Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2019 , and ending 06-30-2020
BCheck if applicable:
CName of organization
INTEGRIS HEALTH INC
 
% KATHRYN INGERLY
Doing business as
SEE SCHEDULE O
 
Number and street (or P.O. box if mail is not delivered to street address)
5300 N INDEPENDENCE AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OKLAHOMA CITY, OK73112
D Employer identification number

73-1192764
E Telephone number

G Gross receipts $ 316,262,570
F Name and address of principal officer:
TIMOTHY PEHRSON
5300 N INDEPENDENCE AVE
OKLAHOMA CITY,OK73112
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.INTEGRISOK.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1983
M State of legal domicile: OK
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 12,412
6 Total number of volunteers (estimate if necessary) ............. 6 43
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,465,584
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 332,711 188,604
9 Program service revenue (Part VIII, line 2g) ......... 312,387,170 311,561,993
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,302,976 3,906,287
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,288,969 605,686
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 319,311,826 316,262,570
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 411,700 625,000
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 134,514,677 126,111,421
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 180,153,322 193,463,948
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 315,079,699 320,200,369
19 Revenue less expenses. Subtract line 18 from line 12....... 4,232,127 -3,937,799
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,169,345,017 2,102,839,265
21 Total liabilities (Part X, line 26)............. 716,154,485 788,647,222
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,453,190,532 1,314,192,043
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 176,670,633 including grants of $ 250,000 ) (Revenue $ 306,290,464 )
INTEGRIS HEALTH IS THE CONTROLLING MEMBER OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES IN THE STATE OF OKLAHOMA. SEE SCHEDULE O, GENERAL STATEMENTS 2 THROUGH 4.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet176,670,633
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,063
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
12,412
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
OK
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKATHRYN INGERLY5300 N INDEPENDENCE AVE STE 130   OKLA CITY,OK73112 (405) 949-3085
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) TIMOTHY PEHRSON......................................................................
PRESIDENT/CEO
40.0
.................
0.0
X   X       1,159,067 0 308,500
(2) CHRIS HAMMES......................................................................
COO OF IH
32.0
.................
8.0
    X       1,073,983 0 221,641
(3) TOMMY IBRAHIM......................................................................
CHIEF HUMAN RESOURCES OFFICER
40.0
.................
0.0
      X     746,697 0 165,062
(4) JEFFREY CRUZAN......................................................................
CHIEF MEDICAL OFFICER
40.0
.................
0.0
      X     461,947 353,342 53,236
(5) DOUGLAS M SMITH......................................................................
CFO OF IH
32.0
.................
8.0
    X       712,012 0 114,852
(6) MARK PASQUALE......................................................................
SENIOR VICE PRESIDENT
40.0
.................
0.0
      X     722,438 0 33,996
(7) MICHAEL HATCH......................................................................
CHIEF HUMAN RESOURCES OFFICER
40.0
.................
0.0
      X     496,756 0 100,497
(8) ANGELA COSBY......................................................................
PRESIDENT IMG
0.0
.................
0.0
          X 546,737 0 33,657
(9) TERESA WILLIAMS......................................................................
VICE PRESIDENT
40.0
.................
0.0
        X   383,842 0 36,477
(10) JAQUETTA CLEMONS......................................................................
SENIOR VICE PRESIDENT
40.0
.................
0.0
      X     403,135 0 13,703
(11) LEROY SOUTHMAYD III......................................................................
DIRECTOR MEDICAL INFORMATICS
40.0
.................
0.0
        X   365,486 0 35,419
(12) SUSAN GARCIA......................................................................
VICE PRESIDENT
40.0
.................
0.0
      X     258,521 0 121,943
(13) BRENT DAVIS......................................................................
VICE PRESIDENT
40.0
.................
0.0
        X   337,387 0 31,216
(14) BENJAMIN MANSALIS......................................................................
MED. DIRECTOR CMIO/SENIOR VP
40.0
.................
0.0
      X     335,393 0 32,255
(15) MICHAEL WEED......................................................................
SENIOR VICE PRESIDENT
40.0
.................
0.0
      X     330,611 0 26,033
(16) ANDREW BARSALOUX......................................................................
MEDICAL DIRECTOR CMIO
40.0
.................
0.0
        X   328,411 0 25,377
(17) ERIC DEDEKE......................................................................
MEDICAL DIRECTOR CMIO
40.0
.................
0.0
        X   325,692 0 25,866
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) KERRI BAYER........................................................................
CHIEF HR OFFICER/VP
40.0
.......................0.0
      X     259,369 0 62,523
(19) MICHAEL MCCONNELL........................................................................
VICE PRESIDENT
40.0
.......................0.0
      X     290,348 0 20,810
(20) GEORG LUNDAY........................................................................
DIRECTOR PHARMACY/VP
40.0
.......................0.0
      X     259,132 0 37,938
(21) HARTFORD WATKINS........................................................................
VICE PRESIDENT
40.0
.......................0.0
      X     247,716 0 23,404
(22) ALLISON PETERSEN........................................................................
ASST. SECRETARY
40.0
.......................0.0
    X       208,729 0 45,101
(23) DAVID R HADLEY........................................................................
FORMER OFFICER
0.0
.......................0.0
          X 244,392 0 0
(24) MICHAEL BOWLING........................................................................
FORMER KEY EMPLOYEE
0.0
.......................0.0
          X 127,300 0 21,706
(25) PHILLIP MOSCA MD........................................................................
DIRECTOR
1.0
.......................30.0
X           32,129 66,120 0
(26) CHRISTOPHER TURNER........................................................................
DIRECTOR & CHAIR/AUDIT COMM
1.0
.......................1.0
X   X       32,728 0 0
(27) PETER B DELANEY........................................................................
DIRECTOR & BOARD CHAIRMAN
1.0
.......................1.0
X   X       31,906 0 0
(28) MARSHALL SNIPES........................................................................
DIRECTOR & CHAIR/FINANCE COMM
1.0
.......................1.0
X   X       30,922 0 0
(29) EDMUND O MARTIN........................................................................
DIRECTOR
1.0
.......................0.0
X           30,337 0 0
(30) GEORGIANNE SNOWDEN MD........................................................................
DIRECTOR & CHAIR/QUAILTY COMM
1.0
.......................0.0
X   X       29,980 0 0
(31) DAVID THOMPSON........................................................................
DIRECTOR
1.0
.......................1.0
X           29,950 0 0
(32) JOEY SAGER........................................................................
DIRECTOR
1.0
.......................1.0
X           29,121 0 0
(33) LUKE R CORBETT........................................................................
DIRECTOR & CHAIR/GOV COMM
1.0
.......................1.0
X   X       28,600 0 0
(34) MARK WERNER MD........................................................................
DIRECTOR
1.0
.......................0.0
X           28,100 0 0
(35) LINDA VYTLACIL PHD........................................................................
DIRECTOR
1.0
.......................0.0
X           27,680 0 0
(36) NEAL HOGAN PHD........................................................................
DIRECTOR
1.0
.......................0.0
X           26,798 0 0
(37) ELLIOTT R SCHWARTZ DO........................................................................
DIRECTOR
1.0
.......................0.0
X           24,900 0 0
(38) PRAVENE NATH MD........................................................................
FORMER DIRECTOR
0.0
.......................0.0
          X 13,550 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 10,657,230 419,462 1,591,212
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet181
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
VIZIENT INC,
75 REMITTANCE DR STE 1855
CHICAGO,IL60675
PROFESSIONAL SERVICE 6,162,809
GE PRECISION HEALTHCARE LLC,
PO BOX 96483
CHICAGO,IL60693
SOFTWARE SYSTEMS 5,174,904
ACKERMAN MCQUEEN INC,
1601 NORTHWEST EXPRESSWAY
OKLAHOMA CITY,OK73118
ADVERTISING 4,800,619
UNITY BPO INC,
4100 OSUNA RD
ALBUQUERQUE,NM87109
SOFTWARE SYSTEMS 4,684,976
EPIC SYSTEMS CORPORATION,
PO BOX 88314
MILWAUKEE,WI53288
SOFTWARE SYSTEMS 3,888,408
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet149
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 188,604
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g 78,804
h Total. Add lines 1a-1f.......MediumBullet 188,604
 Program Service RevenueAmt Business Code
2a AFFILIATED SERVICE REVENUE 900003 264,558,430 262,092,846 2,465,584  
b MANAGEMENT FEES 900003 30,804,294 30,804,294    
c RENTAL INCOME 532000 12,624,047 12,624,047    
d CHILDREN'S PLACE 900003 2,064,189     2,064,189
e TELEMEDICINE 900003 330,440 330,440    
f All other program service revenue. 1,180,593 438,837   741,756
g Total. Add lines 2a–2f .....MediumBullet 311,561,993
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 3,906,287     3,906,287
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet 0      
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a DISCOUNTS ON PURCHASES 900003 598,831     598,831
b OTHER REVENUE 900003 6,855     6,855
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 605,686
12 Total revenue. See instructions.....MediumBullet 316,262,570 306,290,464 2,465,584 7,317,918
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 625,000 625,000
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 9,592,990 5,289,575 4,303,415 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 537,824 296,556 241,268 0
7 Other salaries and wages........ 90,829,200 50,083,221 40,745,979 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,076,421 2,799,139 2,277,282 0
9 Other employee benefits ....... 12,940,142 7,135,194 5,804,948 0
10 Payroll taxes ........... 7,134,844 3,934,153 3,200,691 0
11 Fees for services (non-employees):        
a Management ...... 121,998 67,270 54,728 0
b Legal ......... 524,237 289,064 235,173 0
c Accounting ........... 969,516 534,591 434,925 0
d Lobbying ........... 300,252 165,559 134,693 0
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 217,151 119,737 97,414 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 19,365,527 10,678,152 8,687,375 0
12 Advertising and promotion .... 1,683,706 928,395 755,311 0
13 Office expenses ....... 5,389,619 2,971,836 2,417,783 0
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 11,526,185 6,355,538 5,170,647 0
17 Travel ............ 717,808 395,799 322,009 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 640,885 353,384 287,501 0
20 Interest ........... 1,586,951 875,045 711,906 0
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 34,194,414 18,854,800 15,339,614 0
23 Insurance ... 7,389,614 4,074,633 3,314,981 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PURCHASED SERVICES 100,850,263 55,608,835 45,241,428 0
b RIF & RECRUITMENT 4,901,665 2,702,778 2,198,887 0
c BANK FEES 1,096,573 604,650 491,923 0
d UNRELATED BUS. INCOME TAXES 1,060 1,060 0 0
e All other expenses 1,986,524 926,669 1,059,855  
25 Total functional expenses. Add lines 1 through 24e 320,200,369 176,670,633 143,529,736 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 0
2 Savings and temporary cash investments ......... 63,087,537 2 27,089,097
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 45,473,542 4 50,642,068
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 51,737 7 67
8 Inventories for sale or use ............ 0 8 0
9 Prepaid expenses and deferred charges ...... 16,475,306 9 17,705,748
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 503,967,338
b Less: accumulated depreciation 10b 317,123,761 207,720,898 10c 186,843,577
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 95,925,805 12 77,388,369
13 Investments—program-related. See Part IV, line 11 .. 1,715,416,610 13 1,716,572,677
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 25,193,582 15 26,597,662
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,169,345,017 16 2,102,839,265
Liabilities 17 Accounts payable and accrued expenses ..... 363,525,808 17 72,570,587
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 2,829,869
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 352,628,677 25 713,246,766
26 Total liabilities. Add lines 17 through 25.. 716,154,485 26 788,647,222
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,453,190,532 27 1,314,192,043
28 Net assets with donor restrictions ........... 0 28 0
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,453,190,532 32 1,314,192,043
33 Total liabilities and net assets/fund balances ........ 2,169,345,017 33 2,102,839,265
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
316,262,570
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
320,200,369
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-3,937,799
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,453,190,532
5
Net unrealized gains (losses) on investments ...............
5
899,353
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-135,960,043
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,314,192,043
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................7
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) INTEGRIS BAPTIST MEDICAL CENTER INC
 
