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← INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION

Form 990 for tax year 2022

Filed by INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION.

Totals

Total revenue
$303,213,422
Total expenses
$304,637,122
Contributions and grants received
$4,039,784
Grants paid
$6,000
Program service revenue
$280,343,182
Investment income
$18,830,456
Other revenue
$0
Total assets, end of year
$242,469,655
Total liabilities, end of year
$19,862,686
Net assets or fund balances, end of year
$222,606,969
Program services expenses (Part IX)
$249,177,271
Management and general expenses
$55,459,851
Fundraising expenses
$0
Program service expenses (Part III)
$249,177,271

Program services were 81.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • VINCENT BRIDGES PHD

    DIRECTOR & SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • STEVE BUCHANAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DEREK GILL

    DIRECTOR & BOARD CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • ANTHONY JACKSON

    DIRECTOR

    Total calculated
    $44,250
    From this org
    $0
    From related orgs
    $44,250
    Other
    $0
    Hours/week
    1

  • KARLA MARSHALL

    DIRECTOR

    Total calculated
    $22,750
    From this org
    $0
    From related orgs
    $22,750
    Other
    $0
    Hours/week
    1

  • PHILIP MOSCA

    DIRECTOR

    Total calculated
    $1,650
    From this org
    $0
    From related orgs
    $1,650
    Other
    $0
    Hours/week
    1

  • RENEE PORTER

    DIRECTOR & VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • BRIAN SEACAT MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JENNIFER TUCKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TIMOTHY PEHRSON

    DIRECTOR & PRESIDENT/CEO

    Total calculated
    $2,825,944
    From this org
    $0
    From related orgs
    $2,539,008
    Other
    $286,936
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,230,472 related
    Bonus
    $0 + $1,003,444 related
    Other
    $0 + $305,092 related
    Deferred
    $0 + $280,336 related
    Nontaxable benefits
    $0 + $6,600 related
    Filer's total
    $0 + $2,825,944 related

  • JEANETTE KELLEY DO

    DIRECTOR

    Total calculated
    $347,864
    From this org
    $0
    From related orgs
    $324,703
    Other
    $23,161
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $295,994 related
    Bonus
    $0 + $27,321 related
    Other
    $0 + $1,388 related
    Deferred
    $0 + $16,821 related
    Nontaxable benefits
    $0 + $6,340 related
    Filer's total
    $0 + $347,864 related

  • SAIF FAROOQ MD

    DIRECTOR

    Total calculated
    $879,519
    From this org
    $0
    From related orgs
    $857,453
    Other
    $22,066
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $689,010 related
    Bonus
    $0 + $166,764 related
    Other
    $0 + $1,679 related
    Deferred
    $0 + $13,291 related
    Nontaxable benefits
    $0 + $8,775 related
    Filer's total
    $0 + $879,519 related

  • BRENT HUBBARD

    DIRECTOR

    Total calculated
    $742,216
    From this org
    $0
    From related orgs
    $648,949
    Other
    $93,267
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $470,133 related
    Bonus
    $0 + $150,000 related
    Other
    $0 + $28,816 related
    Deferred
    $0 + $89,609 related
    Nontaxable benefits
    $0 + $3,658 related
    Filer's total
    $0 + $742,216 related

  • HALEY NOLES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARLENE WOOD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DEREK WEST MD

    DIRECTOR

    Total calculated
    $9,000
    From this org
    $0
    From related orgs
    $9,000
    Other
    $0
    Hours/week
    1

  • DAVID CRAIG TURNER

    PART YEAR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DOUGLAS M SMITH

    PART YEAR TREASURER & CFO

    Total calculated
    $1,038,201
    From this org
    $0
    From related orgs
    $907,662
    Other
    $130,539
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $613,208 related
    Bonus
    $0 + $149,498 related
    Other
    $0 + $144,956 related
    Deferred
    $0 + $123,939 related
    Nontaxable benefits
    $0 + $6,600 related
    Filer's total
    $0 + $1,038,201 related

  • MICHAEL WEED

    PART YEAR TREASURER & CFO

    Total calculated
    $454,277
    From this org
    $0
    From related orgs
    $394,260
    Other
    $60,017
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,224 related
    Bonus
    $0 + $72,029 related
    Other
    $0 + $11,007 related
    Deferred
    $0 + $53,417 related
    Nontaxable benefits
    $0 + $6,600 related
    Filer's total
    $0 + $454,277 related

  • JACKIE LOCKETT

    VP CHIEF NURSING OFFICER

    Total calculated
    $264,116
    From this org
    $248,579
    From related orgs
    $0
    Other
    $15,537
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,434
    Bonus
    $24,359
    Other
    $9,786
    Deferred
    $12,519
    Nontaxable benefits
    $3,018
    Filer's total
    $264,116

