Skip to content
Nonprofiteer
← ST JOHN BROKEN ARROW INC

Form 990 for tax year 2022

Filed by ST JOHN BROKEN ARROW INC.

Totals

Total revenue
$66,397,004
Total expenses
$63,139,624
Contributions and grants received
$1,000
Grants paid
$0
Program service revenue
$65,670,860
Investment income
$209
Other revenue
$724,935
Total assets, end of year
$84,219,821
Total liabilities, end of year
$9,512,408
Net assets or fund balances, end of year
$74,707,413
Program services expenses (Part IX)
$48,854,930
Management and general expenses
$14,284,694
Fundraising expenses
$0
Program service expenses (Part III)
$48,854,930

Program services were 77.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $1,000

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $0

  • 2a · Program service revenue: Net Patient Service Revenue

    total $65,266,834 · related or exempt $65,266,834

  • 2b · Program service revenue: Contracted Services Revenue

    total $353,667 · related or exempt $353,667

  • 2c · Program service revenue: Rental Income from Affiliates

    total $20,710 · related or exempt $20,710

  • 2d · Program service revenue: State Program Revenue

    total $18,932 · related or exempt $18,932

  • 2e · Program service revenue: Value Based Revenue

    total $10,717 · related or exempt $10,717

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · excluded $0

  • 5 · Royalties

    total $0 · excluded $0

  • 6a · Gross rents

    real property $408,786 · personal property $0

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $408,786 · personal property $0

  • 6d · Net rental income or loss

    total $408,786 · excluded $408,786

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $209

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $209

  • 7d · Net gain or loss

    total $209 · excluded $209

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · excluded $0

  • 11a · Other revenue: Cafeteria/Vending Revenue

    total $301,647 · excluded $301,647

  • 11b · Other revenue: Escheatment Revenue

    total $14,502 · related or exempt $14,502

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $316,149

Functional expenses

Part IX, the statement of functional expenses.

  • 11a · Fees: management

    total $127,546 · program services $78,629 · management and general $48,917

  • 11d · Fees: lobbying

    total $7,095 · management and general $7,095

  • 11g · Fees: other

    total $2,189,838 · program services $1,479,499 · management and general $710,339 · fundraising $0

  • 12 · Advertising and promotion

    total $44,906 · program services $15,040 · management and general $29,866

  • 13 · Office expenses

    total $291,778 · program services $31,876 · management and general $259,902

  • 14 · Information technology

    total $15,221 · program services $431 · management and general $14,790

  • 16 · Occupancy

    total $656,274 · program services $592,476 · management and general $63,798

  • 17 · Travel

    total $7,311 · program services $5,973 · management and general $1,338

  • 19 · Conferences, conventions and meetings

    total $18,225 · program services $17,234 · management and general $991

  • 22 · Depreciation, depletion and amortization

    total $5,187,665 · program services $4,683,361 · management and general $504,304

  • 24a · Other expenses: Wage & Benefit Allocation

    total $19,797,074 · program services $17,872,557 · management and general $1,924,517

  • 24b · Other expenses: Medical Supplies

    total $13,877,161 · program services $13,818,298 · management and general $58,863

  • 24c · Other expenses: Purchased Services

    total $8,471,327 · program services $4,541,541 · management and general $3,929,786

  • 24d · Other expenses: Management Fee to Affiliate

    total $5,372,710 · management and general $5,372,710

  • 24e · All other expenses

    total $7,075,493 · program services $5,718,015 · management and general $1,357,478 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,400 · end of year $1,400

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $6,868,492 · end of year $6,387,062

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $2,411,784 · end of year $2,580,895

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $183,071

  • 10a · Land, buildings and equipment: cost or other basis

    $127,580,180

  • 10b · Land, buildings and equipment: accumulated depreciation

    $54,919,237

  • 10c · Land, buildings and equipment, net

    beginning of year $68,479,985 · end of year $72,660,943

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $501,230 · end of year $0

  • 15 · Other assets

    beginning of year $1,265,351 · end of year $2,406,450

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,692,201 · end of year $2,712,072

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $5,444,153 · end of year $6,800,336

  • 27 · Net assets without donor restrictions

    beginning of year $70,391,888 · end of year $74,707,413

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.

Activities or mission (Part I)

To improve the health and well-being of all people in the communities we serve.

  • THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. St. John Broken Arrow, Inc. is a 44-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2023, St. John Broken Arrow, Inc. treated 1,394 adults and children for a total of 3,829 patient days of service. The hospital also provided services for 43,9554,283 outpatient visits, which included 3,658 outpatient surgeries and 20,479 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

    Expenses $48,854,930 · Revenue $65,685,362

As filed on the 2022 return.

Listed in Part VII

  • ALECIA ANNE SIEGFRIED RN

    CHAIR

    Total calculated
    $39,074
    From this org
    $0
    From related orgs
    $39,074
    Other
    $0
    Hours/week
    1 + 11 related

  • SUSAN KIMBALL

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • BARBARA BENEDICT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • CATHY GEBETSBERGER

    DIRECTOR (START 10/2022)

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • CHARLES GEBETSBERGER MD

    DIRECTOR (END 7/2022)

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MICHAEL J CHRISTIAN

    DIRECTOR

    Total calculated
    $243,216
    From this org
    $0
    From related orgs
    $205,258
    Other
    $37,958
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,944 related
    Bonus
    $0 + $34,600 related
    Other
    $0 + $3,714 related
    Deferred
    $0 + $12,456 related
    Nontaxable benefits
    $0 + $25,502 related
    Filer's total
    $0 + $243,216 related

  • STAN SALLEE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • STEVE MOWERY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • WES STOTLER DO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • WILLIAM BERRY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • BRYANIE W SWILLEY

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

    Total calculated
    $0
    Hours/week
    0 + 50 related

  • MATTHEW DENNIS ADAMS

    PRESIDENT

    Total calculated
    $164,766
    From this org
    $0
    From related orgs
    $145,285
    Other
    $19,481
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $130,027 related
    Bonus
    $0 + $15,000 related
    Other
    $0 + $258 related
    Deferred
    $0 + $6,692 related
    Nontaxable benefits
    $0 + $12,789 related
    Filer's total
    $0 + $164,766 related

  • MICHAEL J MCBRIDE

    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

  • 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

  • CHRISTOPHER J LEPAK MD

    FORMER KEY EMPLOYEE (END 12/2017)

    Total calculated
    $666,262
    From this org
    $0
    From related orgs
    $615,180
    Other
    $51,082
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $440,541 related
    Bonus
    $0 + $133,500 related
    Other
    $0 + $41,139 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $31,257 related
    Filer's total
    $0 + $666,262 related

  • DWAN R BORENS

    FORMER OFFICER (END 6/2022)

    Total calculated
    $191,536
    From this org
    $0
    From related orgs
    $156,135
    Other
    $35,401
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $141,191 related
    Bonus
    $0 + $14,259 related
    Other
    $0 + $685 related
    Deferred
    $0 + $9,791 related
    Nontaxable benefits
    $0 + $25,610 related
    Filer's total
    $0 + $191,536 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

  • RONALD JAMES BRASEL

    FORMER OFFICER (END 6/2018)

    Total calculated
    $363,090
    From this org
    $0
    From related orgs
    $354,829
    Other
    $8,261
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $90,043 related
    Bonus
    $0 + $66,619 related
    Other
    $0 + $198,167 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,261 related
    Filer's total
    $0 + $363,090 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

  • 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 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: RONALD J. BRASEL - $194,192
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

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
13 May 2024
IRS schema version
2022v5.0
Source object
202401339349300325

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.