731034824 3 Yes   0 0
(B) INTEGRIS RURAL HEALTH INC
 
731444504 3 Yes   0 0
(C) INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
 
731089149 3 Yes   0 0
(D) INTEGRIS AMBULATORY CARE CORPORATION
 
731192765 3 Yes   0 0
(E) INTEGRIS HOSPICE INC
 
731369586 10 Yes   0 0
(F) WESTERN VILLAGE ACADEMY INC
 
731588764 2 Yes   250,000 0
(G) INTEGRIS HEALTH EDMOND INC
 
451027361 3 Yes   0 0
Total
7
250,000 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
Yes
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
No
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2019 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2019
(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2020. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
SUPPLEMENTAL INFORMATION 1 SCHEDULE A, PART IV, SECTION A. LINE 1 INTEGRIS HEALTH, INC.'S (INTEGRIS) AMENDED AND RESTATED CERTIFICATE OF INCORPORATION SPECIFIES INTEGRIS' SUPPORTED ORGANIZATIONS BY CLASS OR PURPOSE. SECTION 3, PARAGRAPH FOUR OF THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION SPECIFIES THAT INTEGRIS IS EXCLUSIVELY ORGANIZED AS A SUPPORTING ORGANIZATION, AS DEFINED UNDER SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE, TO BE OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF ORGANIZATIONS OF WHICH IT IS DIRECTLY OR INDIRECTLY THE SOLE MEMBER AND WHICH ARE ORGANIZATIONS DESCRIBED IN SECTON 501(C)(3) AND ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN SECTIONS 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE.
SUPPLEMENTAL INFORMATION 2 SCHEDULE A, PART IV, SECTION A. LINE 6 GRANTS ARE MADE AT THE DIRECTION OF THE SUPPORTED ORGANIZATIONS IN THE COMMUNITIES SERVED BY THEM.
SUPPLEMENTAL INFORMATION 3 SCHEDULE A, PART IV, SECTION B. LINE 1 PURSUANT TO THE ORGANIZATION'S BYLAWS, AT ALL TIMES A MAJORITY OF INTEGRIS' OFFICERS MUST BE, AND ARE, INDIVIDUALS THAT ARE CONCURRENTLY OFFICERS OF ONE OR MORE OF ITS SUPPORTED ORGANIZATIONS AND ARE APPOINTED BY THE RESPECTIVE BOARDS OF THOSE SUPPORTED ORGANIZATIONS. ACCORDINGLY, INTEGRIS MEETS THE "OPERATED, SUPERVISED, OR CONTROLLED BY" RELATIONSHIP TEST FOR QUALIFICATION AS A TYPE I SECTION 509(A)(3) SUPPORTING ORGANIZATION.
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
INTEGRIS HEALTH INC
 
Employer identification number
73-1192764
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 300,252 300,252
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 300,252 300,252
d Other exempt purpose expenditures ............................................................................... 176,370,381 1,691,570,500
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 176,670,633 1,691,870,752
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures 235,278 160,471 263,222 300,252 959,223
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures 0 0 0 0 0
Schedule C (Form 990 or 990-EZ) 2019


