Integris Rural Health Inc.

“Form 990, box c: doing business as integris bass baptist health center integris grove general hospital integris baptist regional health center trinity lifecare advanced home health advanced home health care community links integris canadian valley regional hospital - irh integris canadian valley hospital”

“PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INTEGRIS RURAL HEALTH, INC. (IRH) OPERATES THE FOLLOWING HOSPITALS IN OKLAHOMA: INTEGRIS CANADIAN VALLEY HOSPITAL, INTEGRIS BAPTIST REGIONAL HEALTH CENTER, INTEGRIS BASS BAPTIST HEALTH CENTER, AND INTEGRIS GROVE HOSPITAL, WHICH ARE ALL PART OF THE INTEGRIS HEALTH SYSTEM. IRH PROVIDES AMOUNTS OF UNCOMPENSATED SERVICES. UNCOMPENSATED SERVICES ARE THE COSTS OF PROVIDING FREE AND REDUCED COST CARE, WHICH INCLUDES CHARITY CARE AND UNPAID COSTS OF MEDICAID PROGRAMS. AS NOT-FOR PROFIT HOSPITALS, IRH PROVIDES SERVICES TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE COVERAGE. THUS, IT PROVIDES A MUCH-NEEDED SAFETY NET FOR MEMBERS OF THE IRH COMMUNITY WHO WOULD OTHERWISE HAVE NO ACCESS TO MEDICAL CARE. CHARITY CARE COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH PROVIDED CHARITY CARE OF $5,476,260. IRH ALSO PROVIDES CARE TO PATIENTS WHO QUALIFY FOR MEDICAID PROGRAMS FOR WHICH THE ORGANIZATION RECEIVES INADEQUATE PAYMENTS. UNPAID COSTS OF MEDICAID PROGRAMS REFLECT THE DIFFERENCE BETWEEN COSTS TO PROVIDE PATIENT CARE SERVICES AND THE RATE AT WHICH THE HOSPITAL IS REIMBURSED. MEDICAID COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH'S UNPAID COSTS OF MEDICAID PROGRAMS EQUALED $1,191,541. IN ADDITION, IRH BAD DEBT COSTS ARE BASED ON THE OVERALL HOSPITAL COST TO CHARGE RATIOS. IRH's BAD DEBT COSTS WERE $6,686,426. IRH ALSO DID SEVERAL COMMUNITY BENEFIT FUNCTIONS DURING THE YEAR. THESE INCLUDED HEALTH FAIRS, FLU SHOT CLINICS, MENTORING AT SCHOOLS, ETC. FOR ADDITIONAL DETAILS REGARDING COMMUNITY BENEFITS, SEE THE ATTACHED COMMUNITY BENEFIT REPORT ON SCHEDULE O BEGINNING WITH STATEMENTS 3 THROUGH 6.”

