The integrated health care delivery system (IDS) provided by Bureau of National Health Insurance is one of the effective way for solving the shortage of health care professionals and equipments in rural mountain and outlying islet areas in Taiwan. In this review, we use three types of workforce flexibilities, functional flexibility, numerical flexibility, and financial flexibility, to discuss about the special supportive programs in IDS's operation. The findings indicate that a supportive hospital with good management mechanism can offer satisfied health care services for rural areas residents by financial flexibility, and these findings also can be used by the next supportive hospitals and health insurance payment policies.