH HER FAMILY. AFTER YEARS OF DIETS WITH LITTLE SUCCESS, SHE TURNED TO THE INTEGRIS HEALTH WEIGHT LOSS CENTER FOR A LIFE-CHANGING SOLUTION. THE SURGERY THAT GAVE HER LIFE BACK POLLY UNDERWENT A LAPAROSCOPIC SLEEVE GASTRECTOMY, A PROCEDURE THAT REMOVES 75-80% OF THE STOMACH TO AID IN WEIGHT LOSS. "OUR PATIENTS REALLY GET A SECOND LEASE ON LIFE," SAYS DR. HAMILTON LE, WHO GUIDED POLLY THROUGH THE PROCESS, ENSURING SHE WAS BOTH PHYSICALLY AND MENTALLY PREPARED. INCREDIBLE RESULTS AND RENEWED HEALTH SINCE HER SURGERY, POLLY HAS LOST 250 POUNDS, NO LONGER NEEDS DIABETES OR BLOOD PRESSURE MEDICATION AND HAS REGAINED HER CONFIDENCE. "MOST PEOPLE DON'T RECOGNIZE ME NOW," SHE SAYS. WITH ONGOING SUPPORT FROM PHYSICIAN ASSISTANT ASHLEY SALE, POLLY REMAINS COMMITTED TO HER NEW LIFESTYLE, PROVING THAT TRANSFORMATION IS POSSIBLE WITH DETERMINATION AND THE RIGHT CARE. CHARLEY MAYNARD'S PANCREATIC CANCER JOURNEY AT 46, WILLIAM "CHARLEY" MAYNARD WAS DIAGNOSED WITH PANCREATIC CANCER - ALREADY METASTASIZED TO HIS LIVER. GIVEN JUST TWO TO SEVEN MONTHS TO LIVE, HE INITIALLY STRUGGLED TO PROCESS THE GRIM PROGNOSIS. "I THOUGHT TO MYSELF, 'I'M TOO YOUNG FOR THIS,'" HE RECALLS. A MINDSET SHIFT AFTER WEEKS OF DESPAIR, CHARLEY RESOLVED TO KEEP LIVING. HE CONTINUED WORKING WHILE UNDERGOING YEARS OF CHEMOTHERAPY AND NOW MANAGES HIS CONDITION WITH ORAL TREATMENTS. HIS ONCOLOGIST, DR. BASHAR ALASAD, BELIEVES CHARLEY'S REMARKABLE 18-YEAR SURVIVAL IS LINKED TO HIS RESILIENT MINDSET. A MISSION OF HOPE NOW 64, CHARLEY DEDICATES HIS TIME TO INSPIRING NEWLY DIAGNOSED PATIENTS. "I TRY TO GIVE THEM HOPE," HE SAYS. HIS STORY SERVES AS PROOF THAT PANCREATIC CANCER, WHILE OFTEN DEADLY, DOESN'T ALWAYS MEAN GIVING UP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report - continued (2/3)</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH ECMO SAVES LIVES AT JUST 33, LLOYD VINES WAS HOSPITALIZED WITH SEVERE ABDOMINAL PAIN, LEADING TO SURGERY FOR A BOWEL OBSTRUCTION. BUT HIS CONDITION QUICKLY WORSENED. "HE WAS CRASHING ... CLOSE TO DEATH," RECALLS HIS PARTNER, KATRINA. AS SEPTIC SHOCK SET IN, DOCTORS CALLED INTEGRIS HEALTH'S ECMO TEAM FOR A LAST-RESORT INTERVENTION. LIFESAVING ECMO TREATMENT ECMO, A SPECIALIZED LIFE-SUPPORT THERAPY, WAS LLOYD'S ONLY HOPE. HIS HEART WAS FUNCTIONING AT JUST 10%, AND HIS LUNGS WERE FAILING. THE INTEGRIS HEALTH TEAM TRANSPORTED HIM TO THE NAZIH ZUHDI TRANSPLANT INSTITUTE, WHERE HE SPENT FIVE WEEKS ON ECMO, SLOWLY REGAINING STRENGTH A GRATEFUL RETURN RECENTLY, LLOYD RETURNED TO INTEGRIS HEALTH TO THANK THE TEAM WHO SAVED HIM. "SEEING HOW FAR PATIENTS COME IS INCREDIBLY SPECIAL," SAYS ECMO SPECIALIST ZAC REAVES. NOW, LLOYD CHERISHES LIFE'S SIMPLE MOMENTS, SAYING, "TODAY IS A GIFT IN ITSELF." A STROKE SURVIVOR'S MIRACLE MARY STACK WAS WORKING IN HER YARD WHEN SHE SUDDENLY LOST CONTROL OF HER ARMS. MOMENTS LATER, SHE COLLAPSED, UNABLE TO MOVE OR CALL FOR HELP. FORTUNATELY, HER HUSBAND, STAN, ARRIVED JUST IN TIME. RECOGNIZING THE