“Part iii, line 4a: community benefit report looking back at 2014 as i reflect on 2014 - i find myself proud of the collective accomplishments of integris. Already oklahoma's largest health care system, our strong growth continued last year with new provider facilities opening in oklahoma city, moore, enid and vinita. Expansions are underway in edmond and yukon with even more locations planned this year. Integris continues to invest millions to help ensure our facilities and technology offerings are state-of-the-art. We employ - and continually recruit - the finest physicians, clinicians and other professionals to expand our care continuum to meet our customers' needs. Hundreds of thousands of oklahomans are healthier today, thanks to the excellent care integris provides, and we are working every day to make access to integris care even easier. Frankly, it is impossible to list all the accomplishments; however, 2014 was a year of strong successes for integris as an organization. Our gains have been strategic and reflect our deliberate focus on service, clinical, operational and team excellence and our continued momentum toward one integris. These are a few highlights during the past year for which i am most proud. * achievement of the oklahoma quality award at the highest level: excellence * the strong and consistently upward trend of our hcahps and patient satisfaction scores * distinctions such as us news & world report #1 hospital, consumer research corporation's consumer choice winner, healthgrades top performer, becker's top 100, women's choice award winner and press ganey guardian awards * leading practices designation for our hospitals, family care clinics, facility cafeterias - even the oklahoma city public charter school, stanley hupfeld academy, that integris operates - all recognized and designated as official oklahoma certified healthy locations * record-setting united way and the integris foundation's you&i campaigns as i reflect back, i become so energized by our successes of 2014 - and the opportunities we have created for ourselves - that i begin to focus on the even more exciting possibilities for 2015: working together with our employees to make it our most successful year ever! Sincerely, bruce lawrence president and ceo, integris health community outreach service to the community is the foundation on which integris is built; our focus and our reason for being. That's precisely why the integris community wellness department was established in 1992. Research shows that oklahomans are dying at a rate 22 percent higher than the national average. In order to address these health related concerns, our outreach programs include free clinics, health screenings, educational seminars and a wide range of other programs. Adopt-a-family launched in 1992, integris health's adopt-a-family initiative identifies families and individuals within our community who may not receive gifts during the holiday season. Employees, volunteers and departments join together in the spirit of giving and adopt recipients who have been selected from several elementary schools, senior centers and churches as well as patients at the integris mental health facilities in spencer and enid. On average, adopt-a-family sponsors more than 100 families, senior citizens and children annually. For more information, call 405-717-9870. Changing your weighs this eight-week weight loss program was developed and is taught by health professionals. As the name implies, the program focuses on losing weight through lifestyle changes. This program is educational in nature and includes practical tips for choosing a calorie balanced style of eating in conjunction with increasing physical activity. Special emphasis is placed on setting realistic goals, and adopting lifestyle habits that reduce health risks. Changing your weighs is a no-nonsense approach to life-long weight management. For more information, call 405-717-9875. Couch to 5k this is an eight-week program”

“Part iii, line 4a: community benefit report continued integris baptist medical center, oklahoma city * aces cancer support group * adjunct faculty for respiratory therapy/employee participation * aids walk * alzheimer's support group * american cancer society * angel flight/employee participation * annual social work conference * autism support group * back to school screenings * bagcraft health fair * bayer oncology super colon event * blood drive * blood pressure screenings * cancer connections newsletter * cancer tumor registry * caregiver grief program * celebration of life * central oklahoma turning point/employee participation * cit officer training * city of miami health fair * coalition of advocates events * community cancer screenings * day of dance * defibrillator for elk city public schools * delaware county health fair * diabetes education classes * donation to mercy foundation for breast cancer survivors * downstream health fair * emergency medical services for area sporting and community events * emotional wellness center/employee participation * family builders of oklahoma/employee participation * fighting addiction through education/employee participation * firefighter cardiovascular screenings * fit panel discussion/employee participation * great plains graduation/meeting space provided * grief support groups * health alliance for the uninsured/employee participation * heartscan donations * high risk genetics * hopkins manufacturing health fair * hospice webinars * indigo sky health fair * infant crisis services/employee participation integris baptist regional health center, miami * j&m farms health fair * komen race for the cure * leukemia/lymphoma light the night event * lgbt12 conference/employee presentation * look good, feel better cancer support group * lunch & learn presentations * meals on wheels * medical students * mental health association of central oklahoma/employee participation * mental health presentations * mental illness awareness * miami public schools health fair * military family listening conference * multi-disciplinary cancer clinics/meeting space provided * national alliance on mental health * national prevention network conference * nursing student rotations * occupational therapy student rotations * ok health sciences center/employee participation * oklahoma blood institute board/employee participation * oklahoma health care authority/employee participation * oklahoma health improvement committee/employee participation * oklahoma psychiatric hospital association/employee participation * oklahoma state board of health/employee participation * organ donation education * ottawa county senior fair * out of the darkness suicide prevention * paramedic student rotations * pharmaceutical assistance program * physical therapy internship * physical therapy student rotations * positive directions mentoring program * presentations by cardiologists * promise trial * radiology student rotations * regional food bank drive * rehab student rotations * respiratory student rotations * southwestern university practicum program/employee participation * specialized outpatient services board/employee participation * speech pathology internships * sunbeam family services/employee participation * surgery student rotations * tornado disaster relief * turkey toss * united way partner agency fair/meeting space provided * us too prostate cancer support group * vein screenings * welch state bank health fair * wellness now/employee participation integris bass baptist health center, enid * 4rkids event * american cancer society/relay for life * be fit kids/buzz run * breast cancer support group * cardiac pulmonary support group * cdsa board of directors/employee participation * cdsa capital campaign pledge * child advocacy council/employee participation * cholesterol screenings * city safety fair * civitan club/special olympics * community health fair * diabetes support group * enid ambucs * enid community clinic *”

