Skip to content
Nonprofiteer
← ST JOHN MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by ST JOHN MEDICAL CENTER INC.

Totals

Total revenue
$574,934,353
Total expenses
$559,459,768
Contributions and grants received
$17,451,045
Grants paid
$9,135,348
Program services expenses (Part IX)
$445,277,072
Management and general expenses
$114,182,696
Fundraising expenses
$0
Program service expenses (Part III)
$445,277,072

Program services were 79.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BRYANIE W SWILLEY

    SECRETARY/INTERIM CEO/COO MINISTRY MARKET (START 5/2023)

    Total calculated
    $0
    Hours/week
    0 + 50 related

  • HASTINGS SIEGFRIED

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MICHAEL J MCBRIDE

    EX-OFFICIO/REGIONAL PRESIDENT & COO/SECRETARY (END 5/2023)

    Total calculated
    $944,285
    From this org
    $0
    From related orgs
    $903,218
    Other
    $41,067
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,006 related
    Bonus
    $0 + $333,400 related
    Other
    $0 + $75,812 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $25,817 related
    Filer's total
    $0 + $944,285 related

  • C T DOLAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOSEPH P MORAN III

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ROBERT SULLIVAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHAUN GREWAL MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SISTER LORETTA MARIE HALL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN HEYMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • REBECCA A TUCKER

    TREASURER/CFO, MINISTRY MARKET

    Total calculated
    $604,532
    From this org
    $0
    From related orgs
    $567,874
    Other
    $36,658
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,615 related
    Bonus
    $0 + $146,452 related
    Other
    $0 + $45,807 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $21,408 related
    Filer's total
    $0 + $604,532 related

  • ELIZABETH A MEDINA RN

    CNO, MINISTRY MARKET (END 5/2022)

    Total calculated
    $420,868
    From this org
    $401,493
    From related orgs
    $0
    Other
    $19,375
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $114,954
    Bonus
    $75,960
    Other
    $210,579
    Deferred
    $9,634
    Nontaxable benefits
    $9,741
    Filer's total
    $420,868

  • JOHN B FORREST MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $641,952
    From this org
    $602,260
    From related orgs
    $0
    Other
    $39,692
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $451,945
    Bonus
    $91,121
    Other
    $59,194
    Deferred
    $16,775
    Nontaxable benefits
    $22,917
    Filer's total
    $641,952

  • RONNIE L HOFFMAN

    VP, OPERATIONS

    Total calculated
    $345,231
    From this org
    $298,600
    From related orgs
    $0
    Other
    $46,631
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $246,518
    Bonus
    $50,800
    Other
    $1,282
    Deferred
    $19,812
    Nontaxable benefits
    $26,819
    Filer's total
    $345,231

  • TAMMY BARK RN

    VP/CNO

    Total calculated
    $327,524
    From this org
    $301,559
    From related orgs
    $0
    Other
    $25,965
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $250,868
    Bonus
    $48,760
    Other
    $1,931
    Deferred
    $6,100
    Nontaxable benefits
    $19,865
    Filer's total
    $327,524

  • BAT SHUNATONA

    VP

    Total calculated
    $480,775
    From this org
    $447,899
    From related orgs
    $0
    Other
    $32,876
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $346,189
    Bonus
    $69,341
    Other
    $32,369
    Deferred
    $19,825
    Nontaxable benefits
    $13,051
    Filer's total
    $480,775

  • EMILY K SHERWOOD RN

    REGISTERED NURSE

    Total calculated
    $369,657
    From this org
    $330,983
    From related orgs
    $0
    Other
    $38,674
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $320,827
    Bonus
    $6,000
    Other
    $4,156
    Deferred
    $11,130
    Nontaxable benefits
    $27,544
    Filer's total
    $369,657

  • ENRIQUE R DE ASIS RN

    REGISTERED NURSE

    Total calculated
    $355,687
    From this org
    $337,170
    From related orgs
    $0
    Other
    $18,517
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $329,601
    Bonus
    $7,500
    Other
    $69
    Deferred
    $17,391
    Nontaxable benefits
    $1,126
    Filer's total
    $355,687

