INTEGRIS HEALTH FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
INTEGRIS HEALTH FOUNDATION INC (EIN 73-1047338)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202301359349319170
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T18:55:15-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 E RIO SALADO PARKWAY STE 800AddressLine1Txt
CityTEMPECityNm
State AbbreviationAZStateAbbreviationCd
ZIP85281ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731047338EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTEGRIS HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone4059512744PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13001 QUAIL SPRINGS PARKWAYAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73134ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIKE WEEDPersonNm
Person TitleCFOPersonTitleTxt
Phone4059512744PhoneNum
Signature2023-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMIKEPersonFirstNm
Person LastWEEDPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCASSANDRA WYATTPreparerPersonNm
PTINP01943677PTIN
Phone4804593500PhoneNum
Preparation2023-05-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL L WEEDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13001 QUAIL SPRINGS PARKWAYAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73134ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,174,597GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INTEGRISOK.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTHE FOUNDATION PROMOTES THE PHILANTHROPIC SUPPORT AND MISSION OF INTEGRIS HEALTH, INC. TO IMPROVE THE HEALTH AND WELFARE OF THE PEOPLE AND THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI-$329,047TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,087,244PYContributionsGrantsAmt
CY Contributions Grants$1,685,034CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,576,352PYInvestmentIncomeAmt
CY Investment Income$2,820,088CYInvestmentIncomeAmt
PY Other Revenue-$34,959PYOtherRevenueAmt
CY Other Revenue$529,532CYOtherRevenueAmt
PY Total Revenue$6,628,637PYTotalRevenueAmt
CY Total Revenue$5,034,654CYTotalRevenueAmt
PY Grants And Similar Paid$6,702,460PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,480,183CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$612,634PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,179,491CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,310,573CYTotalFundraisingExpenseAmt
PY Other Expenses$1,642,686PYOtherExpensesAmt
CY Other Expenses$1,528,548CYOtherExpensesAmt
PY Total Expenses$8,957,780PYTotalExpensesAmt
CY Total Expenses$6,188,222CYTotalExpensesAmt
PY Revenues Less Expenses-$2,329,143PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,153,568CYRevenuesLessExpensesAmt
Total Assets BOY$92,062,321TotalAssetsBOYAmt
Total Assets EOY$66,140,871TotalAssetsEOYAmt
Total Liabilities BOY$21,029,949TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,032,679TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$71,032,372NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$58,108,192NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINTEGRIS HEALTH FOUNDATION, INC. PROMOTES THE PHILANTHROPIC SUPPORT AND MISSION OF INTEGRIS HEALTH, INC. TO PROMOTE THE HEALTH AND WELFARE OF THE PEOPLE AND THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,480,183ExpenseAmt
Grant$3,480,183GrantAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$3,480,183TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DONNA WALLACEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4059512744PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13001 QUAIL SPRINGS PARKWAYAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73134ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TIMOTHY PEHRSON
DIRECTOR & PRESIDENT/CEO0.0040.00Yes (X)Yes (X)$0$1,942,216$298,275
SUSAN BREWER
DIRECTOR10.000.00Yes (X)$0$0$0
JOEL CHAMPLIN
DIRECTOR1.000.00Yes (X)$0$0$0
SHERYL COLTON
DIRECTOR1.000.00Yes (X)$0$0$0
HARRISON LEVY
CHAIRMAN1.000.00Yes (X)Yes (X)$0$0$0
SUSAN MORITZ
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
PAUL SILVERSTEIN
DIRECTOR1.000.00Yes (X)$0$0$0
SKIP LEONARD
VP FOUNDATION40.000.00Yes (X)$0$0$0
DOUGLAS M SMITH
CFO OF IH1.0039.00Yes (X)$0$796,882$141,279
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,739,098TotReportableCompRltdOrgAmt
Total Other Compensation$439,554TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$56,201FundraisingAmt
Related Organizations$16,850RelatedOrganizationsAmt
All Other Contributions$1,611,983AllOtherContributionsAmt
Noncash Contributions$61,201NoncashContributionsAmt
