2018-05-10T09:05:16-05:00 2017-06-30 990 2016-07-01 731215174 St John Health System Inc STJO 3147338000 1923 South Utica Avenue Tulsa OK 74104 Tonya Mershon Tax Officer 2017-10-26 2016 2022-09-23 18:48:47Z David Pynn 1923 South Utica Avenue Tulsa OK 74104 153143998 false 0928 X www.stjohnhealthsystem.com X 1982 OK To improve the health and well-being of all people in the communities we serve. 13 12 963 12 0 0 232664 606159 49728989 129290542 1196559 23166739 157945754 80558 209103966 153143998 1998530 1268359 0 49499894 26822835 0 0 0 225604059 232560441 277102483 260651635 -67998517 -107507637 656340923 722912742 569221508 578389381 87119415 144523361 Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. false false 207529264 1268359 129290542 St. John Health System, Inc., is a wholly owned subsidiary of non-profit Ascension Health. St. John and affiliates own and operate a comprehensive tertiary health care delivery system which provides a full spectrum of health-related services eastern Oklahoma and southeastern Kansas. St. John, headquartered in Tulsa, Oklahoma, conducts its operations through several wholly-owned or wholly-controlled subsidiaries, including: St. John Medical Center, Inc., St. John Sapulpa, Inc., Jane Phillips Memorial Medical Center, Utica Services, Inc. ,Owasso Medical Facility, Inc., St. John Health System Foundation, Inc., St. John Building Corporation, St. John Broken Arrow, Inc., and Jane Phillips Nowata Hospital, Inc. St. John, these subsidiaries, and all other subsidiaries under St. John's direct or indirect control or ownership are referred to herein as "the St. John System". As the parent company of the St. John System, St. John supports the activities of Ascension Health and the entire health system by providing executive leadership, centralized support, and managerial functions. Parent-level activities in support of the St. John System include strategic planning, capital and operational budgeting, human resources administration, centralized cash management and treasury functions, accounting and financial reporting, information technology development and support, business office decision support, and other support and management functions. Some of these functions have recently been outsourced to related entities that are part of, or affiliated with, Ascension Health. 207529264 true true false true false false false false false false true false false true true true false true false false false false false false false false false true true true true false false false false false false false false false false true false false false false true true true false false true 76 0 true 963 true false false false false false false false false false false X 13 12 false false false false true true true true true false false false true true true true true false true false X Alan Townsend 9187442740 1923 South Utica Avenue Tulsa OK 741046502 JONATHAN D HELMERICH CHAIRMAN 0.2 0 X X 0 0 0 KEN LACKEY VICE-CHAIRMAN 0.1 0 X X 0 0 0 DAVID SIGMON SECRETARY 0.1 0 X X 0 0 0 R J SULLIVAN JR TREASURER 0.2 0 X X 0 0 0 DAVID J PYNN President/CEO/SVP AH-MNSTRY MKT EXEC TULSA 45.0 0.7 X X 2363767 0 44442 STEVEN R ANDERSON DIRECTOR 0.2 0 X 0 0 0 SHARON BELL DIRECTOR 0.2 0 X 0 0 0 STEPHEN BRUNS MD DIRECTOR 1.0 0 X 0 0 0 ROBERT FARRIS DIRECTOR 1.0 0 X 0 0 0 SISTER M THERESE GOTTSCHALK DIRECTOR 0.7 7.1 X 0 0 0 STEVE HEYMAN DIRECTOR 0.1 0 X 0 0 0 REVEREND DANIEL MUEGGENBORG MSGR DIRECTOR 0.5 0 X 0 0 0 JEFF SANDERS DIRECTOR 0.1 0 X 0 0 0 LEX ANDERSON ASSIS TREASURER/EXEC VP SJHS CFO/VP AH CFO OKTUL 58.0 0.9 X 872214 0 35074 JOHN P BACHMAN VP HR - MNSTRY MKT KS TULSA 40.0 0.0 X 0 494678 37359 RANDY H HAMIL CORPORATE VP REVENUE CYCLE 50.0 0 X 325247 0 17739 TODD HOFFMAN MD PRES. CLINICAL AMG TULSA MKT 20.0 20.0 X 0 994328 83886 ROBERT S KENAGY VP INTEGRATION (END 2/2016) 0.0 0 X 178062 0 12429 GLENDA SISSON EXEC DIR INVEST/TREAS (END 7/2016) 40.0 0 X 266685 0 14664 WILLIAM E WEEKS COO - MNSTRY MKT TULSA 43.0 0.3 X 1233706 0 39329 TIMOTHY R YOUNG CHIEF CLINICAL OFFICER 40.0 0 X 748627 0 36771 ROBERT O LANGLAND CORPORATE VP FINANCE ACCT. OFFICER 45.0 0 