Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $886,392

• 1e · Government grants (contributions)

  $78,832,890

• 1g · Noncash contributions included above

  $324,012

• 2a · Program service revenue: AFFILIATED SERVICE REVENUE

  total $293,357,517 · related or exempt $293,357,517

• 2b · Program service revenue: MANAGEMENT FEES

  total $26,706,196 · related or exempt $26,706,196

• 2c · Program service revenue: RENTAL INCOME

  total $9,646,001 · related or exempt $9,646,001

• 2d · Program service revenue: TELEHEALTH SERVICES

  total $5,134,796 · related or exempt $5,134,796

• 2e · Program service revenue: CHILDREN'S PLACE

  total $2,628,535 · excluded $2,628,535

• 2f · All other program service revenue

  total $6,891,813 · related or exempt $6,891,813 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $8,545,490 · excluded $8,545,490

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7a · Gross sales of assets other than inventory

  securities $799,693

• 7c · Gain or loss

  securities $799,693 · other assets $0

• 7d · Net gain or loss

  total $799,693 · excluded $799,693

• 11a · Other revenue: MISC. REVENUE

  total $3,861,469 · related or exempt $3,861,469

• 11b · Other revenue: DISCOUNTS ON PURCHASES

  total $418,365 · excluded $418,365

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $4,279,834

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $55,750 · program services $55,750

• 2 · Grants to domestic individuals

  total $0 · program services $0

• 3 · Grants to foreign organizations and individuals

  total $0 · program services $0

• 4 · Benefits paid to or for members

  total $0 · program services $0

• 5 · Compensation of officers, directors and key employees

  total $10,734,522 · program services $6,086,812 · management and general $4,647,710

• 7 · Other salaries and wages

  total $116,293,454 · program services $65,942,045 · management and general $50,351,409

• 8 · Pension plan contributions

  total $9,947,867 · program services $5,640,753 · management and general $4,307,114

• 9 · Other employee benefits

  total $24,475,615 · program services $13,878,443 · management and general $10,597,172

• 10 · Payroll taxes

  total $8,746,959 · program services $4,959,801 · management and general $3,787,158

• 11b · Fees: legal

  total $2,684,613 · program services $1,522,260 · management and general $1,162,353

• 11c · Fees: accounting

  total $1,721,447 · program services $976,115 · management and general $745,332

• 11g · Fees: other

  total $13,170,996 · program services $1,053,680 · management and general $12,117,316 · fundraising $0

• 12 · Advertising and promotion

  total $7,839,149 · program services $4,445,044 · management and general $3,394,105

• 13 · Office expenses

  total $14,758,285 · program services $8,368,412 · management and general $6,389,873

• 16 · Occupancy

  total $5,155,675 · program services $2,923,430 · management and general $2,232,245

• 17 · Travel

  total $1,035,249 · program services $587,019 · management and general $448,230

• 19 · Conferences, conventions and meetings

  total $2,164,984 · program services $1,227,614 · management and general $937,370

• 20 · Interest

  total $2,963,666 · program services $1,680,492 · management and general $1,283,174

• 22 · Depreciation, depletion and amortization

  total $36,842,214 · program services $20,890,694 · management and general $15,951,520

• 23 · Insurance

  total $19,412,098 · program services $11,007,270 · management and general $8,404,828

• 24a · Other expenses: PURCHASED SERVICES

  total $162,203,983 · program services $91,974,759 · management and general $70,229,224

• 24b · Other expenses: RIF & RECRUITMENT

  total $429,480 · program services $243,529 · management and general $185,951

• 24e · All other expenses

  total $3,965,434 · program services $2,248,526 · management and general $1,716,908 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $7,044,635 · end of year -$1,961,159

• 2 · Savings and temporary cash investments

  beginning of year $50,221,204 · end of year $20,924,218

• 3 · Pledges and grants receivable

  beginning of year $0

• 4 · Accounts receivable

  beginning of year $14,619,821 · end of year $40,248,305

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0

• 8 · Inventories for sale or use

  beginning of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $23,284,296 · end of year $33,783,443