Total Contributions$1,685,034TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,820,088TotalRevenueColumnAmt
Unrelated Business Revenue-$329,047UnrelatedBusinessRevenueAmt
Exclusion$3,149,135ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$669,062FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$56,201ContriRptFundraisingEventAmt
Fundraising Direct Expenses$139,943FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$529,119TotalRevenueColumnAmt
Exclusion$529,119ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC. INCOMEDesc
Business900099BusinessCd
Total Revenue Column$413TotalRevenueColumnAmt
Exclusion$413ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$413OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,034,654TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$329,047UnrelatedBusinessRevenueAmt
Exclusion$3,678,667ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,480,183TotalAmt
Program Services$3,480,183ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$987,222TotalAmt
Fundraising$987,222FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,153TotalAmt
Fundraising$13,153FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$120,709TotalAmt
Fundraising$120,709FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$58,407TotalAmt
Fundraising$58,407FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$397,466TotalAmt
Management And General$397,466ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,300TotalAmt
Fundraising$42,300FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$385,270TotalAmt
Fundraising$385,270FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$220TotalAmt
Fundraising$220FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$400,645TotalAmt
Fundraising$400,645FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$59,662TotalAmt
Fundraising$59,662FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$269TotalAmt
Fundraising$269FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,018TotalAmt
Fundraising$1,018FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,156TotalAmt
Fundraising$28,156FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmt
PURCHASED SERVICES$219,482$219,482
DONOR CULTIVATION$51,950$51,950
SPECIAL FUNCTIONS$14,000$14,000
DUES & MEMBERSHIPS$11,104$11,104

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$82,994TotalAmt
Fundraising-$82,994FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,188,222TotalAmt
Program Services$3,480,183ProgramServicesAmt
Management And General$397,466ManagementAndGeneralAmt
Fundraising$2,310,573FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$199BOYAmt
EOY$200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,079,527BOYAmt
EOY$9,379,894EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,260,233BOYAmt
EOY$5,104,151EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$482,531LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$466,773LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,776BOYAmt
EOY$15,758EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$79,442,197BOYAmt
EOY$51,637,841EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$263,389BOYAmt
EOY$3,027EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$92,062,321BOYAmt
EOY$66,140,871EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,885,168BOYAmt
EOY$7,922,362EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,046BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$136,735BOYAmt
EOY$110,317EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,029,949BOYAmt
EOY$8,032,679EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,926,767BOYAmt
EOY$12,063,829EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$57,105,605BOYAmt
EOY$46,044,363EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,032,372BOYAmt
EOY$58,108,192EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,062,321BOYAmt
EOY$66,140,871EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,153,568ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,770,559NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$127,121PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$127,068OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,005,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,370,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,815,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,960,944CurrentTaxYearMinus1YearAmt
Current Tax Year$1,628,833CurrentTaxYearAmt
Total$23,780,686TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,005,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,370,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,815,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,960,944CurrentTaxYearMinus1YearAmt