“Part iii, line 4a: community benefit report continued hispanic initiative hispanics are the nation's largest minority group and will comprise 20 percent of the u.s. Population in 2020. The integris hispanic initiative was created in 2003 to address some of the specific needs of oklahoma's booming hispanic population. Cancer support group/grupo de apoyo de cncer integris health was the first health care organization in oklahoma city to offer a cancer support group in spanish. The whole family support group began meeting in august 2004 with three members and has grown to more than 75 members. The support group sessions, led by cancer patients and care-partners, are designed to respond to the informational needs of cancer patients and their families as well as provide emotional support. This support group is unique in the sense that it provides spanish speakers the opportunity to share their thoughts, concerns and fear with other cancer patients and survivors. Sessions are offered free of charge to anyone in the community affected by cancer as a patient or family member. Participants meet monthly at the integris cancer institute at integris southwest medical center. For more information, call the integris healthline at 888-951-2277, press #2 for spanish, or visit vivaintegris.com. Citizenship, ged and esl classes in partnership with the adult learning center we offer ged and esl classes twice a week in the evening and citizenship classes in the morning on weekends. These classes are part of the effort to better serve our people and give them the tools to become better citizens and stewards in their own communities. For more information, call the integris healthline at 888-951-2277, press #2 for spanish, or visit vivaintegris.com. Computer classes a series of four classes once a week is offered, for participants to learn the basics of computer literacy in order to access the world of technology and be able to participate in the different online classes. For more information, call the integris healthline at 888-951-2277, press #2 for spanish, or visit vivaintegris.com. Diabetes focus groups/focos de educacin de diabetes the group meets every third thursday. Participants are required to attend six sessions that include diabetes generalities, use of a glucose monitor, nutrition, exercise, medication, and diabetic feet and other complications. New patients receive a "diabetic kit." this class helps people with diabetes to understand their chronic condition and take charge of their care. Classes are led by a registered dietitian and diabetic specialists. For more information, call the integris healthline at 888-951-2277, press #2 for spanish, or visit vivaintegris.com. Grief series/prdida, dolor, recuperacin this five week program provides information and support for those who have experienced the loss of a loved one through death. Participants receive information about normal grief responses and practical tools to help support them with their own unique experience of loss and recovery. The group sessions are held at integris southwest medical center. For more information, call the integris healthline at 888-951-2277, press #2 for spanish, or visit vivaintegris.com. Health promotors/promotoras de salud a large number of medically at-risk hispanics are unable to deal with their health problems effectively. Barriers include language, transportation, poverty, lack of health insurance coverage or being uninsured, and immigration status. Many do not have a medical home or a relationship with a primary health care provider. The integris hispanic initiative offers a layperson health promoter program for the hispanic community, "promotoras de salud - bienestar comunitario." the health promoter program is an innovative way of transmitting health information to targeted neighborhoods, in this case hispanics, bringing immigrants into care and increasing their education on health issues. Through promotoras de salud - bienestar comunitario, our lay”

