Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $140,250

• 2a · Program service revenue: PATIENT REVENUE

  total $5,823,959 · related or exempt $5,823,959

• 3 · Investment income

  total $171,898 · excluded $171,898

• 7a · Gross sales of assets other than inventory

  securities $298,099

• 7b · Less cost or other basis and sales expenses

  securities $0

• 7c · Gain or loss

  securities $298,099

• 7d · Net gain or loss

  total $298,099 · excluded $298,099

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $180,933 · program services $180,933

• 7 · Other salaries and wages

  total $3,376,112 · program services $3,376,112

• 8 · Pension plan contributions

  total $59,789 · program services $59,789

• 9 · Other employee benefits

  total $514,668 · program services $514,668

• 10 · Payroll taxes

  total $259,701 · program services $259,701

• 11a · Fees: management

  total $687,948 · management and general $687,948

• 12 · Advertising and promotion

  total $89 · program services $89

• 13 · Office expenses

  total $674,327 · program services $674,327

• 16 · Occupancy

  total $175,854 · program services $175,854

• 17 · Travel

  total $102,105 · program services $102,105

• 20 · Interest

  total $93,669 · program services $93,669

• 22 · Depreciation, depletion and amortization

  total $177,445 · program services $177,445

• 23 · Insurance

  total $23,544 · program services $23,544

• 24a · Other expenses: PURCHASED SERVICES

  total $241,565 · program services $241,565

• 24b · Other expenses: CONTRACT LABOR

  total $39,177 · program services $39,177

• 24c · Other expenses: DUES & MEMBERSHIPS

  total $17,044 · program services $17,044

• 24d · Other expenses: LICENSES/PERMITS ETC.

  total $4,872 · program services $4,872

• 24e · All other expenses

  total $2,907 · program services $2,907

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $943,496 · end of year $1,877,527

• 2 · Savings and temporary cash investments

  beginning of year $1,605,186 · end of year $706,554

• 4 · Accounts receivable

  beginning of year $1,388,850 · end of year $1,016,247

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

  $4,184,657

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

  $1,681,408

• 10c · Land, buildings and equipment, net

  beginning of year $2,679,557 · end of year $2,503,249

• 12 · Investments: other securities

  beginning of year $2,091,753 · end of year $2,091,753

• 15 · Other assets

  beginning of year $2,914,293 · end of year $3,211,220

• 17 · Accounts payable and accrued expenses

  beginning of year $642,942 · end of year $408,853

• 25 · Other liabilities

  beginning of year $88,083 · end of year $315,579

• 27 · Net assets without donor restrictions

  beginning of year $8,800,357 · end of year $8,590,365

• 28 · Net assets with donor restrictions

  beginning of year $2,091,753 · end of year $2,091,753

The filer's explanations (Part III)

PART I, LINE 3

INTEGRIS HOSPICE, INC. (HOSPICE) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, HOSPICE RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION SURVEY OR STUDY TO ESTABLISH THIS COMPENSATION.

PART I, LINE 4B

THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS 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 DURING THE YEAR. MICHAEL WEED BRENT HUBBARD THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT DURING THE YEAR: TIMOTHY PEHRSON $ 286,003 DOUGLAS SMITH $ 131,709

PART I, LINE 7

THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS 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 PRODUCTION 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.

Related partnerships

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

• BMPA LTD

  N/A · MED.OFFICE BLDG. · OK

• QC-III

  N/A · MEDICAL · OK

• DIAGNOSTIC LAB

  N/A · CLINICAL LAB · NJ

• LAKESIDE WOMEN'S HOSPITAL LLC

  N/A · MEDICAL · OK

• INTEGRISUSP HEALTH

  N/A · MEDICAL SERVICES · TX

• INTEGRIS EMERGENCY HOSPITAL

  N/A · HEALTH CARE · TX

• INTEGRIS DDSI ENDOSCOPY CENTERS LLC

  N/A · HEALTH CARE · OK

Related corporations and trusts

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

• INTEGRIS PROHEALTH INC

  C · RETAIL PHARMACY · OK

• THE STANLEY F HUPFELD CHARITABLE REMAIN TRUST

  T · FINANCIAL · OK

• QUALITY ALLIANCE ASSURANCE CO

  C · INSURANCE · CJ

• BAPTIST HEALTH SYSTEM INC

  C · DORMANT · OK

• ONE CARE INC

  C · DORMANT · OK

• VADOVATIONS INC

  C · HEALTH CARE · OK

• INTEGRIS HEALTH PARTNERS LLC

  C · HEALTH CARE · OK

• INTEGRIS CARDIOVASCULAR PHYSICIANS LLC

  C · HEALTH CARE · OK