4A (Expenses $ 255825080 including grants of $ 14000) (Revenue $ 284784932)
INTEGRIS RURAL HEALTH, INC. (IRH) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). IRH IS A NON-PROFIT HOSPITAL THAT PROVIDES HEALTH CARE SERVICES IN RURAL AREAS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

PART V, SECTION A:
INTEGRIS RURAL HEALTH, INC. (IRH) IS A MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (INTEGRIS HEALTH SYSTEM OR SYSTEM) CONTROLLED BY INTEGRIS HEALTH, INC. AS SUCH IRH FOLLOWS CERTAIN POLICIES AND PROCEDURES ESTABLISHED AT THE SYSTEM LEVEL, MANY OF WHICH ARE DESCRIBED BELOW.

PART V, SECTION B, LINE 7A AND LINE 10A:
HTTPS://INTEGRISOK.COM/ABOUT-INTEGRIS/SERVING-OUR-COMMUNITY/REPORTS

PART V, SECTION B, LINE 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: INTEGRIS BASS BAPTIST HEALTH CENTER, - FACILITY 2: INTEGRIS CANADIAN VALLEY HOSPITAL, - FACILITY 3: INTEGRIS GROVE HOSPITAL, - FACILITY 4: INTEGRIS MIAMI HOSPITAL, - FACILITY 5: INTEGRIS BASS PAVILION

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:
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. ETHNICITIES INPUT WAS OBTAINED FROM SURVEYS BY TARGETING POPULATION GATHERING PLACES SUCH AS COMMUNITY CLINICS, CHURCHES, AFTER SCHOOL PROGRAMS, AND PUBLIC TRANSPORTATION SERVICES.

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D:
THE CHNA IS WIDELY AVAILABLE TO THE COMMUNITY. THE PLANS WERE ALSO ADDED TO EACH FACILITY'S WEBSITE AND CLEARLY TITLED. THE PLANS WERE ALSO DISTRIBUTED TO ADMINISTRATION, LOCAL BOARDS AT COMMUNITY FORUMS, COALITIONS, OTHER LOCAL AGENCIES AND ORGANIZATIONS. COPIES OF THE PLAN WERE PLACED IN EACH FACILITY'S ADMINISTRATION OFFICES FOR DISTRIBUTION AS WELL.

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:
THE CHNA PROCESS ASSISTED IN DETERMINING AVAILABLE RESOURCES, GAPS IN SERVICES, AND BOTH PERCEIVED AND ACTUAL NEEDS WITHIN THE INTEGRIS 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 CENTERACCESS 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.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.

SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED
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.

PART I, LINE 6A:
INTEGRIS HEALTH INC. 73-1192764, THE PARENT ORGANIZATION OF IHE, PRODUCES A CONSOLIDATED COMMUNITY BENEFIT REPORT THAT IS MADE AVAILABLE TO THE PUBLIC.

PART I, LINE 7:
COSTING METHODOLOGY: THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF CHARITY ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON PART 1, LINE 7. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSE OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY-BUILDING PROGRAMS AND PARTNERSHIPS.

PART III, LINE 2:
COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 19.15%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.

PART III, LINE 3:
IRH DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.

PART III, LINE 4:
IRH DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF INTEGRIS HEALTH, INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:A PORTFOLIO APPROACH BY MAJOR PAYOR CATEGORIES AND TYPES OF SERVICE WAS USED TO ESTIMATE THE HISTORICAL COLLECTIONS EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED AT LEAST QUARTERLY BASED ON ACTUAL COLLECTIONS EXPERIENCE.INTEGRIS HEALTH BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WAS USED. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE ASSESSED FIRST FOR ELIGIBILITY FOR CHARITY CARE OR RECORDED AS BAD DEBT EXPENSE.

PART III, LINE 8:
COMMUNITY BENEFIT: ------------------------------THE HOSPITAL BELIEVES THAT ALL OF THE $1,296,956 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH OUR COST EXCEEDS REIMBURSEMENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING ELDERLY IN OUR COMMUNITY. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO AND THE MEDICARE FILED COST REPORT.

PART III, LINE 9B:
PATIENTS MAY, AT ANY TIME DURING THE COLLECTION CYCLE, SUBMIT FINANCIAL INFORMATION FOR FINANCIAL ASSISTANCE OR CHARITY CONSIDERATION PURSUANT TO INTEGRIS POLICY SYS-RCM-100 CHARITY SERVICES. ALL AVAILABLE AVENUES OF ASSISTANCE AND AVAILABLE PAYMENTS FROM THIRD PARTY PAYORS MUST BE EXHAUSTED BEFORE SUCH ASSISTANCE FOR CHARITY OR OTHER FINANCIAL ASSISTANCE IS CONSIDERED. IRH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.