• 10a · Land, buildings and equipment: cost or other basis

  $649,412,077

• 10b · Land, buildings and equipment: accumulated depreciation

  $465,556,930

• 10c · Land, buildings and equipment, net

  beginning of year $189,674,126 · end of year $183,855,147

• 11 · Investments: publicly traded securities

  beginning of year $0

• 12 · Investments: other securities

  beginning of year $161,600,537 · end of year $152,080,000

• 13 · Investments: program-related

  beginning of year $1,714,665,628 · end of year $1,714,663,288

• 14 · Intangible assets

  beginning of year $0

• 15 · Other assets

  beginning of year $54,485,469 · end of year $76,151,840

• 17 · Accounts payable and accrued expenses

  beginning of year $478,647,840 · end of year $434,731,240

• 18 · Grants payable

  beginning of year $0

• 19 · Deferred revenue

  beginning of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0

• 25 · Other liabilities

  beginning of year $207,829,796 · end of year $233,738,169

• 27 · Net assets without donor restrictions

  beginning of year $1,529,118,080 · end of year $1,551,275,673

• 28 · Net assets with donor restrictions

  beginning of year $0

• 29 · Capital stock, trust principal or current funds

  beginning of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year $0

• 31 · Retained earnings, endowment or other funds

  beginning of year $0

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment

KERRI BAYER RECIEVED A SEVERANCE IN THE AMOUNT OF $538,000 DURING THE YEAR.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON-QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT IN THE CURRENT REPORTING YEAR. MICHAEL WEED BRENT HUBBARD AVILLA WILLIAMS JULIE WATSON BIRAN JONES THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED PAYMENTS IN THE CURRENT REPORTING YEAR: TIMOTHY PEHRSON - $237,683 MICHAEL WEED - $17,356 JULIE WATSON - $22,634 ALLISON PETERSEN - $76,517 MICHAEL HATCH - $78,316 WENDY CHANDLER - $71,899 KERRI BAYER - $68,407 AVILLA WILLIAMS - $26,821 CHRIS HAMMES - $163,615

Schedule J, Part I, Line 7 Non-fixed payments

THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM 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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• MEDICAL PARKING INC

  PARKING FACILITY · OK · income $1,296,884 · assets $7,213,307

  Directly controlled by IH

• INTEGRIS REALTY LLC

  PROPERTY MANAGEMENT · OK · income $9,475,199 · assets $81,033,260

  Directly controlled by IH

• INTEGRIS HEALTH AFFILIATES LLC

  HEALTHCARE · OK · income $0 · assets $0

  Directly controlled by IH

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• BMPA LTD

  Excluded · MED. OFFICE BLDG. · OK

  Directly controlled by PROHEALTH

• QC-III

  Related · MEDICAL · OK

  Directly controlled by IBMC

• DIAGNOSTIC LAB OF OKLAHOMA

  Related · CLINICAL LAB · NJ

  Directly controlled by QUEST DIAGNOSTICS

• INTEGRISUSP HEALTH VENTURES LLC

  Related · MEDICAL SERVICES · TX

  Directly controlled by IACC

• INTEGRIS DDSI ENDOSCOPY CENTERS LLC

  Related · HEALTH CARE · OK

  Directly controlled by IACC

• LAKESIDE WOMEN'S HOSPITAL LLC

  Related · MEDICAL · OK

  Directly controlled by IACC

• INTEGRIS EMERGENCY HOSPITALS LLC

  Related · HEALTH CARE · TX

  Directly controlled by IACC

• IH-USRS IMAGING LLC

  Related · MEDICAL IMAGING · OK

  Directly controlled by IH

• HPI HOLDINGS LLC

  Related · HEALTH CARE · OK

  Directly controlled by IACC

• 5300 GRAND LIMITED PARTNERSHIP

  Related · REAL ESTATE · OK

  Directly controlled by IH

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• INTEGRIS PROHEALTH INC

  C Corporation · RETAIL PHARMACY · OK · share of income $28,821,334 · share of assets $46,017,439 · controlled entity

  Directly controlled by IH

• THE STANLEY F HUPFELD REMAINDER TRUST

  Trust · FINANCIAL · OK · controlled entity

  Directly controlled by IH FDN

• QUALITY ALLIANCE ASSURANCE CO

  C Corporation · INSURANCE · CJ · share of income $28,459,286 · share of assets $95,137 · controlled entity

  Directly controlled by IH

• BAPTIST HEALTH SYSTEM INC

  C Corporation · DORMANT · OK

  Directly controlled by IH

• INTEGRIS HEALTH PARTNERS LLC

  C Corporation · HEALTH CARE · OK · share of income $3,416,025 · share of assets $1,201,962 · controlled entity

  Directly controlled by IH

• INTEGRIS CARDIOVASCULAR PHYSICIANS LLC

  C Corporation · HEALTH CARE · OK · share of income $70,238,411 · share of assets $19,497,936 · controlled entity

  Directly controlled by IH