“Part iii, line 4a: community benefit report continued weight loss challenge/gane perdiendo twelve weeks challenge to learn and adopt a healthy lifestyle: nutrition, exercise and stress management are the key components of this weight loss challenge as well as information and classes about health related issues. Weekly sessions on health topics including nutrition, mental health, healthy weight and active lifestyle, combined with introduction to diverse exercise modalities such as walking, chair exercise, resistance band and zumba, motivate participants to stay active and live healthier. Our weight loss challenge for adults is held during the months of february to april and the version of the program for children, move for life, goes on from september through november every year. For more information, call the integris healthline at 888-951-2277, press #2 for spanish, or visit vivaintegris.com. Senior services integris third age life center one of the leading senior information and referral assistance centers in oklahoma, third age life center has been providing a broad variety of services for older adults since 1986. Integris third age life center educational programs integris third age life center provides opportunities for involvement and continued growth for anyone 50 years of age or older enjoying the third age of life. A variety of educational programs are offered ranging from discussions by integris health professionals to defensive driving classes conducted by aarp to seminars on topics of special interest to the older adult including nutrition, fitness, legal issues, health concerns and more. Other options include classes in computer and spanish language instruction. For more information, call 405-717-9821 or visit online at integrisok.com/thirdagelife. Ask a dietitian consultation with a registered dietitian is offered free of charge to integris third age life center participants. This community service focuses on general nutrition questions and is not intended as a substitute for therapeutic diets or medical nutrition therapy. For more information, call 405-717-9821 (north office) or 405-644-5140 (south office) or visit online at integrisok.com/thirdagelife. Caregiver support group in cooperation with the alzheimer's association, integris third age life center facilitates a caregiver support group that meets twice a month. If you are a caregiver of an individual with alzheimer's or related dementia, this group may provide just the support that is needed. For more information, call 405-717-9821 or visit online at integrisok.com/thirdagelife. Eat well, move more, be well this program is aimed at helping older adults choose wholesome foods and adopt a more active lifestyle. Taking steps to achieve a healthier body weight is important, but those who are 65 years of age and older should strive to make changes gradually. Eat well, move more, be well is a four-session program taught by a registered dietitian and exercise physiologist. Nutrition recommendations focus on choosing a calorie-balanced diet with a particular emphasis on a heart-healthy eating pattern. Exercise tips also focus on increasing physical activity in an age-appropriate fashion including recommendations for reducing the risk of falling, strength conditioning and enhancing balance and coordination skills. For more information, call 405-717-9875. Faye donalson hearing helpers demonstration room housed at integris third age life center, the faye donalson hearing helpers demonstration room contains a vast array of devices designed to help people cope with hearing loss. These devices are available for you to examine and determine what works best. Ordering information and catalogs are also available. For more information, call 405-717-9820 for voice and tty communication. Fitness classes there is something for every fitness level at integris third age life center. Regular exercise will increase strength, flexibility, the immune system and more. Whether senior”

“Part v: question 1a and 2a part v: question 1a - integris health, inc., as the parent entity of the integris health system, pays all vendors for services provided to all entities within the system. Accordingly, compensation paid to independent contractors is reported on the form 1096, annual summary and transmittal of u.s. Information returns of integris health, inc., ein 73-1192764. Expenses are allocated to and reimbursed by individual entities within the system, and reported on their respective forms 990, part vii, section b and part ix, as appropriate. Part v: question 2a - the salaries reflected on form 990, part ix, line 7, were all reported on the form 941 employer's quarterly federal tax return, of integris health, inc.,ein 73-1192764. These salaries were reimbursed to integris health, inc. And were included in the number of employees on integris health, inc.'s form w-3. The number of employees reported on part v, line 2a represents the number of full time employees, as determined by fte hours worked, for the filing organization during the 2013 tax year.”

“Part vi: section a. Governing body and management part vi: question 2 - the filing organization is a member of an integrated healthcare system controlled by integris health, inc. (system). The following officers and directors of the filing organization have a business relationship with one another by virtue of their positions as officers, directors, or employees of related entities within the system: c. Bruce lawrence jim briggs richard l. Hromas dennis luckinbill chris hammes edward herrman wentz miller david hadley james d. Moore beth a. Pauchnik j. Steve grigsby”

“Part vi: section a. Governing body and management part vi: questions 6, 7a and 7b - integris health, inc. Is the sole member of integris rural health, inc. As such it has the power (1) to confirm or deny the election of each member of the board of directors, (2) to approve or disapprove any action taken by the board of directors amending, altering, changing or repealing the bylaws, (3) to vote on all matters where the authorization or approval of the sole member is required by the certificate of incorporation, the bylaws or state law and (4) to set the fees and compensation, if any, for directors and members of the committees of the organization and to authorize reimbursement for expenses.”