Current Tax Year$1,628,833CurrentTaxYearAmt
Total$23,780,686TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,419,204SubstantialContributorsTotAmt
Public Support Total170$19,361,482PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,977,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,346,930CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,950,904CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,073,820CurrentTaxYearMinus1YearAmt
Current Tax Year$2,351,309CurrentTaxYearAmt
Total$10,700,634TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,628CurrentTaxYearMinus3YearsAmt
Current Tax Year$413CurrentTaxYearAmt
Total$6,053TotalAmt
FieldValueIRS element (for citing)
Total Support$34,487,373TotalSupportAmt
Public Support CY1700.56140PublicSupportCY170Pct
Public Support PY1700.64140PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II - OTHER INCOMEFormAndLineReferenceDesc
ExplanationDESCRIPTION OF INCOME: MISCELLANEOUS INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,977,728BeginningYearBalanceAmt
Contributions$98,850ContributionsAmt
Investment Earnings Or Losses-$1,142,268InvestmentEarningsOrLossesAmt
Other Expenditures$711,888OtherExpendituresAmt
Administrative Expenses$12,828AdministrativeExpensesAmt
End Year Balance$9,659,026EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,467,562BeginningYearBalanceAmt
Contributions$330,179ContributionsAmt
Investment Earnings Or Losses$1,621,881InvestmentEarningsOrLossesAmt
Other Expenditures-$443,575OtherExpendituresAmt
Administrative Expenses$1,681AdministrativeExpensesAmt
End Year Balance$9,977,728EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,931,049BeginningYearBalanceAmt
Contributions$531,912ContributionsAmt
Investment Earnings Or Losses$99,711InvestmentEarningsOrLossesAmt
Other Expenditures$89,993OtherExpendituresAmt
Administrative Expenses$5,117AdministrativeExpensesAmt
End Year Balance$8,467,562EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,291,402BeginningYearBalanceAmt
Contributions$478,963ContributionsAmt
Investment Earnings Or Losses$160,684InvestmentEarningsOrLossesAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$7,931,049EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,650,307BeginningYearBalanceAmt
Contributions$626,912ContributionsAmt
Investment Earnings Or Losses$277,906InvestmentEarningsOrLossesAmt
Other Expenditures$263,723OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$7,291,402EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.89850BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.10150PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,130OtherCostOrOtherBasisAmt
Book Value$11,130BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,204OtherCostOrOtherBasisAmt
Depreciation$33,204DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$431,603OtherCostOrOtherBasisAmt
Depreciation$429,889DepreciationAmt
Book Value$1,714BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,594OtherCostOrOtherBasisAmt
Depreciation$3,680DepreciationAmt
Book Value$2,914BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,758TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BOARD DESIGNATED INVESTMENTS$43,267,772F
RESTRICTED FUND INVESTMENTS$129,394F
OTHER INVESTMENTS$8,240,675F
FieldValueIRS element (for citing)
Total Book Value Securities$51,637,841TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:GIFT ANNUITIES AND CHARITABLE REMAINDER TRUSTS CONSIST OF CONTRIBUTED AMOUNTS SUBJECT TO OBLIGATIONS TO MAKE PERIODIC PAYMENTS TO BENEFICIARIES OVER A SPECIFIED PERIOD. THE LIABILITIES SHOWN ARE RECORDED AT THE ACTUARIAL PRESENT VALUES OF THE AGGREGATE LIABILITY BASED ON THE SPECIFIED PERIOD. A DISCOUNT RATE WAS USED TO DETERMINE THE PRESENT VALUE OF THE LIABILITIES.
PART V, LINE 4:THE MAJORITY OF THE ENDOWMENT FUNDS ARE RESTRICTED FOR USE IN FUNDING THE INTEGRIS HEALTH SYSTEM'S CENTERS FOR EXCELLENCE. SPECIALIZED CENTERS OF EXCELLENCE HAVE BEEN DEVELOPED THROUGH VARIOUS INTEGRIS ENTITIES TO PROVIDE THE HIGHEST STANDARD OF CARE FOR OUR COMMUNITIES. CENTERS OF EXCELLENCE INCLUDE THE PAUL SILVERSTEIN BURN CENTER, INTEGRIS HEART HOSPITAL, NAZIH ZUHDI TRANSPLANT INSTITUTE, TROY & DOLLIE SMITH CANCER CENTER, WOMEN'S CENTER, HENRY G. BENNETT JR. FERTILITY INSTITUTE, SLEEP DISORDERS CENTER OF OKLAHOMA, THE HOUGH EAR INSTITUTE, THE CENTRAL OKLAHOMA CANCER CENTER, SOUTHWEST BREAST HEALTH AND IMAGING CENTER, INTEGRIS JIM THORPE REHABILITATION NETWORK, INTEGRIS NEUROMUSCULAR CENTER, SLEEP DISORDERS CENTER OF OKLAHOMA AND THE JAMES R. DANIEL STROKE CENTER OF OKLAHOMA.