PART VI, LINE 2:
"INTEGRIS HEALTH UTILIZES A VARIETY OF TOOLS TO DETERMINE THE HEALTH CARE NEEDS OF OUR COMMUNITIES. THESE INCLUDE PARTNERSHIPS WITH LOCAL COMMUNITY AGENCIES AND ORGANIZATIONS TO DETERMINE SPECIFIC TARGET MARKET NEEDS, PROGRAM SURVEYS AN COMMUNITY FOCUS GROUPS, PROGRAMS 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 THEE MATERIALS FOR ISSUES CONCERNING ACCESS TO HEALTHCARE, 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 SOT HEATH CARE FACILITIES. INTEGRIS HEALTH UTILIZES OUR HEALTH SYSTEM RESOURCES, FACILITIES AND PERSONNEL FOR MANY OF THESE PROGRAMS, BUT ALSO PARTNERS WITH OUR COMMUNITIES AND DEVELOPS COLLABORATIONS WITH LOCAL NON-PROFIT AGENCIES, CIVIC ORGANIZATIONS, SCHOOLS, AND CHURCHES TO IMPROVE THE ISSUES IDENTIFIED."

PART VI, LINE 6:
IRH IS A MEMBER OF INTEGRIS HEALTH SYSTEM, OF WHICH INTEGRIS HEALTH, INC. IS THE CONTROLLING MEMBER. INTEGRIS HEALTH SYSTEM IS AN OKLAHOMA HEALTH CARE SYSTEM WHICH SUPPORTS THE COMMUNITY NEEDS ACROSS THE STATE. THE MISSION OF INTEGRIS HEALTH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. OTHER FACILITIES OF THE TAXPAYER ARE LISTED ON SCHEDULE H, PART V AND THE FACILITIES OF OTHER TAXPAYERS ARE LISTED ON THE SCHEDULE H OF THEIR RESPECTIVE FORMS 990. SEE SCHEDULE O FOR ADDITIONAL INFORMATION REGARDING THE INTEGRIS HEALTH SYSTEM.

SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT
ALL STATES WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:OK

PART VI, LINE 3:
INTEGRIS HEALTH USES A MULTI-FACETED APPROACH TO EDUCATE OUR PATIENTS ON THE AVAILABILITY OF CHARITY AS WELL AS STATE AND FEDERAL FINANCIAL ASSISTANCE. THIS INCLUDES: *POSTERS CLEARLY DISPLAYED IN EVERY PATIENT REGISTRATION AREA SPEAKING TO OUR FINANCIAL ASSISTANCE PROGRAMS. *A FINANCIAL RIGHTS AND RESPONSIBILITY BROCHURE GIVEN TO EVERY PATIENT AT THE TIME OF THEIR REGISTRATION WHICH PROVIDES FINANCIAL ASSISTANCE PROGRAM DETAILS. *A CLEARLY MARKED PRESENCE ON THE INTEGRIS HEALTH ON-LINE BUSINESS OFFICE WEBSITE WITH A SECTION DEVOTED TO FINANCIAL ASSISTANCE PROGRAM DETAILS AS WELL AS AN ONLINE CHARITY APPLICATION. *A DESCRIPTION OF THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS THE APPLICATION PROCESS IS INCLUDED ON EVERY PATIENT BILL. FINANCIAL COUNSELORS MEET WITH PATIENTS TO IDENTIFY ELIGIBILITY FOR FEDERAL AND STATE ASSISTANCE PROGRAMS.