SIGNS OF A STROKE, HE IMMEDIATELY CALLED 911. EMERGENCY STROKE TREATMENT RUSHED TO INTEGRIS HEALTH, MARY RECEIVED A CLOT-BUSTING MEDICATION WITHIN AN HOUR - CRITICAL FOR STROKE RECOVERY. DR. MUHAMMAD FAWAD ISHFAQ PERFORMED A MECHANICAL THROMBECTOMY, REMOVING A FIVE-INCH CLOT IN JUST 16 MINUTES. INCREDIBLY, HER SYMPTOMS VANISHED ALMOST IMMEDIATELY. A FULL RECOVERY AND A POWERFUL MESSAGE DAYS LATER, MARY RETURNED TO PILATES WITH NO LASTING EFFECTS. SHE NOW SHARES HER STORY TO INSPIRE OTHERS AND RAISE AWARENESS ABOUT BEFASTT, A LIFESAVING STROKE RECOGNITION METHOD. "I'M PROOF THAT MIRACLES HAPPEN," SHE SAYS. 2024 BENEFITS TO THE COMMUNITY BY THE NUMBERS INTEGRIS HEALTH PROVIDED $77,146,081 IN COMMUNITY BENEFITS. THIS INCLUDES OUR TOTAL COMMUNITY IMPACT, COMMUNITY BUILDING EFFORTS, UNCOMPENSATED SERVICES AND MEDICAID SERVICES. TOTAL COMMUNITY IMPACT TOTAL COMMUNITY IMPACT EPITOMIZES OUR MISSION OF PARTNERING WITH PEOPLE TO LIVE HEALTHIER LIVES. IN ALIGNMENT WITH IRS FORM 990, SCHEDULE H, INTEGRIS HEALTH REPORTS COMMUNITY BENEFIT ACTIVITIES ACROSS KEY CATEGORIES, INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (HEALTH EDUCATION, SCREENINGS, AND PUBLIC HEALTH INITIATIVES); HEALTH PROFESSIONS EDUCATION FOR COMMUNITY MEMBERS; SUBSIDIZED HEALTH SERVICES PROVIDED AT BELOW COST TO IMPROVE ACCESS FOR UNINSURED AND UNDERINSURED POPULATIONS; RESEARCH THAT BENEFITS COMMUNITY HEALTH; AND CASH AND IN-KIND CONTRIBUTIONS SUPPORTING HEALTH-RELATED WORK OF COMMUNITY ORGANIZATIONS. OUR TOTAL COMMUNITY IMPACT EFFORTS EQUALED $4,241,733. 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 $311,726. UNCOMPENSATED SERVICES UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED-COST CARE. AS A SYSTEM OF NOT-FOR-PROFIT HOSPITALS, INTEGRIS HEALTH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THE ABILITY TO PAY. THUS, WE PROVIDE A MUCH-NEEDED SAFETY NET FOR MEMBERS OF OUR COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. INTEGRIS HEALTH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY CARE BY OFFERING FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. INTEGRIS HEALTH PROVIDED CHARITY CARE AT AN ESTIMATED COST OF $29,609,721. BAD DEBT IN ADDITION, INTEGRIS HEALTH INCURRED BAD DEBT WITH AN ESTIMATED COST OF $76,296,258 BASED ON THE OVERALL HOSPITAL COST-TOCHARGE RATIO. MEDICAID SERVICES INTEGRIS HEALTH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS. THIS INCLUDES THE ACTUAL UNPAID COST OF PROVIDING CARE TO MEDICAID PATIENTS AND REPRESENTS A SHORTFALL BETWEEN COST OF CARE AND PAYMENTS RECEIVED BY MEDICAID. INTEGRIS HEALTH PROVIDED MEDICAID SERVICES AT AN ESTIMATED COST OF $42,982,901 INTEGRIS HEALTH OUTREACH EVENTS AND PROGRAMS ALCOHOL AND DRUG COALITION MEETING AMERICAN CANCER SOCIETY CATTLE BARON TOURNAMENT AMERICAN CANCER SOCIETY 'S GOLF CLASSIC SPONSORSHIP ANTACID TABLETS DONATED FOR THE UNITED WAY CHILI COOK-OFF AUGUST TOBACCO EDUCATION PROVIDED BY RESPIRATORY THERAPISTS BABY BASIC PRENATAL EDUCATION CLASS