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Nonprofiteer
← INTEGRIS HEALTH PONCA CITY HOSPITAL INC

Form 990 for tax year 2023

Filed by INTEGRIS HEALTH PONCA CITY HOSPITAL INC.

Totals

Total revenue
$42,538,692
Total expenses
$35,853,369
Contributions and grants received
$549,234
Grants paid
$0
Program services expenses (Part IX)
$35,853,369
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$35,853,369

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Teresa Walker

    Director & Chairman

    Total calculated
    $0
    Hours/week
    1

  • Timothy Pehrson

    Director & President/CEO

    Total calculated
    $2,666,600
    From this org
    $0
    From related orgs
    $2,426,478
    Other
    $240,122
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,261,559 related
    Bonus
    $0 + $903,360 related
    Other
    $0 + $261,559 related
    Deferred
    $0 + $233,113 related
    Nontaxable benefits
    $0 + $7,009 related
    Filer's total
    $0 + $2,666,600 related

  • Bart Snyder

    Director

    Total calculated
    $0
    Hours/week
    1

  • Christopher Mendoza

    Director & Chief Hospital Executive

    Total calculated
    $38,268
    From this org
    $37,868
    From related orgs
    $0
    Other
    $400
    Hours/week
    40

  • David Meyers

    Director

    Total calculated
    $0
    Hours/week
    1

  • Don Nuzum

    Director

    Total calculated
    $0
    Hours/week
    1

  • Erin Liberton

    Director

    Total calculated
    $0
    Hours/week
    1

  • Michael Eckholt

    Director

    Total calculated
    $0
    Hours/week
    1

  • Michael Schiff MD

    Director

    Total calculated
    $158,480
    From this org
    $0
    From related orgs
    $142,022
    Other
    $16,458
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $140,157 related
    Bonus
    $0
    Other
    $0 + $1,865 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $1,208 related
    Filer's total
    $0 + $158,480 related

  • Natalie Fraser

    Director

    Total calculated
    $0
    Hours/week
    1

  • Nikole Hicks

    Director

    Total calculated
    $0
    Hours/week
    1

  • Robert Howard

    Director

    Total calculated
    $0
    Hours/week
    1

  • Ron Kreger MD

    Director

    Total calculated
    $0
    Hours/week
    1

  • Winston Henry

    Director

    Total calculated
    $0
    Hours/week
    1

  • Michael Weed

    Treasurer & CFO

    Total calculated
    $875,109
    From this org
    $0
    From related orgs
    $765,566
    Other
    $109,543
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $585,164 related
    Bonus
    $0 + $148,090 related
    Other
    $0 + $32,312 related
    Deferred
    $0 + $102,534 related
    Nontaxable benefits
    $0 + $7,009 related
    Filer's total
    $0 + $875,109 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
INTEGRIS HEALTH PONCA CITY HOSPITAL, INC. IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, WOODWARD RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THE PLAN AND DID NOT RECEIVE A PAYMENT DURING THE YEAR: CHRISTOPHER MENDOZA THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED A PAYMENT IN THE CURRENT REPORTING YEAR: TIMOTHY PEHRSON: $237,683 MICHAEL WEED: $17,356
Schedule J, Part I, Line 7 Non-fixed payments
THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS HEALTH HAS ESTABLISHED A FINANCIAL INCENTIVE PLAN THAT ENCOURAGES THE EXECUTIVE OFFICER'S PARTICIPATION IN THE SIGNIFICANT IMPROVEMENTS OF THE QUALITY AND FINANCIAL OPERATIONS OF THE ORGANIZATION. THE QUALITY COMPONENT IS DEFINED AS IMPROVEMENT IN PATIENT SAFETY, PATIENT SATISFACTION AND REDUCTION OF EMPLOYEE TURNOVER. THE FINANCIAL COMPONENT CONSISTS OF ACHIEVEMENT IN NET OPERATING INCOME THRESHOLD TO BE ACHIEVED TO ACTIVATE THE PLAN. A PREDETERMINED THRESHOLD IS CREATED WITHIN ALL ASPECTS OF THE PLAN BEFORE FINANCIAL ACHIEVEMENT IS PAYABLE. ALL PLANS ARE WRITTEN ACCORDING TO EXECUTIVE LEVEL AND ADOPTED BY INTEGRIS HEALTH BOARD RESOLUTION EACH PLAN YEAR AND PAYABLE AFTER INDEPENDENT AUDIT RESULTS ARE DETERMINED. 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
16 May 2025
IRS schema version
2023v6.0
Source object
202501359349317565

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