Schedule C (Form 990 or 990-EZ) 2019
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
SUPPLEMENTAL INFORMATION 1 SCHEDULE C, PART II-A, LINE 1 AFFILIATED GROUP LIST: INTEGRIS HEALTH, INC. 5300 N. INDEPENDENCE AVENUE, SUITE 130 OKLAHOMA CITY, OK 73112 EIN: 73-1192764 TOTAL PROGRAM EXPENSES $176,670,633 THE OTHER AFFILIATED MEMBERS HAVE NOT INCURRED ANY EXPENSES FOR LOBBYING ACTIVITIES. SEE SCHEDULE R-1, PART II FOR A COMPLETE LIST OF AFFILIATED MEMBERS.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   17,937,465 17,937,465
b Buildings ....   61,281,097 49,812,551 11,468,546
c Leasehold improvements   5,504,809 5,473,002 31,807
d Equipment ....   415,186,412 259,197,137 155,989,275
e Other .....   4,057,555 2,641,071 1,416,484
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 186,843,577
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)INTEGRIS BAPTIST MED.CTR.,INC. 626,184,319 F
(2)INTEGRIS HEALTH FDN., INC. 67,780,836 F
(3)INTEGRIS AMBULATORY CARE CORP 270,398,231 F
(4)INTEGRIS REALTY, LLC 61,905,742 F
(5)5300 GRAND LIMITED PARTNERSHIP 16,894 F
(6)MEDICAL PARKING, LLC 4,253,635 F
(7)INTEGRIS PROHEALTH, INC. 24,285,955 F
(8)INTEGRIS ARCADIA TRAILS 18,922,002 F
(9)QUALITY ALLIANCE ASSURANCE 478,860 F
(10)INTEGRIS HEALTH EDMOND, INC. 112,632,922 F
(11)INTEGRIS SO. OKC HOSP.CORP. 260,056,564 F
(12)INTEGRIS HEALTH PARTNERS, LLC -1,667,211 F
(13)INTEGRIS CARDIOVASCULAR -30,985,839 F
(14)BAPTIST HEALTHCARE OF OKLAHOMA 258,666,201 F
(15)INTEGRIS GROVE HOSPITAL 30,000,000 F
(16)LIFECARE HEALTH LLC 1,621,990 F
(17)2 CORP PLAZA 318,593 F
(18)INTEGRIS HOSPICE, INC. 10,009,686 F
(19)HEFNER POINT MEDICAL 1,693,297 F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 1,716,572,677
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 713,246,766
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
Central America and the Caribbean 0 0 Program Services CAPTIVE INSURANCE 19,806,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 19,806,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 19,806,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
SUPPLEMENTAL INFORMATION 1 SCHEDULE F, PART I, LINE 3 INTEGRIS HEALTH, INC. IS THE SOLE OWNER OF A CAPTIVE INSURANCE COMPANY LOCATED IN THE CENTRAL AMERICA/CARIBBEAN REGION. THE EXPENDITURES SHOWN IN PART I LINE 3 REPRESENT THE EXPENSES INCURRED BY THE CAPTIVE INSURANCE COMPANY AS DETERMINED USING THE ACCRUAL METHOD FOR THE YEAR ENDING JUNE 30, 2020.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2019
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number
73-1192764
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) WESTERN VILLAGE ACADEMY INC
5300 N INDEPENDENCE AVE STE 130
OKC,OK73112
73-1588764 501(C)(3) 250,000       TO FUND OPERATIONS
(2) OKLAHOMA CITY BOATHOUSE FOUNDATION
725 S LINCOLN BLVD
OKC,OK731294430
20-1837237 501(C)(3) 40,000       GENERAL SUPPORT
(3) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX752315129
13-5613797 501(C)(3) 25,000       GENERAL SUPPORT
(4) JIM THORPE ASSOCIATION INC
20 S MICKEY MANTLE DR
OKC,OK731042433
73-1306116 501(C)(3) 35,000       GENERAL SUPPORT
(5) UNITED WAY OF CENTRAL OKLAHOMA
1444 NW 28TH ST
OKC,OK731063430
73-0589829 501(C)(3) 95,000       GENERAL SUPPORT
(6) GREATER OKLAHOMA CITY CHAMBER OF COMMERCE
123 PARK AVENUE
OKC,OK731029005
73-0381180 501(C)(6) 80,000       GENERAL SUPPORT
(7) AMERICAN INDIAN CULTURAL CENTER FOUNDATION
659 FIRST AMERICANS BLVD
OKC,OK731296142
73-1554119 501(C)(3) 100,000       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SUPPLEMENTAL INFORMATION 1 SCHEDULE I, PART I, LINE 2 INTEGRIS HEALTH, INC. (SYSTEM) PROVIDES FUNDS TO VARIOUS COMMONLY CONTROLLED HOSPITALS AND AFFILIATES TO SUPPORT THEIR OPERATIONS. THE SYSTEM DETERMINES THE AMOUNT OF THE FUNDS PROVIDED ON AN ANNUAL BASIS. AS PART OF ITS COMMITMENT TO THE COMMUNITIES IT SERVES, INTEGRIS HEALTH, INC. MAKES GRANTS TO OTHER CHARITABLE AND CIVIC ORGANIZATIONS THAT BENEFIT THOSE COMMUNITIES. GRANTS ARE REVIEWED AND APPROVED THROUGH THE ANNUAL BUDGETARY PROCESS BY THE CEO AND THE BOARD OF DIRECTORS OF INTEGRIS HEALTH. SEE SCHEDULE O, GENERAL STATEMENTS 2 THROUGH 4 FOR A FULL COPY OF THE INTEGRIS HEALTH SYSTEM COMMUNITY BENEFIT REPORT, WHICH PROVIDES GREATER DETAIL WITH RESPECT TO INTEGRIS HEALTH'S RETURNSHIP AND COMMUNITY BUILDING EFFORTS.
Schedule I (Form 990) 2019



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1TIMOTHY PEHRSON
PRESIDENT/CEO
(i)

(ii)
913,234
-------------
0
230,379
-------------
0
15,454
-------------
0
288,443
-------------
0
20,057
-------------
0
1,467,567
-------------
0
0
-------------
0
2DOUGLAS M SMITH
CFO OF IH
(i)

(ii)
487,336
-------------
0
212,977
-------------
0
11,699
-------------
0
95,788
-------------
0
19,064
-------------
0
826,864
-------------
0
0
-------------
0
3ALLISON PETERSEN
ASST. SECRETARY
(i)

(ii)
204,514
-------------
0
750
-------------
0
3,465
-------------
0
31,210
-------------
0
13,891
-------------
0
253,830
-------------
0
0
-------------
0
4CHRIS HAMMES
COO OF IH
(i)

(ii)
644,265
-------------
0
401,961
-------------
0
27,757
-------------
0
202,467
-------------
0
19,174
-------------
0
1,295,624
-------------
0
0
-------------
0
5KERRI BAYER
CHIEF HR OFFICER/VP
(i)

(ii)
222,504
-------------
0
26,662
-------------
0
10,203
-------------
0
42,690
-------------
0
19,833
-------------
0
321,892
-------------
0
0
-------------
0
6JAQUETTA CLEMONS
SENIOR VICE PRESIDENT
(i)

(ii)
224,815
-------------
0
166,578
-------------
0
11,742
-------------
0
13,502
-------------
0
201
-------------
0
416,838
-------------
0
0
-------------
0
7ANGELA COSBY
PRESIDENT IMG
(i)

(ii)
69,190
-------------
0
476,584
-------------
0
963
-------------
0
24,544
-------------
0
9,113
-------------
0
580,394
-------------
0
0
-------------
0
8JEFFREY CRUZAN
CHIEF MEDICAL OFFICER
(i)

(ii)
204,888
-------------
353,342
246,965
-------------
0
10,094
-------------
0
33,157
-------------
0
20,079
-------------
0
515,183
-------------
353,342
0
-------------
0
9SUSAN GARCIA
VICE PRESIDENT
(i)

(ii)
209,207
-------------
0
40,365
-------------
0
8,949
-------------
0
121,788
-------------
0
155
-------------
0
380,464
-------------
0
0
-------------
0
10MICHAEL HATCH
CHIEF HUMAN RESOURCES OFFICER
(i)

(ii)
333,671
-------------
0
151,631
-------------
0
11,454
-------------
0
80,541
-------------
0
19,956
-------------
0
597,253
-------------
0
0
-------------
0
11TOMMY IBRAHIM
CHIEF HUMAN RESOURCES OFFICER
(i)

(ii)
581,875
-------------
0
153,082
-------------
0
11,740
-------------
0
145,646
-------------
0
19,416
-------------
0
911,759
-------------
0
0
-------------
0
12GEORG LUNDAY
DIRECTOR PHARMACY/VP
(i)

(ii)
222,698
-------------
0
27,977
-------------
0
8,457
-------------
0
18,753
-------------
0
19,185
-------------
0
297,070
-------------
0
0
-------------
0
13BENJAMIN MANSALIS
MED. DIRECTOR CMIO/SENIOR VP
(i)