PART X, LINE 2:INTEGRIS HEALTH, INC. AND ITS TAX EXEMPT CONTROLLED AFFILIATES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT UNDER THE PROVISION OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$461,305GrossReceiptsEvent1Amt
Charitable Contri Event1$20,400CharitableContriEvent1Amt
Gross Revenue Event1$440,905GrossRevenueEvent1Amt
Rent Facility Costs Event1$8,391RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,246FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$49,284OtherDirectExpensesEvent1Amt
Event2IHF GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$151,000GrossReceiptsEvent2Amt
Charitable Contri Event2$5,000CharitableContriEvent2Amt
Gross Revenue Event2$146,000GrossRevenueEvent2Amt
Non Cash Prizes Event2$2,576NonCashPrizesEvent2Amt
Food And Beverage Event2$89FoodAndBeverageEvent2Amt
Entertainment Event2$19,141EntertainmentEvent2Amt
Other Direct Expenses Event2$28,517OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$112,958GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$30,801CharitableContriOtherEventsAmt
Gross Revenue Other Events$82,157GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,907NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$4,314RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$1,019FoodAndBeverageOtherEventsAmt
Entertainment Other Events$2,915EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$9,544OthDirectExpnssOtherEventsAmt
Gross Receipts Total$725,263GrossReceiptsTotalAmt
Charitable Contributions Tot$56,201CharitableContributionsTotAmt
Gross Revenue Total Events$669,062GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$4,483NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$12,705RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,354FoodAndBeverageTotalEventsAmt
Entertainment Total Events$22,056EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$87,345OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$139,943DirectExpenseSummaryEventsAmt
Net Income Summary$529,119NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
INTEGRIS BAPTIST MEDICAL CENTER INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731034824501(C)(3)$423,403$183,882FMVMEDICAL EQUIPMENTTO FUND OPERATIONS
WESTERN VILLAGE ACADEMY INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731588764501(C)(3)$79,163$0TO FUND OPERATIONS
INTEGRIS AMBULATORY CARE CORPORATION
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731192765501(C)(3)$331,378$0TO FUND OPERATIONS
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORP
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731089149501(C)(3)$46,858$208,713FMVMEDICAL EQUIPMENT & RENOVATIONSTO FUND OPERATIONS
INTEGRIS HEALTH INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731192764501(C)(3)$370,509$0TO FUND OPERATIONS
INTEGRIS HEALTH EDMOND INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134451027361501(C)(3)$891,030$0TO FUND OPERATIONS
INTEGRIS RURAL HEALTH INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731444504501(C)(3)$300,021$348,802FMVMEDICAL EQUIPMENT & REMODELINGTO FUND OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationINTEGRIS HEALTH FOUNDATION, INC. (IH FDN OR FOUNDATION) WAS ESTABLISHED TO SUPPORT, THROUGH FUNDRAISING AND GRANT MAKING ACTIVITIES, THE NOT-FOR-PROFIT CHARITABLE AFFILIATES OF INTEGRIS HEALTH, INC. (AFFILIATE OR AFFILIATES OF INTEGRIS HEALTH SYSTEM), INCLUDING BUT NOT LIMITED TO INTEGRIS BAPTIST MEDICAL CENTER, INC. THE PROCESS FOR PROVIDING GRANTS TO AFFILIATES OF INTEGRIS HEALTH SYSTEM BEGINS WITH A REQUEST FOR FUNDING FROM THE AFFILIATE TO THE IH FDN. A DEPARTMENT DIRECTOR OF THE AFFILIATE MAKES AN INITIAL REQUEST TO THE ADMINISTRATIVE DIRECTOR OR VICE PRESIDENT OF THE AFFILIATE. THE ADMINISTRATIVE DIRECTOR OR VICE PRESIDENT VALIDATES THE DEPARTMENT'S NEED FOR THE FUNDS AND APPROVES THE REQUEST. THIS APPROVAL INDICATES THAT THE REQUESTED FUNDS ARE IN KEEPING WITH THE AFFILIATE'S OVERALL CHARITABLE GOALS. ONCE VALIDATED, THE REQUEST IS SENT TO THE DIRECTOR OF OPERATIONS OFFICE TO VERIFY THE FUNDS ARE AVAILABLE. IH FDN'S DIRECTOR OF OPERATIONS THEN REVIEWS THE REQUEST TO CONFIRM THE REQUESTED USE OF FUNDS ARE IN KEEPING WITH THE FOUNDATION'S CHARITABLE PURPOSES AND WITH THE INTENT OF DONORS TO THE FOUNDATION. ASSUMING THIS IS THE CASE, THE FOUNDATION'S DIRECTOR OF OPERATIONS APPROVES THE REQUEST. FUNDS REQUESTED BY THE AFFILIATES GENERALLY FALL INTO TWO CATEGORIES: CAPITAL AND NON-CAPITAL. THE REQUEST FOR FUNDS FORM MEMORIALIZES THE MOVEMENT OF FUNDS FROM THE FOUNDATION TO THE AFFILIATE FOR REIMBURSEMENT OF ITEMS PURCHASED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIMOTHY PEHRSON
DIRECTOR & PRESIDENT/CEO$0$1,150,996$0$659,360$0$131,860$0$280,336$0$17,939$0$2,240,491$0$114,191
DOUGLAS M SMITH
CFO OF IH$0$553,425$0$230,406$0$13,051$0$123,939$0$17,340$0$938,161$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3INTEGRIS HEALTH FOUNDATION, INC. (IHF) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, IHF RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION.