  • GORDON O ORANGA RN

    REGISTERED NURSE

    Total calculated
    $342,369
    From this org
    $336,269
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $336,269
    Bonus
    $0
    Other
    $0
    Deferred
    $6,100
    Nontaxable benefits
    $0
    Filer's total
    $342,369

  • KENNETH R DANLEY RN

    REGISTERED NURSE

    Total calculated
    $322,521
    From this org
    $316,421
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $316,421
    Bonus
    $0
    Other
    $0
    Deferred
    $6,100
    Nontaxable benefits
    $0
    Filer's total
    $322,521

  • JEFFREY D NOWLIN

    FORMER OFFICER (END 10/2019)

    Total calculated
    $1,340,091
    From this org
    $0
    From related orgs
    $1,288,020
    Other
    $52,071
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $590,634 related
    Bonus
    $0 + $600,000 related
    Other
    $0 + $97,386 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $33,771 related
    Filer's total
    $0 + $1,340,091 related

  • MICHAEL MCCULLOUGH

    FORMER OFFICER (END 11/2020)

    Total calculated
    $705,557
    From this org
    $0
    From related orgs
    $670,046
    Other
    $35,511
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,339 related
    Bonus
    $0 + $214,389 related
    Other
    $0 + $57,318 related
    Deferred
    $0 + $11,015 related
    Nontaxable benefits
    $0 + $24,496 related
    Filer's total
    $0 + $705,557 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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments
ELIZABETH A MEDINA RECEIVED GROSS-UP PAYMENTS THAT WERE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2022: ELIZABETH A. MEDINA - $192,692
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the Organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions.

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

  • Good Samaritan Health Services Inc

    $1,342,529

    TO SUPPORT PROGRAMS THAT PROVIDE QUALITY HEALTHCARE TO UNDERSERVED POPULATION

  • CROSSOVER COMMUNITY IMPACT INC

    $1,075,000

    to support the Crossover Community Center Capital Campaign and the FreshRx Food is Medicine Program

  • GROWING TOGETHER INC

    $1,000,000

    acquisition, development, and staffing to support the mission of eliminating inequalities that stand in the way for families in vulnerable neighborhoods to succeed

  • TULSA COMMUNITY FOUNDATION

    $805,000

    TO COVER COSTS ASSOCIATED WITH WITH STAFFING AND SUPPORTING A MEDICAID OUTREACH AND ENROLLMENT TEAM AND TO OPERATE DOUBLE UP OKLAHOMA (DUO) AT OASIS FRESH MARKET

  • UNIVERSITY OF OK FOUNDATION

    $772,643

    to support the OU team for Children at Risk (includes Fostering Hope), the Tulsa Healthcare Coverage Program, the OU Food First Pharmacy Program, and the OU Bedlam and Longitudal Free Clilnics

  • TULSA HABITAT FOR HUMANITY INC

    $700,000

    to support the North Tulsa Initiative for construction and sale to qualified applicants in under-invested areas of North Tulsa for up to 250 homes allowing families to own homes they otherwise would not be able to finance and build equity for their future

  • AFFORDABLE HOUSING PROPERTY SOLUTIONS INC

    $500,000

    to support the Envision Comanche project for various affordable housing initiatives

  • HUNGER FREE OKLAHOMA INC

    $400,000

    to support the development and implementation of Double Up Bucks, a USDA program, at up to 19 grocery stores in the Tulsa area

  • TULSA DAY CENTER FOR THE HOMELESS INC

    $300,000

    TO SUPPORT SELF-SUFFICIENCY PROGRAMS FOR THE HOMELESS

  • CITY OF TULSA

    $161,000

    to support Owen Park Recreation Center and the playground and shelter at Chamberlain Park

The 10 largest by cash amount. The API serves every itemized grant.

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
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202431339349301133

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.