(ii)
297,797
-------------
0
31,332
-------------
0
6,264
-------------
0
14,364
-------------
0
17,891
-------------
0
367,648
-------------
0
0
-------------
0
14MICHAEL MCCONNELL
VICE PRESIDENT
(i)

(ii)
242,567
-------------
0
39,448
-------------
0
8,333
-------------
0
12,808
-------------
0
8,002
-------------
0
311,158
-------------
0
0
-------------
0
15MARK PASQUALE
SENIOR VICE PRESIDENT
(i)

(ii)
113,933
-------------
0
604,040
-------------
0
4,465
-------------
0
28,000
-------------
0
5,996
-------------
0
756,434
-------------
0
0
-------------
0
16HARTFORD WATKINS
VICE PRESIDENT
(i)

(ii)
202,308
-------------
0
33,594
-------------
0
11,814
-------------
0
9,898
-------------
0
13,506
-------------
0
271,120
-------------
0
0
-------------
0
17MICHAEL WEED
SENIOR VICE PRESIDENT
(i)

(ii)
253,324
-------------
0
67,492
-------------
0
9,795
-------------
0
6,920
-------------
0
19,113
-------------
0
356,644
-------------
0
0
-------------
0
18ANDREW BARSALOUX
MEDICAL DIRECTOR CMIO
(i)

(ii)
260,748
-------------
0
66,808
-------------
0
855
-------------
0
11,000
-------------
0
14,377
-------------
0
353,788
-------------
0
0
-------------
0
19BRENT DAVIS
VICE PRESIDENT
(i)

(ii)
248,272
-------------
0
76,583
-------------
0
12,532
-------------
0
11,302
-------------
0
19,914
-------------
0
368,603
-------------
0
0
-------------
0
20ERIC DEDEKE
MEDICAL DIRECTOR CMIO
(i)

(ii)
311,082
-------------
0
13,405
-------------
0
1,205
-------------
0
17,803
-------------
0
8,063
-------------
0
351,558
-------------
0
0
-------------
0
21LEROY SOUTHMAYD III
DIRECTOR MEDICAL INFORMATICS
(i)

(ii)
227,262
-------------
0
136,881
-------------
0
1,343
-------------
0
20,864
-------------
0
14,555
-------------
0
400,905
-------------
0
0
-------------
0
22TERESA WILLIAMS
VICE PRESIDENT
(i)

(ii)
202,267
-------------
0
170,681
-------------
0
10,894
-------------
0
20,026
-------------
0
16,451
-------------
0
420,319
-------------
0
0
-------------
0
23DAVID R HADLEY
FORMER OFFICER
(i)

(ii)
0
-------------
0
0
-------------
0
244,392
-------------
0
0
-------------
0
0
-------------
0
244,392
-------------
0
0
-------------
0
24MICHAEL BOWLING
FORMER KEY EMPLOYEE
(i)

(ii)
123,542
-------------
0
0
-------------
0
3,758
-------------
0
13,277
-------------
0
8,429
-------------
0
149,006
-------------
0
0
-------------
0
25PRAVENE NATH MD
FORMER DIRECTOR
(i)

(ii)
13,550
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
13,550
-------------
0
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
SUPPLEMENTAL INFORMATION 1 SCHEDULE J, PART I, LINE 4B 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 DURING THE YEAR. KERRI BAYER TOMMY IBRAHIM ANGELA COSBY MARK PASQUALE JEFFREY CRUZAN TIMOTHY PEHRSON CHRIS HAMMES ALLISON PETERSEN MICHAEL HATCH DOUGLAS M. SMITH
SUPPLEMENTAL INFORMATION 2 SCHEDULE J, PART I, LINE 7 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.
Schedule J (Form 990) 2019