PART I, LINE 4BTHE 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 INDIVIDUAL LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT DURING THE YEAR. DOUGLAS M. SMITH THE FOLLOWING INDIVIDUAL LISTED IN PART VII OF FORM 990 RECEIVED A PAYMENT DURING THE YEAR: TIMOTHY PEHRSON $114,191
PART I, LINE 7THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH 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.

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$5,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMISC. ITEMSDesc
Contribution6ContributionCnt
Noncash Contributions Rpt F990$56,201NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationPART I, COL(B) REPORTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, BOX C: DOING BUSINESS ASINTEGRIS FOUNDATION
PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSINTEGRIS HEALTH FOUNDATION, INC. WAS ESTABLISHED TO FACILITATE FINANCIAL SUPPORT FOR THE ORGANIZATION BY CONNECTING DONORS TO THEIR INTEGRIS PASSIONS AS IT RELATES TO THE MYRIAD OF PROGRAMS AND SERVICES OF INTEGRIS HEALTH, INC. AND ITS CHARITABLE AFFILIATES. THE INTEGRIS HEALTH FOUNDATION ACCOMPLISHED THE FOLLOWING FOR FY22: THE ELEVENTH ANNUAL INTEGRIS YOU&I EMPLOYEE GIVING CAMPAIGN EXPERIENCED MUCH SUCCESS AS WE WELCOMED THE GIFTS OF 2,774 INTEGRIS EMPLOYEES AND PHYSICIANS. THIS GENEROSITY WAS MET BY THE MATCHING GIFTS FROM INTEGRIS VOLUNTEER AUXILIARIES ACROSS THE STATE FOR A TOTAL EXCEEDING $796,926 RAISED FOR VARIOUS CARE CENTERS THROUGHOUT THE SYSTEM. DESPITE THE INTEGRIS HEALTH GALA BEING VIRTUAL, THE INTEGRIS HEALTH FOUNDATION RAISED MORE THAN $400,000 FROM THE EVENT WHICH BENEFITED NEUROLOGY AND STROKE. THE INTEGRIS HEALTH GOLF CLASSIC RAISED MORE THAN $150,000 TO BENEFIT THE INTEGRIS HEALTH HEART HOSPITAL. OTHER NOTABLE PROJECTS IN FY22 INCLUDE MORE THAN $236,465 GIVEN TO CAREGIVERS EXPERIENCING FINANCIAL DIFFICULTIES, MORE THAN $22,000 IN MEDICATION ASSISTANCE, AND ALMOST $70,000 IN OTHER PATIENT ASSISTANCE, TO NAME JUST A FEW. THE INTEGRIS HEALTH FOUNDATION HAD 4,319 DONORS IN FY22 AND INVESTED MORE THAN $20 MILLION BACK TO OUR HOSPITALS, IMPACTING PATIENT CARE AND ADVANCING OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
PART V: LINE 1A AND 2ALINE 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. LINE 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 2021 TAX YEAR.
FORM 990, PART VI, SECTION A, LINE 6INTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS HEALTH FOUNDATION, INC.