PART VI, LINE 4:
INTEGRIS HEALTH SYSTEM IS THE STATE'S LARGEST OKLAHOMA-OWNED HEALTH CARE SYSTEM AND ONE OF THE STATE'S LARGEST PRIVATE EMPLOYERS, WITH HOSPITALS, REHABILITATION CENTERS, PHYSICIAN'S CLINICS, MENTAL HEALTH FACILITIES, CANCER CENTERS, INDEPENDENT LIVING CENTERS, AND HOME HEALTH AGENCIES THROUGHOUT MOST OF THE STATE. ALL COUNTIES IN WHICH INTEGRIS HEALTH OPERATES INCLUDE ONE OR MORE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. INTEGRIS BASS BAPTIST HEALTH CENTER INTEGRIS BASS BAPTIST HEALTH CENTER IS LOCATED IN ENID, OKLAHOMA, WHICH IS THE COUNTY SEAT OF GARFIELD COUNTY IN NORTH CENTRAL OKLAHOMA. INTEGRIS BASS BAPTIST HEALTH CENTER HAS SERVED ENID AND THE SURROUNDING AREA LONGER THAN ANY OTHER GENERAL HOSPITAL, HAVING BEEN FOUNDED IN 1910. THE CAMPUS OFFERS 207 LICENSED BEDS THROUGHOUT THREE FACILITIES. INTEGRIS CANADIAN VALLEY HOSPITAL INTEGRIS CANADIAN VALLEY HOSPITAL IS LOCATED IN YUKON, OKLAHOMA WHICH IS IN CANADIAN COUNTY IN CENTRAL OKLAHOMA. THE HOSPITAL OPENED IN 2011 AND OFFERS A 75-BED PRIMARY CARE FACILITY WITH A FULL RANGE OF SERVICES, AND SERVES SURROUNDING CITIES INCLUDING EL RENO, UNION CITY, MUSTANG, OKARCHE AND PIEDMONT. INTEGRIS GROVE HOSPITAL INTEGRIS GROVE HOSPITAL IS LOCATED IN GROVE, OKLAHOMA, WHICH IS IN DELAWARE COUNTY IN NORTHEASTERN OKLAHOMA. THE CAMPUS OFFERS 58 LICENSED BEDS AND SERVES AS A BEACON FOR QUALITY HEALTH CARE FOR NORTHEAST OKLAHOMA, NORTHWEST ARKANSAS AND SOUTHWEST MISSOURI. INTEGRIS MIAMI HOSPITAL INTEGRIS MIAMI HOSPITAL IS LOCATED IN MIAMI, OKLAHOMA, WHICH IS IN OTTAWA COUNTY IN NORTHEASTERN OKLAHOMA. THIS FACILITY HAS 117 LICENSED BEDS AND OPENED ON JULY 1, 1919. INTEGRIS MIAMI HOSPITAL SERVES NORTHEAST OKLAHOMA AND THE ADJACENT BORDER AREAS OF KANSAS AND MISSOURI. INTEGRIS BASS PAVILION INTEGRIS BASS PAVILION IS LOCATED IN ENID, OKLAHOMA, WHICH IS THE COUNTY SEAT OF GARFIELD COUNTY IN NORTH CENTRAL OKLAHOMA. THE HOSPITAL TREATS PATIENTS WITH SERIOUS AND OFTEN COMPLEX MEDICAL CONDITIONS SUCH AS RESPIRATORY FAILURE, NEUROMUSCULAR DISORDERS, CARDIAC DISORDERS, NON-HEALING WOUNDS AND ANY MEDICAL COMPLICATIONS REQUIRING ACUTE CARE FOR AN EXTENDED PERIOD OF TIME. THE HOSPITAL IS A 24-BED FACILITY HOUSED ON THE SECOND FLOOR OF INTEGRIS BASS PAVILION.

PART VI, LINE 5:
EVIDENCE OF THE ORGANIZATIONS' RESPONSIVENESS TO THE COMMUNITY, INCLUDING OPPORTUNITIES FOR COMMUNITY INVOLVEMENT IN GOVERNANCE AND ADVISORY 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 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 AND EDUCATIONS. 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 HAS ESTABLISHED THE INTEGRIS HEALTH COMMUNITY GIVING FUND GRANT TARGETING THE THREE PRIORITIZED HEALTH AREAS. INTEGRIS HEALTH'S 2023-2025 COMMUNITY HEALTH PRIORITIES ARE ACCESS TO CARE (INCLUDING MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION MANAGEMENT), ACCESS TO HEALTHY FOOD, AND TOBACCO USE PREVENTION, THROUGH RISK REDUCTION AND BEHAVIOR CHANGE, SCREENING, AND TREATMENT STRATEGIES. EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS OR CREATE ACCESS TO COMPREHENSIVE MEDICAL CARE CONTINUE TO BE A PRIORITY OF THE COMMUNITY GIVING FUND. IN ORDER TO QUALIFY FOR GRANT FUNDING, THE PROGRAM OR SERVICE MUST ALIGN WITH ONE OR MORE OF THE FOLLOWING HEALTH PRIORITIES AND PROVIDE EVIDENCE-BASED DATA TO SUPPORT THE PROGRAM STRATEGIES (REPORTED QUARTERLY TO INTEGRIS HEALTH DURING THE GRANT YEAR): ACCESS TO CARE (INCLUDES MENTAL HEALTH, OBESITY AND CHRONIC DISEASE PREVENTION/MANAGEMENT)-IMPROVE ACCESS TO MEDICAL CARE SERVICES, BEHAVIORAL; HEALTH, OR SUBSTANCE USE TREATMENT. IMPROVE THE PREVENTION, DETECTION, TREATMENT AND/OR MANAGEMENT OF DEPRESSION, AND REDUCE THE SUICIDE RATES. ACCESS TO HEALTHY FOOD-IMPROVE ACCESS TO HEALTHY AND AFFORDABLE FOOD AND KNOWLEDGE OF HEALTHY FOOD AND LIFESTYLE CHOICES. TOBACCO USE-REDUCE VAPING, ELECTRIC CIGS, TOBACCO USE AND SECONDHAND SMOKE EXPOSURE.INTEGRIS HEALTH PARTNERS WITH LOCAL CIVIC GROUPS, SUCH AS OUR CHAMBERS OF COMMERCE, 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. INTEGRIS HEALTH WORKS WITH THE OKLAHOMA HOSPITAL ASSOCIATION, THE OKLAHOMA STATE MEDICAL ASSOCIATION, THE HEALTH 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 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 HEALTH HAS BEEN ABLE TO HELP SLOWLY IMPROVE THE ACCESS TO HEALTHCARE 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.