BEARSKIN HEALTH AND WELLNESS CENTER HEALTH FAIR BREAST CANCER SURVIVORS OK ORGANIZATION SPONSORSHIP CANCERCHECK HISPANIC HEALTH FAIR CELEBRATION OF LIFE, NATIONAL CANCER SURVIVORS DAY CHAMBER OF COMMERCE MEMBERSHIP CHILDREN'S IBUPROFEN AND ACETAMINOPHEN DONATED TO FREE CLINIC CENTRAL OKLAHOMA HEALTH IMPACT TEAM MEETINGS COLON CANCER WALK SPONSORSHIP COMMUNITY BENEFIT BUDGET FY 2024 COMMUNITY BENEFIT DISCUSSION WITH AVEM HEALTH PARTNERS COMMUNITY CLINIC AT STANLEY HUPFELD ACADEMY COMMUNITY CLINICS BUDGET FY 2024 COMMUNITY HOURS FOR TIM PEHRSON, CEO, FY 2024 COMMUNITY STROKE EDUCATION (IHBMC) COMMUNITY STROKE EDUCATION (IHCVH) COMMUNITY STROKE EDUCATION (IHSMC) COWLEY COUNTY HEALTH &amp; SAFETY FAIR CRISTO REY STUDENT INTERNSHIP DA ELDER ABUSE TASK FORCE DEARING HOUSE CHILD ADVOCACY CENTER'S FUNDRAISER DEEP (DIABETES EMPOWERMENT EDUCATION PROGRAM) DELIVERED MEALS ON WHEELS DIABETES EDUCATION AT ICC ECONOMIC DEVELOPMENT FOR TIM PEHRSON, CEO, FY 2024 ENID AREA NON-PROFIT MEETING ENID AREA NON-PROFITS MEETING (AMBULATORY) ENID CHNA KICK-OFF MEETING ENID SENIOR SOCIAL CENTER BP CHECKS FACEBOOK LIVE INFORMATION SESSIONS IN SPANISH FIGHT FOR AIR CLIMB COMMITTEE MEETING FY24 Q2 TOBACCO EDUCATION PROVIDED BY RESPIRATORY THERAPISTS (IHEH) FY24 Q3 TOBACCO EDUCATION PROVIDED BY RESPIRATORY THERAPISTS (IHEH) FY24 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS (IHBMC) FY24 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS (IHCVH) FY24 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS (IHEH) FY24 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS (IHGH) FY24 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS (IHMH) FY24 STUDENT, RESIDENT, AND FELLOW EDUCATION HOURS WITH PHYSICIANS (IHSMC) GRACE OUTREACH- COMMUNITY KITCHEN MEALS FOR FOOD CHALLENGED GROVE PUBLIC LIBRARY COMMUNITY HEALTH AND WELLNESS FAIR HEALTH PLANNING COMMITTEE MEETING HEALTH PLANNING COMMITTEE MEETING (AMBULATORY) HERITAGE HALL PINK OUT SPONSORSHIP HISPANIC HEALTH FAIR HISPANIC RADIO, TELEVISION AND NEWSPAPER HUMAN SERVICES ALLIANCE OF GREATER ENID BOARD MEETING I-CREW VOLUNTEERING AT REGIONAL FOOD BANK OF OKLAHOMA IN KIND DONATION BASKET PROJECT WOMAN IN-KIND DONATIONS FOR SPACE FOR MDA CLINIC IN-KIND DONATION OF STAFF FOR MDA CLINIC INTEGRIS HEALTH COMMUNITY CLINIC INTEGRIS HEALTH GOLF CLASSIC SPONSORSHIP INTEGRIS HEALTH TURKEY TOSS DONATIONS (SYSTEM) FY 24 INTEGRIS MOBILE CARE CLINIC JOHN REX ELEMENTARY SCHOOL - SPRING 2024 EDUCATIONAL CLUSTER JULY TOBACCO EDUCATION PROVIDED BY RESPIRATORY THERAPISTS JUNIOR WELFARE LEAGUE OF ENID CHARITY GALA KAY COUNTY ATHLETIC PHYSICALS KINGFISHER DENTAL DAY &amp; HEALTH RESOURCE FAIR KURT DEVANEY-SOUTH CHAMBER MONTHLY BOARD MEETING LEUKEMIA &amp; LYMPHOMA SOCIETY - LIGHT THE NIGHT MEETING &amp; EVENT LOPEZ-DORADA EMPLOYEE HEALTH &amp; WELLNESS FAIR MAPS 4/EMBARK BRT STAKEHOLDER MEETING MEALS DONATED TO LOCAL CHURCH MEALS ON WHEELS (IHWH) MEALS ON WHEELS FY 2024 (IHBMC) MENTAL HEALTH COALITION MEETING MIAMI