FORM 990, PART VI, SECTION A, LINE 7AINTEGRIS HEALTH, INC. IS THE SOLE MEMBER OF INTEGRIS HEALTH FOUNDATION, INC. AS SUCH IT HAS THE POWER (1) TO SELECT AND REMOVE ALL OFFICERS, AGENTS AND EMPLOYEES OF THE CORPORATION, PRESCRIBE SUCH POWERS AND DUTIES FOR THEM AS MAY BE CONSISTENT WITH LAW, WITH THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OR THE BYLAWS, (2) TO CONDUCT, MANAGE AND CONTROL THE AFFAIRS AND BUSINESS OF THE CORPORATION, AND TO MAKE SUCH RULES AND REGULATIONS THEREFORE CONSISTENT WITH LAW, OR WITH THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OR THE BYLAWS, AS THEY MAY DEEM BEST, SUBJECT TO THE APPROVAL OF THE SOLE MEMBER, (3) TO FIX AND LOCATE FROM TIME TO TIME ONE OR MORE SUBSIDIARY OFFICES OF THE CORPORATION WITHIN OR WITHOUT THE STATE OF OKLAHOMA; AND TO ADOPT, MAKE AND USE A CORPORATE SEAL, AND TO ALTER THE FORM OF SUCH SEAL FROM TIME TO TIME, AS IN THEIR JUDGEMENT THEY MAY DEEM BEST, PROVIDED SUCH SEAL AT ALL TIMES COMPLY WITH THE PROVISIONS OF LAW, THE CERTIFICATE OF INCORPORATION AND THESE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7BPLEASE SEE THE NARRATIVE FOR FORM 990, PART VI, SECTION A, LINE 7A.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 FINANCE 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.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 OR 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.
FORM 990, PART VI, SECTION C, LINE 19THE 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.
FORM 990, PART XI, LINE 9:PROVISION FOR BAD DEBT 127,068.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
INTEGRIS AMBULATORY CARE CORPORATION
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731192765HEALTH CAREOK501(C)(3)LINE 3IH0
INTEGRIS HOSPICE INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731369586HEALTH CAREOK501(C)(3)LINE 10IH0
INTEGRIS BAPTIST MEDICAL CENTER INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731034824HEALTH CAREOK501(C)(3)LINE 3IH0
INTEGRIS RURAL HEALTH INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731444504HEALTH CAREOK501(C)(3)LINE 3IH0
INTEGRIS SOUTHWEST MEDICAL CENTER INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731089149HEALTH CAREOK501(C)(3)LINE 3IH0
WESTERN VILLAGE ACADEMY INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731588764SCHOOLOK501(C)(3)LINE 2IACC0
INTEGRIS HEALTH INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731192764HEALTH CAREOK501(C)(3)LINE 30N/A
INTEGRIS HEALTH EDMOND INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134451027361HEALTH CAREOK501(C)(3)LINE 3IH0
INTEGRIS MENTAL HEALTH INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134730738716HEALTH CAREOK501(C)(3)LINE 3IH0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
BMPA LTD
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731228665MEDICAL OFFICE BUILDINGOKN/AN/A00
QC-III
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134208723857MEDICALOKN/AN/A00
DIAGNOSTIC LAB
500 PLAZA DR TAX DEPT FL 8SECAUCUSNJ07094731560760CLINICAL LABNJN/AN/A00
LAKESIDE HOSPITAL
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731493662MEDICALOKN/AN/A00
INTEGRISUSP HEALTH
14201 DALLAS PARKWAYDALLASTX75254352632292MEDICAL SERVICESTXN/AN/A00
INTEGRIS EMERGENCY HOSPITAL
8686 NEW TRAILS DRIVETHE WOODLANDSTX77381901215089HEALTH CARETXN/AN/A00
INTEGRIS DDSI ENDOSCOPY CENTERS LLC
3366 NORTHWEST EXPRESSWAY STE 400OKLAHOMA CITYOK73112854253589HEALTH CAREOKN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
INTEGRIS PROHEALTH INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731046179RETIAL PHARMACYOKN/AC0
THE STANLEY F HUPFELD CHARITABLE REMAINDER TRUST
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134266238051FINANCIALOKN/ATYes (1)$64,4881.00000
QUALITY ALLIANCE ASSURANCE CO
981060671INSURANCEN/AC0PO BOX 10027GRAND CAYMANCJKYI-1001CJ
BAPTIST HEALTH SYSTEM INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134731477468DORMANTOKN/AC0
ONE CARE INC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134DORMANTOKN/AC0
VADOVATIONS
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134270821922HEALTH CAREOKN/AC0
INTEGRIS HEALTH PARTNERS LLC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134453482852HEALTH CAREOKN/AC0
INTEGRIS CARDIOVASCULAR PHYSICIANS LLC
3001 QUAIL SPRINGS PARKWAYOKLAHOMA CITYOK73134462867352HEALTH CAREOKN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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