Additional Data


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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2019
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SEE PART V         No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SUPPLEMENTAL INFORMATION 1 (A) NAME OF INTERESTED PERSON: ACKERMAN MCQUEEN, INC. (B) RELATIONSHIP: BOARD MEMBER HAS AN OWNERSHIP INTEREST IN ACKERMAN MCQUEEN, INC. (C) AMOUNT: $5,268,769 (D) DESCRIPTION OF TRANSACTION: ADVERTISING SERVICES (E) SHARING OF ORGANIZATION'S REVENUES: NO (A) NAME OF INTERESTED PERSON: M. MARTIN (B) RELATIONSHIP: DAUGHTER-IN-LAW OF BOARD MEMBER (C) AMOUNT: $132,696 (D) DESCRIPTION OF TRANSACTION: EMPLOYMENT SERVICES (E) SHARING OF ORGANIZATION'S REVENUES: NO
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( MEDICAL EQUIPMENT ) X 2 49,180 FMV
26 Other Right pointing arrow large image ( OTHER EQUIPMENT ) X 2 29,624 FMV
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2019)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Return Reference Explanation
GENERAL STATEMENT 1 FORM 990, BOX C: DOING BUSINESS AS OKLAHOMA BUSINESS HEALTH INSTITUTE PARTNERS IN OKLAHOMA PARTNERS IN PRACTICE CARELINE INTEGRIS INTEGRIS HEALTH INTEGRIS HEALTHCARE INTEGRIS HEALTHCARE SYSTEM MISSION OF PREVENTION WORKING TOGETHER FOR A QUALITY LIFE LIFESPAN TELEREHAB MOVE FOR LIFE MAN CARD THE MOST DEDICATED PEOPLE HRANYTIME INTEGRIS CANCER INSTITUTE OF OKLAHOMA THE INTEGRIS PROTON CAMPUS INTEGRIS ONE CALL INTEGRIS ONE CALL TRANSFER CENTER INTEGRIS SLEEP DISORDERS CENTER OF OKLAHOMA THE CHILDREN'S PLACE AT INTEGRIS SOUTHWEST MEDICAL CENTER FUN AND FIT FUN AND FIT KIRKLAND THE MOST CHALLENGING HEALING INTEGRIS FAMILY OF FOUNDATIONS INTEGRIS CANCER INSTITUTE OF OKLAHOMA RESEARCH - METRO INTEGRIS TELESTROKE NETWORK OF OKLAHOMA TELESTROKE NETWORK OF OKLAHOMA INSTITUTE FOR ADVANCED THERAPEUTICS AND RESEARCH INTEGRIS HEART MIDWEST REGIONAL INTEGRIS COMMUNITY CLINIC INTEGRIS ONE CARE INTEGRIS OFFICE OF RESEARCH ADMINISTRATION
GENERAL STATEMENT 2 PART III, LINE 4A: COMMUNITY BENEFIT REPORT INTEGRIS COMMUNITY BENEFIT REPORT 2020 A MESSAGE FROM OUR PRESIDENT AND CEO INTEGRIS Health is an Oklahoman-based, not-for-profit health system that has served Oklahoma communities for more than 100 years. Our mission is partnering with people to live healthier lives. That means we strive to meet your health needs in whatever setting works best for you. INTEGRIS Health actively partners with other community organizations to improve access to health care and outcomes, including free clinics, health screenings, wellness promotions, health education, health support groups, mentoring programs for at-risk youth, clean up after natural disasters and assistance for the elderly. The global COVID-19 pandemic has made our efforts to improve health for our communities even more important as we strive to be the most trusted partner for health. This report highlights a few ways INTEGRIS Health positively impacted our communities last year. We are humbled at the opportunity to care for the lives of our fellow Oklahomans and thank you for trusting us with your care. Warmly, Tim Pehrson President and CEO Mission: Partnering with people to live healthier lives Vision: The Most Trusted Partner for Health Values: iCare-Integrity. Compassion. Accountability. Respect. Excellence. An Overview of the INTEGRIS Health COVID-19 Response The year 2020 will most likely be remembered as the year of COVID-19. As Oklahomans and INTEGRIS Health caregivers, our reputation for taking care of our patients and one another is well-deserved. 2020 was no different. While this pandemic presented challenges the likes of which we had never experienced, our caregivers and volunteers worked tirelessly, around the clock to provide patients the best care possible during a most unsettling, uncertain, unpredictable time. First COVID patient admitted to INTEGRIS Health March 16, 2020 Patients discharged/recovered 4,107 as of Jan. 31, 2021 Food drive items donated 2,355 pounds No. of Oklahoma COVID-19 patients cared for 4,938 as of Jan. 31, 2021 No. of masks made by volunteers 18,839 No. of homemade PPE items produced (face shields and surgical bonnets) 21,274 No. of INTEGRIS Health caregiver vaccines administered 21,105 as of Feb. 12, 2021 No. of community vaccines administered 5,000 as of Feb. 12, 2021 No. of INTEGRIS Health caregiver volunteers for disaster resource pools 434 COVID-19 Patient and Caregiver Diary How the Year 2020 Changed Us INTEGRIS Health caregivers and patients shared their stories during the most trying year in recent memory. Take a look at their stories, and how they triumphed over trauma. Enid Priest Shares His Personal Experience with COVID-19 On June 27, his 45th anniversary of ordination to priesthood, Father Mark Mason began experiencing chills despite the fact it was nearly 100 degrees outside. He tried putting on heavier clothing and lying down, but the chills persisted even under thick blankets. Local Man Survives COVID-19: Credits Convalescent Plasma and Remdesivir Don Wentroth celebrated Fathers Day and his 66th birthday this June, but like everything else in the year 2020, they werent the celebrations he had hoped for due to COVID-19. An ER Nurse Asks for Patience in the Rush to Return to Normal INTEGRIS Southwest Medical Center ER Nurse Rachel McCloy says the COVID-19 experience feels like a "hurry up and wait" scenario. An INTEGRIS Health Respiratory Therapist Describes the Pandemic Jennifer Blevin is a Respiratory Therapist working in the COVID Unit at INTEGRIS Southwest Medical Center. She says the current situation caused by the coronavirus pandemic can be described in one word tense. Pregnant and Testing Positive for COVID-19 "It started with a mild cough," describes Carly McKenzie. it just progressively got worse. It hurt to breathe. But honestly, I was more worried about my unborn baby than myself." 2020 Community Benefits by the Numbers INTEGRIS Health provided $65,363,664 in community benefits including the cost of bad debt. This includes our returnship, community building efforts, uncompensated services and Medicaid services. Returnship Returnship epitomizes our mission of giving back to our communities. It takes the form of hundreds of programs and acts of charity provided daily across the state of Oklahoma. * Free health screenings * Support groups * Medical services * Educational programs * Health fairs * Other charitable acts as reflected in the previous pages Our returnship efforts equaled $3,751,268. Community Building Community building is another vital way we give back. These efforts address the root causes of health problems. Some community building activities include the following. * Housing physical improvements * Economic development * Community support * Environmental enhancements * Advocacy for community health advancements Our community building efforts equaled $422,503. Uncompensated Services and Medicaid Services Uncompensated services comprise the costs of providing free and reduced-cost care. As a system of not-for-profit hospitals, INTEGRIS Health provides services to everyone, regardless of the ability to pay. Thus, we provide a much-needed safety net for members of our community who would otherwise have no access to medical care. Charity care costs are based on the overall hospital cost-to-charge ratios. INTEGRIS Health also provides care to patients who qualify for Medicaid programs. INTEGRIS Health provided charity care and Medicaid services at an estimated cost of $32,905,024. Bad Debt In addition, INTEGRIS Health incurred bad debt with an estimated cost of $28,284,869 based on the overall hospital cost-to-charge ratio. INTEGRIS Health Outreach Events and Programs ACS - Making Strides Kick-off Breakfast ACS Board Call - OK/TX Panhandle ACS Board Candidate Selection ACS Board Meeting ACS Making Strides Booth ACS Meeting ACS MWOY Planning Meeting ACS OKC Leadership Council Retreat ACS RMWP Luncheon ACS State Board Recruitment Lunch ACS Volunteer Driver Appreciation ALA Meeting Alzheimers Association American Academy of Family Physicians - Dr. Toms Owens American Cancer Society American Cancer Society Board Meeting American Cancer Society Making Strides Campaign American Cancer Society Real Men Wear Pink American Heart Association American Lung Association American Lung Association Sponsorship American Lung Association Support Group Christmas Annas House Foundation Anti-Vaping Seminar at Chisholm High School Art Exhibit Celebration of Life Ask a Dietitian Baby Cafe/Milk Bar- INTEGRIS Health Edmond Bedlam Battle Blood Drive Better Breathers Better Breathers Support Group Blood Pressure Screenings - Buffalo Run Boy Scouts 2020 Brain Health Series Brain Injury Support Group Breast Cancer Lunch and Learn Bright Futures Career Fair Burn Center Community Lectures FY 2019-20 Burn Center Lectures Nursing Students FY 2019-20 Calm Waters Center for Children and Families Cameron University Adult ICU Fall Clinical Rotation Cameron University Fall ED Respiratory Clinical Cameron University ICU Summer Rotations Cameron University NICU Respiratory Therapy Fall Rotations Cameron University PICU Respiratory Therapy Cameron University Respiratory Therapy ED Clinical Cameron University Respiratory Therapy Spring Rotations Cameron University Summer Respiratory Therapy Cancer Support Group in Spanish/Grupo de Apoyo de Cancer CancerCheck African American Health Fair CancerCheck Hispanic Health Fair Cardiology Education to Great Plains Residents CART House Gala CASA Donation CDSA Wine Tour Celebration of Life, National Cancer Survivors Day Chair Exercise Changing Your Weighs Chaplain Community Support Chisholm High School Athletic Sponsorship Christian Medical Clinic CLEET Lunch and Learn Commerce Head Start Physicals Community Blood Drive Community Flu Shots and BP Readings Community Health Improvement Organization Board Community Hours for Tim Pehrson, CEO, FY 2019-20 Community Nutrition Program Yukon Library Community Paramedic Program Community Wellness Budget FY 2019-20 Cooking Class for City of Miami employees Cooks Training for Area School Cooks Culinary Classroom Nutrition Instruction CV Tech Foundation