HIGH SCHOOL BACK TO SCHOOL HEALTH AND RESOURCE FAIR MILK BAR SUPPORT GROUP FOR BREASTFEEDING MOTHERS MINI HEALTH FAIRS MOBILE MEALS MONTHLY LECTURES / CONFERENCIAS MENSUALES MT 200 STUDENT INTERNSHIPS JAN 1 TO JUNE 30 (IHSMC) NEWKIRK SENIOR CENTER COMMUNITY HEALTH FAIR NURSES, AUA, SURGICAL TECH, PARAMEDIC/EMT CLINICAL STUDENTS (IHBMC) NURSES, AUA, SURGICAL TECHS, PARAMEDIC/EMT (IHEH) NURSES, AUA, SURGICAL TECHS, PARAMEDIC/EMT CLINICAL STUDENTS (IHCVH) NURSES, AUA, SURGICAL TECHS, PARAMEDIC/EMT CLINICAL STUDENTS (IHE) NURSES, AUA, SURGICAL TECHS, PARAMEDIC/EMT CLINICAL STUDENTS (IHSMC) NURSING EDUCATION ROOM RESERVATIONS OBI BLOOD DRIVE AT IHEH OK PROJECT WOMAN SPONSORSHIP OKC LIGHT THE NIGHT EXECUTIVE COMMITTEE BREAKFAST OT AND OTA 100 STUDENT INTERNSHIPS JAN 1 TO JUNE 30 (IHBMC) OT AND OTA 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2023 (IHBMC) OT AND OTA 200 STUDENT INTERNSHIPS JAN 1 TO JUNE 30 (IHSMC) OT AND OTA 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31 2023 (IHSMC) PAINT ENID PINK COLOR RUN PALOMAR EVENT "SELF CARE SATURDAY" PHYSICIAN HOURS MEDICAL STUDENTS FY 24 (IHE) PHYSICIAN HOURS MEDICAL STUDENTS FY 24 (IHPCH) PHYSICIAN HOURS MEDICAL STUDENTS FY 24 (IHWH) PRE/POST CONFERENCE ROOMS RESERVED FOR CLINICAL STUDENTS PRE/POST CONFERENCE ROOMS RESERVED FOR CLINICAL STUDENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Community Benefit Report - continued (3/3)</FormAndLineReferenceDesc>
        <ExplanationTxt>PT AND PTA 100 STUDENT INTERNSHIPS JAN 1 TO JUNE 30 (IHBMC) PT AND PTA 100 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2023 (IHBMC) PT AND PTA 200 STUDENT INTERNSHIPS JAN 1 TO JUNE 30 (IHSMC) PT AND PTA 200 STUDENT INTERNSHIPS JULY 1 TO DECEMBER 31 2023 (IHSMC) RACE MEETING FOR LION HEART HALF MARATHON REFERRALS TO OKLAHOMA TOBACCO HELPLINE RESOURCE ROOM SHARPS CONTAINERS PURCHASED AND DONATED TO FREE CLINIC SLP 100 STUDENT INTERNSHIPS JAN 1 TO JUNE 30 (IHBMC) SLP 100 STUDENT INTERNSHIPS JUL 1 TO DEC 31 2023 (IHBMC) SLP 200 STUDENT INTERNSHIPS JAN 1 TO JUNE 30 (IHSMC) SLP 200 STUDENT INTERNSHIPS JULY 1 TO DEC 31 2023 (IHSMC) SOCIAL WORK INTERNSHIP SOUPERBOWL HEALTH FAIR SPANISH CANCER SUPPORT GROUP / GRUPO DE APOYO DE CANCER STANLEY HUPFELD ACADEMY BUDGET FY 2024 STITCHING FOR SANITY SUCCESSFUL BREASTFEEDING PRENATAL CLASS TENACIOUSLY TEAL SPONSORSHIP TRI CHIO QUARTERLY MEETING UNITED WAY CHILI COOK OFF WOODWARD COALITION MEETING YWCA BOARD MEETING (AMBULATORY) YWCA BOARD MEETING YWCA OUTREACH COMMITTEE MEETING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2024 TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ADVISORY BOARD FULFILLS THE NECESSARY GOVERANCE AUTHORITY FOR MEDICAL STAFF MEMBERSHIP AND QUALITY OF CARE OVERSIGHT AS REQUIRED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES CONDITIONS OF PARTICIPATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Michael Weed - Business relationship, Timothy Pehrson - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS RURAL HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS RURAL HEALTH, INC. and AS SUCH IT HAS THE POWER (1) TO CONFIRM OR DENY THE ELECTION OF EACH MEMBER OF THE BOARD OF DIRECTORS, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, (3) TO VOTE ON ALL MATTERS WHERE THE AUTHORIZATION OR APPROVAL OF THE SOLE MEMBER IS REQUIRED BY THE CERTIFICATE OF INCORPORATION, THE BYLAWS OR STATE LAW AND (4) TO SET THE FEES AND COMPENSATION, IF ANY, FOR DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE ORGANIZATION AND TO AUTHORIZE REIMBURSEMENT FOR EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS RURAL HEALTH, INC. and AS SUCH IT HAS THE POWER (1) TO CONFIRM OR DENY THE ELECTION OF EACH MEMBER OF THE BOARD OF DIRECTORS, (2) TO APPROVE OR DISAPPROVE ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AMENDING, ALTERING, CHANGING OR REPEALING THE BYLAWS, (3) TO VOTE ON ALL MATTERS WHERE THE AUTHORIZATION OR APPROVAL OF THE SOLE MEMBER IS REQUIRED BY THE CERTIFICATE OF INCORPORATION, THE BYLAWS OR STATE LAW AND (4) TO SET THE FEES AND COMPENSATION, IF ANY, FOR DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE ORGANIZATION AND TO AUTHORIZE REIMBURSEMENT FOR EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). ALL DEPARTMENT DIRECTORS COMPENSATION IS REVIEWED ANNUALLY BY THE INTEGRIS COMPENSATION DEPARTMENT OF HUMAN RESOURCES. INDEPENDENT SALARY SURVEY SOURCES FROM THIRD PARTY PROVIDERS ARE USED TO DETERMINE LOCAL AND REGIONAL FAIR MARKET COMPETITIVENESS. ADJUSTMENTS IN SALARIES BASED ON INDIVIDUAL PERFORMANCE STANDARDS OR ANY MARKET EQUITY ADJUSTMENTS ARE APPROVED BY THE RESPECTIVE VICE PRESIDENT OR MANAGING DIRECTOR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER EXPENSES - Total Expense: 46011448, Program Service Expense: 46011448, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Box C: Doing Business As Form 990, Box C: Doing Business As</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRIS Canadian Valley Regional Hospital - IRH INTEGRIS Canadian Valley Hospital INTEGRIS Family First Ankle and Foot Surgery of Enid INTEGRIS Health Canadian Valley Hospital</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>BAPTIST HEALTHCARE OF OKLAHOMA LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 10027</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KYI1001</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981060671</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>731477468</EIN>
        <PrimaryActivitiesTxt>DORMAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS HEALTH PARTNERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>453482852</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRIS CARDIOVASCULAR PHYSICIANS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3001 Quail Springs Parkway</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73134</ZIPCd>
        </USAddress>
        <EIN>462867352</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>