“Part vi: section b. Policies part vi: question 11b - the organization is a member of an integrated healthcare system controlled by integris health, inc. (system). The system has a single audit compliance committee which oversees the consolidated financial statement audit as well as the filing of federal and state tax forms. The system engages a paid preparer experienced in the preparation of form 990 to prepare the form. A draft form 990 is provided to the system vice president of financial reporting for review. A final form 990 is given to the system chief financial officer for review, approval, and signature. The final form 990 is made available to the organization's board of directors, as well as to the system's audit/compliance committee, for review prior to filing the return.”

“Part vi: section b. Policies part vi: question 12c - the filing organization is a member of an integrated healthcare system controlled by integris health, inc. (integris or system). Conflict of interest is addressed in the integris code of conduct. All system employees receive training during new employee orientation and are instructed to report any possible conflicts, to refer any conflict of interest questions to the system's compliance officer or through the anonymous integrity line. All new managers receive additional training on conflict of interest policies during leadership training. Legal services reviews all contracts for conflicts of interest. Internal audit conducts audits for possible conflicts of interest based on their annual risk assessment. Corporate compliance includes assessments for conflicts of interest in its annual work plan and conducts specialized training for high risk areas. The governance committee, a committee of the integris health board comprised of independent board members, reviews and approves any and all proposed business transactions between any entity of integris and a disqualified person.”

“PART VI: SECTION B. POLICIES PART VI: QUESTION 15A and 15B - THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS OR SYSTEM). COMPENSATION FOR THE CEO, MANAGING DIRECTORS AND VICE PRESIDENTS IS ANALYZED BY AN INDEPENDENT HEALTH CARE CONSULTING FIRM. THE ANALYSIS INCLUDES A FAIR MARKET VALUE ASSESSMENT AND ESTABLISHMENT OF A RANGE FOR EACH POSITION BASED ON RESEARCH OF COMPARABLE HEALTH CARE SYSTEMS OF SIMILAR SIZE. THE REPORT AND RECOMMENDED COMPENSATION LEVELS FOR EACH EXECUTIVE MANAGEMENT POSITION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE INTEGRIS HEALTH BOARD OF DIRECTORS AND ULTIMATELY THE FULL BOARD OF DIRECTORS. THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REFLECTS A REVIEW OF THE COMPARABILITY DATA, THE EXECUTIVE PERFORMANCE REVIEWS AND THE DECISION-MAKING PROCESS.”

“Part vi: section c. Disclosure part vi: question 19 - the organization does not make its financial statements, governing documents and conflicts of interest policy available to the public. However, the financial statements of the organization are included in the consolidated financials for integris health, inc., a related corporation. These consolidated financials are disclosed for bond compliance purposes using digital assurance certification.”

“Part vii: section b. Independent contractors diagnostic laboratory reference lab $8,027,434 of oklahoma, llc 225 n.e. 97th street oklahoma city, ok 73114 grand lake regional cardiology $4,172,416 cardiology, llc services p.o. Box 452438 grove, ok 74345-2438 emergency management physician $1,653,714 midwest, inc. Services p.o. Box 634850 cincinnati, oh 45263-4850 anesthesia medical anesthesiology and $1,028,150 professionals crna services p.o. Box 1540 edmond, ok 73083-1540 diamond healthcare corp. Physician services/ $ 957,417 p.o. Box 85050 management richmond, va 23285-5050”

“Part x, line 20 integris rural health, inc. (irh) has reported a liability for tax exempt bonds in part x, line 20 because it is a member of an obligated group of related organizations responsible for repayment of certain bonds. The detail for these bonds are reported on the form 990, schedule k of integris baptist medical center, inc.(ein:73-1034824). The amounts reported in part x represent irh's allocated share of those bonds.”

“Part xi: reconciliation of net assets, line 9 loss from integris health foundation, inc. - sfas 136 ($204,231) change in value of split-interest agreement ($ 5,733) ---------- ($209,964)”