GENERAL STATEMENT 3 PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED DCCP (Delaware County Coalition Partnership) Meeting DCCSAN Weekly Child Abuse Meetings De Mujer a Mujer: Mesa Redonda Sobre Violencia Domstica Woman to Woman: Domestic Violence Roundtable Deaconess Pregnancy & Adoption DEEP (Diabetes Empowerment Education Program) Delaware County Community Health Education Classes Delaware County Community Outreach Flu Shots Down Syndrome Support Group DPP (Diabetes Prevention Program) Elders Health Fair Day Emergency Management Emergency Medical Service Community Support Emerging Trends for the Church Enid Charity Ball Donation 2019 Enid Community Screenings Enid High School Baseball Support Enid Public Schools Foundation Education Equipping the Faith Community to Minister to Those with Dementia Fairview Youth and Adult Triathlon Fall Prevention Farm-to-School at SHA Western Village FFAC Committee Meeting Financial Health for Clergy - Special Clergy Lunch Fit, Not Frail - 4-part series - Nutrition/Fitness Fit, Not Frail - 4-part series - Senior Weight Management Fit, Not Frail - First of 4-part series - Mabel Fry Flu Shot Clinic Follow Your Instinct - Save Lives Blood Drive Food Demonstration at the Moore Food and Resource Center Francis Tuttle CART II Fall 2019 Respiratory Adult ICU Francis Tuttle CART II NICU Respiratory Clinicals Francis Tuttle CART II Respiratory Spring Clinicals Adult ICU Francis Tuttle CART II Respiratory Spring Clinicals NICU Francis Tuttle CART II Spring PFT Clinical Rotations Francis Tuttle CART Respiratory PFT Clinicals Fall Francis Tuttle Respiratory Therapeutics 1 Spring (12-hour shifts) Francis Tuttle Respiratory Therapeutics 1 Fall (12-hour shifts) Francis Tuttle Respiratory Therapy Summer Clinicals (June 2020) Ft. Reno DAR 2020 Get Pink Luncheon Getting a Good Nights Sleep Gideons Meeting Prayer Breakfast Go Red For Your Heart/Vestido Rojo Grand Lake Area Stroke Support Group Grandparents: A Grand Perspective Great Land Run Education Fund Grief Support Groups Meeting Grove Tween Fair Health Alliance for the Uninsured Health Planning Coalition Healthy Living, Livestrong at the YMCA Healthy Schools Oklahoma Hearing Helpers 2020 Heart Healthy Eating for "New View" VITAL Heather Harkness Memorial Events Heroes Help - Paramedic Hispanic radio, television and newspaper Holy Angels Health Fair/Feria de Salud en Santos Hope Support Group Hopkins DDP Class Horticulture Therapy at Arcadia Trails INTEGRIS Hospice Circle of Love Benefit Clay Shoot Hospice Grief Recovery Program Hough Ear Institute Infant Crisis Center In-Kind Donation of Space/Staff for MDA Clinic INTEGRIS Health Baptist Milk Bar Lactation Support Group (July - March) INTEGRIS Health Cardiology Conference INTEGRIS Health Community Clinic INTEGRIS Health FitClub FY 2019-20 INTEGRIS Health Pharmaceutical Assistance Program FY 20 INTEGRIS Health Volunteer Auxiliary Monthly Meeting Integrity in Medicine ITN Central Oklahoma Jay Head Start Physicals Jay Public Schools Inservice JFK Camp "You Can Be A Hero" Presentation Jordan Cash OHA Meetings JWL of Enid La Leche League 2020 Lay Health Promoters/Promotoras de Salud Leukemia & Lymphoma Society Light the Night LifeShare Foundation Light the Night Executive Leadership Limb Loss Support Group LiveStrong Cancer Survivor Support Group LLS 2020 MWOY Meeting LLS Man of Year LLS Man of Year - Winter Cocktail LVAD Support Group Making Strides Against Breast Cancer OKC - Applause Making Strides Fundraiser Booth Making Strides Kickoff Booth - INTEGRIS Baptist Making Strides Kickoff Campaign - INTEGRIS Southwest Making Strides T-shirt Distribution Booth Man and Woman of the Year 2020 Kick Off Meeting Man and Woman of the Year 2020 Candidate Workshop Man of the Year Fundraiser Brainstorming Session Man of Year Fundraising Meeting Man Up Marriage and Family Therapy Internships Mary Pinzon Stroke Awareness/Education Meals on Wheels FY 2019-20 Medical Marijuana Lunch and Learn Medical Student Family Medicine Rotation Meditation Sessions at INTEGRIS Cancer Institute Meeting Room for Community Organizations Mens Health Barbershop Outreach Mens Health Screening, Nutrition Education Mens Health University: NE OKC Health Taskforce Mental Health Meeting Meridian Tech Students Miami Head Start Physicals Miami High School Students CPR training Miami Physical Therapy Students Miami Public School Inservice Presentation Mind, Body, Spirit Volunteer Mini Health Fairs Ministering to Children in Time of Crisis Mobile Health Screening Unit Monthly Lectures/Conferencias Mensuales Monthly Nutrition Program - Brookline Moral Injury: Healing the Wounds of Ministry NAMI Support Group NEO Nursing Advisory Council NEO Nursing Students NESA Meetings Newsletters/VIVA INTEGRIS Non-Reimbursed IRB Fees FY 2019-20 Northeastern Tribal Health System (NTHS) Diabetes NTC Afton Nursing Students NTC Kansas Nursing Students Nursing, AUA, surgical tech and paramedic students Nutrition Class for Cardiac Rehab Patients Nutrition Class Series/Clase de Nutricin Nutrition Education at Arcadia Trails INTEGRIS Nutrition Education at Staff Development Training Nutrition Education for Parents - Monroe Elementary Nutrition Education for Students - John Rex Middle School Nutrition Education Project 31 - Breast Cancer Online Support Group Nutrition Presentation - City of Edmond Nutrition Presentation - First Church Bethany Nutrition Presentation - Pete White Health and Wellness Center Nutrition Presentation for HLC - MAPS3 (Rockwell) Nutrition Presentation for HLC - Rockwell Nutrition Presentation for Metro YMCA Staff Nutrition Presentation for Parkinsons Support Nutrition Presentation for Seniors - INTEGRIS Southwest Nutrition Presentation for Statewide Librarian Conference Nutrition Program - Brookline Nutrition Program "Heart Smart Eating" Nutrition Program for Edmond Senior Center Nutrition Program for Pete White (Northcare) Nutrition Program for Seniors - Brookline OBI Blood Drives 2020 OCDDA Presentation OCU 2020 OK/TX/PAN Area Board Virtual Meeting: ACS Oklahoma Blood Institute Oklahoma County Medical Society - Dr. Toms Owens Oklahoma Family Center for Autism Oklahoma Project Woman Oklahoma School of Science & Mathematics Board Oklahoma School of Science and Mathematics Oklahoma Senior Games Oklahoma State Medical Association- Dr. Toms Owen Oklahoma State Respiratory Care Board of Directors Oklahoma State Stroke Systems Advisory Committee OKTXPAN ACS Area Board Meeting Oran Lee Speaking at Mental Health and Addiction Recovery Workgroup Orthopedic Provider Standby for Football/Basketball OSSM Foundation Board of Trustees Meeting OSSM Foundation Full Board Meeting OSSM Parents Association Reception OT and OTA 100 Student Internships Jan. 1 to June 3 OT and OTA 100 Student Internships July 1 to Dec. 3 OT and OTA 200 Student Internships Jan. 1 to June 3 OT and OTA 200 Student Internships July 1 to Dec. 3 Ottawa Community Health Series Ottawa County Community Health Series Ottawa County Farmers Market Board Meeting OU MHA Advisory Board Breakfast Meeting OUHSC Medical Student Course 19-20 Physical Therapy Community Hours Physical Therapy Students Positive Directions Mentoring Program FY 2019-20 Pre- and Post-conference rooms for Clinical Nursing Pregnancy Talks at Jay Public Schools Prenatal Classes Professional Staff Education, Sports Nutrition Project 31 Project 31 Breast Cancer Support Group Project 31 Cancer Support Group Christmas Party Project Search 2020 Conference Rooms PT 100 Student Internships Jan. 1 to June 30, 2020 PT 100 Student Internships July 1 to Dec. 31, 2019 PT 200 Student Internships - Jan. 1 to June 30, 2020 PT 200 Student Internships - July 1 to Dec. 31, 2019 Public Health Institute of Oklahoma Quapaw Head Start Physicals Radiation Therapy Student Hours Radiology Students Real Men Wear Pink ACS Making Strides Fundraiser Real Men Wear Pink Fundraiser Real Men Wear Pink Taco Lunch - Dr. Hassan REC Days Redlands 2020 Relay for Life Walk and Dinner Auction Resource Room Rose State Adult Floor Respiratory Clinicals Rose State Fall Pulmonary Diagnostics Clinicals Rose State Pulmonary Diagnostics Clinicals RT 200 Student Internships - July 1 to Dec. 31, 2019
GENERAL STATEMENT 4 PART III, LINE 4A: COMMUNITY BENEFIT REPORT CONTINUED Savannah Station Board of Directors 2020 School Garden Education - Adams Elementary Senior Life Nutrition Program - INTEGRIS Southwest Senior Life Wellness Budget FY 2019-20 SHA Community Clinic SLP 100 Student Internships July 1 to Dec. 31, 2019 SLP 200 Student Internships - Jan. 1 to June 30, 2020 SLP 200 Student Internships - July 1 to Dec. 31, 2019 Souper Bowl Saturday Speaker at First Presbyterian Speech Pathology Students Spinal Cord Injury Support Group Sponsor OSSMs 2020 Quantum Experience Spotlight on Stretching Stanley Hupfeld Academy 4th Grade Baking Classes Stanley Hupfeld Academy Annual Health and Science Fair Stanley Hupfeld Academy Support FY 2019-20 Stephen Grigar 2020 Stitching For Sanity Successful Breastfeeding July 1, 2019 to Feb. 15, 2020 Summer (June) Respiratory Clinicals - Rose State Survivors of Suicide Support Group SWOSU 2020 Tenaciously Teal Sponsorship Teresa Gray: CART House TFCU Health Fair The Care Giver Soul The Foundation for OKCPS UCO Community and Public Health Internships INTEGRIS Cancer Institute UMICORE Health Fair (Safety Day) Under the Surface Understanding the Changes in Medicine United Way Chili Cook-Off United Way Donation United Way of Canadian County Variety Care Vascular Screenings free of charge to qualifying population Walk For Life Wellness Where You Are - Edmond Wellness Where You Are - Yukon Wellness Wise Guys Clinic Workers Comp Lunch and Learn YMCA YMCA Annual Campaign YMCA Board of Directors YMCA Meeting Yoga Healing through Movement / Safer At Home Yoga Yoga in Your Chair Yoga Nidra Experience Youth and Family Services Youth Experiencing Success Luncheon 2020 Yukon Community Screenings Yukon Public School Health Fair Yukon Rotary 2020 YWCA YWCA Purses with Purpose Annual Sponsorship
GENERAL STATEMENT 5 PART V: QUESTION 2A THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF EMPLOYEES REPORTED ON INTEGRIS HEALTH, INC.'S 2018 FORM W-3. INTEGRIS HEALTH, INC., AS THE PARENT ENTITY OF THE INTEGRIS HEALTH SYSTEM, ACTS AS THE PAYROLL AGENT FOR ALL OF THE SYSTEM ENTITIES AND ALL SYSTEM EMPLOYEES ARE INCLUDED ON ITS FORM W-3 AND ITS FORM 941, EMPLOYER'S QUARTERLY FEDERAL TAX RETURN. THE SALARIES ARE REIMBURSED TO INTEGRIS HEALTH, INC. BY INDIVIDUAL ENTITIES WITHIN THE SYSTEM, AND REPORTED ON THEIR RESPECTIVE FORMS 990 PARTS VII, IX, AND SCHEDULE J AS APPROPRIATE. THE AMOUNTS REPORTED ON PART V, LINE 2A OF THE FORMS 990 OF THE INDIVIDUAL ENTITIES WITHIN THE SYSTEM REPRESENT THE NUMBER OF FULL TIME EMPLOYEES, AS DETERMINED BY FTE HOURS WORKED, FOR THE RESPECTIVE FILING ORGANIZATIONS DURING THE 2018 TAX YEAR, AND THOSE EMPLOYEES ARE ALSO INCLUDED IN THE TOTAL REPORTED ON THE INTEGRIS HEALTH, INC. FORM 990, PART V, LINE 2A.
GENERAL STATEMENT 6 PART VI: QUESTION 2 THE FILING ORGANIZATION IS THE CONTROLLING MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM (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, EMPLOYEES, OR INDEPENDENT CONTRACTORS OF RELATED ENTITIES WITHIN THE SYSTEM: LUKE R. CORBETT JOEY SAGER DANIEL DAVIS ELLIOTT SCHWARTZ, D.O. PETER DELANEY DOUGLAS M. SMITH CHRIS HAMMES MARSHALL SNIPES NEAL HOGAN, PH.D. GEORGIANNE SNOWDEN, M.D. PHILIP MOSCA, MD. DAVID THOMPSON TIMOTHY PEHRSON CHRISTOPHER TURNER ALLISON PETERSEN LINDA VYTLACIL, PH.D. MARK WERNER, M.D.
GENERAL STATEMENT 7 PART VI: SECTION B. POLICIES PART VI: QUESTION 11B - THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (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, 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.
GENERAL STATEMENT 8 PART VI: SECTION B. POLICIES PART VI: QUESTION 12C - THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). CONFLICT OF INTEREST IS ADDRESSED IN THE SYSTEM 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 SYSTEMS'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 GOVERANCE COMMITTEE, A COMMITTEE OF THE SYSTEM'S BOARD COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS AND APPROVES ANY AND ALL PROPOSED BUSINESS TRANSACTIONS BETWEEN ANY ENTITY OF THE SYSTEM AND A DISQUALIFIED PERSON.
GENERAL STATEMENT 9 PART VI: SECTION B. POLICIES PART VI: QUESTION 15A AND 15B - THE FILING ORGANIZATION IS THE CONTROLLING MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM (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 FILING ORGANIZATION'S 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.
GENERAL STATEMENT 10 PART VI: SECTION C. DISCLOSURE PART VI: QUESTION 19 - THE FILING ORGANIZATION IS THE CONTROLLING MEMBER ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM (SYSTEM). THE SYSTEM DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED FINANCIALS FOR THE SYSTEM. THESE CONSOLIDATED FINANCIALS ARE DISCLOSED FOR BOND COMPLIANCE PURPOSES USING DIGITAL ASSURANCE CERTIFICATION.
GENERAL STATEMENT 11 PART XI: RECONCILIATION OF NET ASSETS, LINE 9 ACTUARIAL ADJUSTMENT TO RETIREMENT PLAN BALANCE ($ 137,150,611) INCOME FROM SUBSIDIARIES - EQUITY METHOD $ 940,568 EQUITY TRANSFERS FROM SUBSIDIARIES $ 250,000 -------------- TOTAL ($ 135,960,043)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
INTEGRIS HEALTH INC
 