  • JOHN ADAMS

    CHIEF HOSPITAL EXEC. PART YEAR

    Total calculated
    $299,598
    From this org
    $280,797
    From related orgs
    $0
    Other
    $18,801
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,614
    Bonus
    $35,288
    Other
    $7,895
    Deferred
    $15,995
    Nontaxable benefits
    $2,806
    Filer's total
    $299,598

  • KURT DEVANEY

    CHIEF HOSPITAL EXEC. PART YEAR

    Total calculated
    $325,097
    From this org
    $0
    From related orgs
    $285,932
    Other
    $39,165
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $233,592 related
    Bonus
    $0 + $41,136 related
    Other
    $0 + $11,204 related
    Deferred
    $0 + $37,533 related
    Nontaxable benefits
    $0 + $1,632 related
    Filer's total
    $0 + $325,097 related

  • DAVID BRENT TIPTON

    MEDCIAL DIRECTOR

    Total calculated
    $616,550
    From this org
    $586,639
    From related orgs
    $0
    Other
    $29,911
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $517,927
    Bonus
    $27,171
    Other
    $41,541
    Deferred
    $23,631
    Nontaxable benefits
    $6,280
    Filer's total
    $616,550

  • MITCHELL ROLFES

    RESPIRATORY THERAPIST

    Total calculated
    $279,006
    From this org
    $265,484
    From related orgs
    $0
    Other
    $13,522
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,484
    Bonus
    $0
    Other
    $0
    Deferred
    $13,522
    Nontaxable benefits
    $0
    Filer's total
    $279,006

  • BRENT BESON

    PHYSICIAN

    Total calculated
    $208,017
    From this org
    $205,700
    From related orgs
    $0
    Other
    $2,317
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $104,000
    Bonus
    $101,700
    Other
    $0
    Deferred
    $2,317
    Nontaxable benefits
    $0
    Filer's total
    $208,017

  • RICHARD WILTON

    DIRECTOR INPATIENT REHAB

    Total calculated
    $219,690
    From this org
    $200,972
    From related orgs
    $0
    Other
    $18,718
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,254
    Bonus
    $9,621
    Other
    $4,097
    Deferred
    $12,622
    Nontaxable benefits
    $6,096
    Filer's total
    $219,690

  • ARMANDO ZUNIGA

    PHARMACIST

    Total calculated
    $215,117
    From this org
    $197,153
    From related orgs
    $0
    Other
    $17,964
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,753
    Bonus
    $0
    Other
    $400
    Deferred
    $15,369
    Nontaxable benefits
    $2,595
    Filer's total
    $215,117

  • JORDAN CASH

    FORMER KEY EMPLOYEE

    Total calculated
    $366,083
    From this org
    $0
    From related orgs
    $326,235
    Other
    $39,848
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $255,669 related
    Bonus
    $0
    Other
    $0 + $70,566 related
    Deferred
    $0 + $36,436 related
    Nontaxable benefits
    $0 + $3,412 related
    Filer's total
    $0 + $366,083 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, and on a Form 990-PF Part VIII's — 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)

PART I, LINE 3
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION (ISMC) IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). AS PART OF THIS SYSTEM, ISMC RELIES UPON INTEGRIS TO ESTABLISH THE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIALS. INTEGRIS UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THIS COMPENSATION.
PART I, LINE 4B
THE FILING ORGANIZATION IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM CONTROLLED BY INTEGRIS HEALTH, INC. (INTEGRIS). INTEGRIS PROVIDES TO CERTAIN EXECUTIVES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PURPOSE OF THE PLAN IS TO SUPPLEMENT THE SPONSOR-PROVIDED RETIREMENT BENEFITS TO BE PAID TO SENIOR EXECUTIVES PURSUANT TO THE DEFINED BENEFIT PENSION PLAN, THE TAX DEFERRED ANNUITY PLAN AND OTHER QUALIFIED OR NON- QUALIFIED RETIREMENT PLANS WHICH ARE MAINTAINED BY THE SPONSOR. THE PLAN PROVIDES AN OPPORTUNITY TO EARN SUPPLEMENTAL INCENTIVE INCOME BY PROVIDING ANNUAL CONTRIBUTIONS TO THE ACCOUNT SO LONG AS THE EXECUTIVE REMAINS EMPLOYED BY THE SPONSOR TO RETIREMENT AGE OF 65. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN BUT DID NOT RECEIVE A PAYMENT DURING THE YEAR: MICHAEL WEED BRENT HUBBARD KURT DEVANEY THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THIS PLAN AND RECEIVED PAYMENTS IN THE CURRENT REPORTING YEAR. TIMOTHY PEHRSON - $286,003 DOUGLAS A. SMITH - $131,709 JORDAN CASH- $65,311
PART I, LINE 7
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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202421369349317902

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