Employer identification number

73-1192764
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) MEDICAL PARKING INC
5300 N INDEPENDENCE AVE STE 130
OKLAHOMA CITY,OK73112
73-1210537
PARKING FAC. OK 1,221,841 4,266,610 IH
 
(2) INTEGRIS REALTY LLC
5300 N INDEPENDENCE AVE STE 130
OKLAHOMA CITY,OK73112
73-1192750
PROPERTY MGMT OK 13,467,258 62,790,797 IH
 
(3) INTEGRIS HEALTH AFFILIATES LLC
5300 N INDEPENDENCE AVE STE 130
OKLAHOMA CITY,OK73112
HEALTH CARE OK 0 0 IH
 






Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)INTEGRIS AMBULATORY CARE CORPORATION
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-1192765
HEALTH CARE OK 501(C)(3) LINE 3 IH
 
Yes
 
(2)INTEGRIS HOSPICE INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-1369586
HEALTH CARE OK 501(C)(3) LINE 10 IH
 
Yes
 
(3)INTEGRIS BAPTIST MEDICAL CENTER INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-1034824
HEALTH CARE OK 501(C)(3) LINE 3 IH
 
Yes
 
(4)INTEGRIS RURAL HEALTH INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-1444504
HEALTH CARE OK 501(C)(3) LINE 3 IH
 
Yes
 
(5)INTEGRIS SOUTHWEST MEDICAL CENTER INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-1089149
HEALTH CARE OK 501(C)(3) LINE 3 IH
 
Yes
 
(6)INTEGRIS HEALTH FOUNDATION INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-1047338
FUNDRAISING OK 501(C)(3) LINE 7 IH
 
Yes
 
(7)WESTERN VILLAGE ACADEMY INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-1588764
SCHOOL OK 501(C)(3) LINE 2 IACC
 
Yes
 
(8)INTEGRIS HEALTH EDMOND INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
45-1027361
HEALTH CARE OK 501(C)(3) LINE 3 IH
 
Yes
 
(9)INTEGRIS MENTAL HEALTH INC
5300 N INDEPENDENCE AVE STE 130

OKLA CITY,OK73112
73-0738716
HEALTH CARE OK 501(C)(3) LINE 3 IH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) BMPA LTD 73-1228665

OKLAHOMA CITY OK 73112
OKLAHOMA CITY,OK73112
MED. OFFICE BLDG. OK PROHEALTH
 
EXCLUDED       No     No  
(2) QC-III 20-8723857

OKLAHOMA CITY OK 73112
OKLAHOMA CITY,OK73112
MEDICAL OK IBMC
 
RELATED       No     No  
(3) DIAGNOSTIC LAB 73-1560760

LYNDHURST NJ 07071
LYNDHURST,NJ07071
CLINICAL LAB NJ QUEST DIAG
 
UNRELATED       No     No  
(4) MPI CENTER 73-1283942

OKLAHOMA CITY OK 73112
OKLAHOMA CITY,OK73112
MEDICAL OK IACC
 
RELATED       No     No  
(5) HILLCRESTINTEGRIS HEATH LLC

OKLAHOMA CITY OK 73112
OKLAHOMA CITY,OK73112
DORMANT OK NA
 
N/A       No     No  
(6) LAKESIDE HOSPITAL 73-1493662

OKLAHOMA CITY OK 73112
OKLAHOMA CITY,OK73112
MEDICAL OK IACC
 
RELATED       No     No  
(7) 5300 GRAND 73-1306794

FRANKLIN TN 37067
FRANKLIN,TN37067
REAL ESTATE TN IBMC
 
RELATED       No     No  
(8) INTEGRISUSP HLTH 35-2632292

ADDISON TX 75001
ADDISON,TX75001
MEDICAL SERVICES TX IACC
 
RELATED       No     No  
(9) INTEGRIS EMER HOSP 90-1215089

THE WOODLANDS TX 77381
THE WOODLANDS,TX77381
HEALTH CARE TX IACC
 
RELATED       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) INTEGRIS PROHEALTH INC

5300 N INDEPENDENCE AVE STE 130
OKLA CITY,OK73112
73-1046179
RETAIL PHARMACY OK IH
 
S Corp 15,252,738 25,301,373 100.000 % Yes  
(2) THE STANLEY F HUPFELD CHAR REMAIN TRUST

5300 N INDEPENDENCE AVE STE 130
OKLA CITY,OK73112
26-6238051
FINANCIAL OK IH FDN
 
Trust       Yes  
(3) QUALITY ALLIANCE ASSURANCE CO

PO BOX 10027 KYI-1001
GRAND CAYMAN    
CJ
98-1060671
INSURANCE CJ IH
 
C Corp     100.000 % Yes  
(4) BAPTIST HEALTH SYSTEM INC

5300 N INDEPENDENCE AVE STE 130
OKLA CITY,OK73112
DORMANT OK IH
 
C Corp         No
(5) ONE CARE INC

5300 N INDEPENDENCE AVE STE 130
OKLA CITY,OK73112
DORMANT OK IRH
 
C Corp         No
(6) VADOVATIONS INC

5300 N INDEPENDENCE AVE STE 130
OKLA CITY,OK73112
27-0821922
HEALTH CARE OK IBMC
 
C Corp       Yes  
(7) INTEGRIS HEALTH PARTNERS LLC

5300 N INDEPENDENCE AVE STE 130
OKLA CITY,OK73112
45-3482852
HEALTH CARE OK IH
 
C Corp 3,410,761 193,686 100.000 % Yes  
(8) INTEGRIS CARDIOVASCULAR PHYSICIANS LLC

5300 N INDEPENDENCE AVE STE 130
OKLA CITY,OK73112
45-2867352
HEALTH CARE OK IH
 
C Corp 59,721,685 9,332,861 100.000 % Yes  
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) INTEGRIS AMBULATORY CARE CORPORATION

j 5,516,365 COST
(2) INTEGRIS AMBULATORY CARE CORPORATION

l 210,377 COST
(3) INTEGRIS AMBULATORY CARE CORPORATION

p 6,490,712 COST
(4) INTEGRIS AMBULATORY CARE CORPORATION

q 258,250,586 COST
(5) INTEGRIS HOSPICE INC

q 6,000,702 COST
(6) INTEGRIS HOSPICE INC

r 435,181 COST
(7) INTEGRIS BAPTIST MEDICAL CENTER INC

j 564,552 COST
(8) INTEGRIS BAPTIST MEDICAL CENTER INC

l 8,799,473 COST
(9) INTEGRIS BAPTIST MEDICAL CENTER INC

m 191,929 COST
(10) INTEGRIS BAPTIST MEDICAL CENTER INC

p 23,294,652 COST
(11) INTEGRIS BAPTIST MEDICAL CENTER INC

q 858,841,786 COST
(12) INTEGRIS BAPTIST MEDICAL CENTER INC

r 54,502,605 COST
(13) INTEGRIS BAPTIST MEDICAL CENTER INC

s 101,108 COST
(14) INTEGRIS RURAL HEALTH INC

k 427,072 COST
(15) INTEGRIS RURAL HEALTH INC

l 4,510,390 COST
(16) INTEGRIS RURAL HEALTH INC

m 124,149 COST
(17) INTEGRIS RURAL HEALTH INC

p 1,482,889 COST
(18) INTEGRIS RURAL HEALTH INC

q 227,536,664 COST
(19) INTEGRIS RURAL HEALTH INC

r 10,806,182 COST
(20) INTEGRIS SOUTHWEST MEDICAL CENTER INC

k 706,093 COST
(21) INTEGRIS SOUTHWEST MEDICAL CENTER INC

l 3,157,381 COST
(22) INTEGRIS SOUTHWEST MEDICAL CENTER INC

p 1,184,246 COST
(23) INTEGRIS SOUTHWEST MEDICAL CENTER INC

q 220,340,440 COST
(24) INTEGRIS SOUTHWEST MEDICAL CENTER INC

r 14,825,369 COST
(25) INTEGRIS HEALTH FOUNDATION INC

c 192,154 COST
(26) INTEGRIS HEALTH FOUNDATION INC

p 631,398 COST
(27) INTEGRIS HEALTH FOUNDATION INC

q 2,329,178 COST
(28) WESTERN VILLAGE ACADEMY INC

b 250,000 COST
(29) BAPTIST MEDICAL PLAZA ASSOCIATES LTD

k 2,078,781 COST
(30) BAPTIST MEDICAL PLAZA ASSOCIATES LTD

q 883,921 COST
(31) INTEGRIS PROHEALTH INC

j 332,597 COST
(32) INTEGRIS PROHEALTH INC

m 69,996 COST
(33) INTEGRIS PROHEALTH INC

p 21,705,965 COST
(34) INTEGRIS PROHEALTH INC

q 102,800,623 COST
(35) QUALITY ALLIANCE ASSURANCE COMPANY

m 19,362,909 COST
(36) INTEGRIS HEALTH PARTNERS LLC

p 1,250,302 COST
(37) INTEGRIS HEALTH PARTNERS LLC

q 2,768,984 COST
(38) INTEGRIS CARDIOVASCULAR PHYSICIANS LLC

j 1,917,066 COST
(39) INTEGRIS CARDIOVASCULAR PHYSICIANS LLC

l 82,247 COST
(40) INTEGRIS CARDIOVASCULAR PHYSICIANS LLC

q 54,604,839 COST
(41) INTEGRIS HEALTH EDMOND INC

k 967,701 COST
(42) INTEGRIS HEALTH EDMOND INC

l 701,838 COST
(43) INTEGRIS HEALTH EDMOND INC

p 247,988 COST
(44) INTEGRIS HEALTH EDMOND INC

q 110,894,673 COST
(45) LAKESIDE WOMEN'S HOSPITAL LLC

l 265,468 COST
(46) LAKESIDE WOMEN'S HOSPITAL LLC

p 75,731 COST
(47) LAKESIDE WOMEN'S HOSPITAL LLC

q 29,743,456 COST
(48) 5300 GRAND LIMITED PARTNERSHIP

q 61,163 COST
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
SUPPLEMENTAL INFORMATION 1 PART III AND PART IV: DIRECT CONTROLLING ENTITY THE ABBREVIATIONS SHOWN BELOW HAVE BEEN UTILIZED IN THE RETURN FOR THE FOLLOWING ENTITIES: INTEGRIS RURAL HEALTH HEALTH, INC. (IRH) INTEGRIS BAPTIST MEDICAL CENTER, INC. (IBMC) INTEGRIS HEALTH FOUNDATION, INC. (IH FDN.) INTEGRIS HEALTH, INC. (IH) INTEGRIS AMBULATORY CARE CORPORATION (IACC) INTEGRIS PROHEALTH, INC. (PROHEALTH)
Schedule R (Form 990) 2019

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