X 440408 0 29689 ELIZABETH MEDINA CHIEF QUALITY OFFICER 50.0 0 X 240000 0 32302 ANN L PAUL CSO - MNSTRY MKT TULSA 55.0 0 X 472720 0 35255 JOYCE A GEORGE DIRECTOR, HEALTH INFORMATION MANAGEMENT 40.0 0 X 170137 0 17071 CHEENA R PAZZO CCMO - MINISTRY MARKET TULSA 40.0 0 X 266053 0 18823 BAT SHUNATONA VP, CLINICAL DOCUMENTATION 40.0 0.0 X 388325 54754 26631 DOUGLAS L STONE CORPORATE CONTROLLER 40.0 0 X 214605 0 25548 JENNIFER D WORKMAN SR DIRECTOR, HR 40.0 0 X 355539 0 35459 RON L HOFFMAN FORMER KEY EMPLOYEE (END 6/2016) 0.0 50.1 X 0 294457 35864 KEVIN STECK FORMER KEY EMPLOYEE (END 8/2015) 0.0 40.5 X 349418 0 17263 SAMUEL C ANDERSON FORMER OFFICER (END 6/2014) 0.0 0.0 X 0 482528 16950 MICHAEL B REEVES FORMER OFFICER (END 12/2015) 0.0 0.0 X 0 414967 26122 DAVID STIRE Hospital President SJBA/SJO/JP 0.0 0.0 X 339866 0 15510 9225379 2735712 654180 52 true true true WORKS & LENTZ OF TULSA INC 1437 S BOULDER AVE SUITE 900 TULSA OK 741193631 LEGAL SERVICES 2577815 ACCENTURE LLP 161 N CLARK ST CHICAGO ID 60601 CONSULTING SERVICES 1637184 TULSA BONE AND JOINT ASSOCIATES PC 4802 S 109TH EAST AVE TULSA OK 741465822 MEDICAL SERVICES 1279376 3 265248 340911 254289 606159 CAPITATION REVENUE 900099 81997379 81997379 AFFILIATE SERVICE REVENUE 561000 46661225 46661225 RESEARCH REVENUE 900099 332443 332443 INCOME FROM UNCONSOLIDATED ENTITIES 900099 299495 299495 0 0 0 0 129290542 11596773 11596773 11569966 11569966 0 0 0 0 RECYCLING REVENUE 900099 14441 14441 OTHER REVENUE 900099 66117 66117 0 0 0 0 80558 153143998 129290542 0 23247297 1228359 1228359 40000 40000 7439130 4984217 2454913 21164918 12064002 9100916 -2752855 -1569127 -1183728 -1293370 -737221 -556149 2265012 1348201 916811 2654703 2654703 1912 1912 784313 784313 52983 52983 113977 113977 1987459 894357 1093102 0 135475 82640 52835 1982437 1486828 495609 603259 398151 205108 2856982 1257072 1599910 269761 191530 78231 160000 144000 16000 2108058 2108058 9978018 7383733 2594285 1097155 373033 724122 CAPITATION EXPENSES 155430805 155430805 PURCHASED SERVICES 47556729 21400528 26156201 NON RECURRING EXPENSES 2212197 2212197 CONTRACT LABOR 1531351 689108 842243 1042867 439048 603819 0 260651635 207529264 53122371 0 135853 62163 0 4432598 0 46543 0 0 0 258580 4238322 8096784 4009080 5066198 4087704 0 4203600 2835736 37088877 30891459 609587815 676318217 656340923 722912742 14275919 17034937 403131647 178410595 0 151813942 382943849 569221508 578389381 X 87119415 144523361 87119415 144523361 656340923 722912742 X -107507637 7017574 -4885495 162779504 X false true X true false X X 18 THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL IN THE UNITED STATES ST LOUI SE PROVINCE 430653298 1 false 0 0 THE CONGREGATION OF ST JOSEPH 830481134 1 false 0 0 THE CONGREGATION OF THE SISTERS OF ST JOSEPH OF CARONDELET 431296364 1 false 0 0 THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE - AMERICAN PROVINCE 362976619 1 false 0 0 THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST FRANCIS OF ASS ISI - USCARIBBEAN PROVINCE 731419335 1 false 0 0 BARTLETT HOMES INC 731301822 7 false 0 0 BETHEL MANOR INC 731216617 7 false 0 0 JANE PHILLIPS HEALTH CARE FOUNDATION 731250611 3 false 0 0 JANE PHILLIPS MEMORIAL MEDICAL CENTER 730606129 3 false 0 0 JANE PHILLIPS NOWATA HOSPITAL INC 731440267 3 false 0 0 OWASSO MEDICAL FACILITY INC 203700131 3 false 0 0 ST JOHN AUXILIARY INC 730999759 9 false 0 0 ST JOHN BROKEN ARROW INC 383833117 3 false 0 0 ST JOHN HEALTH SYSTEM FOUNDATION INC 731133139 7 false 0 0 ST JOHN MEDICAL CENTER INC 730579286 3 false 0 0 ST JOHN SAPULPA INC 730662663 3 false 0 0 ST JOHN VILLAS INC 731077367 9 false 0 0 ST TERESA OF AVILA VILLA INC 204791422 7 false 0 0 18 0 0 false true false false false false false false false false false false false false false true true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name The organization supports Ascension Sponsor (the Canonical sponsor which was formed by the founding sponsors and which has been conferred public juridic personality by decree of The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life of the Roman Catholic Church) and such other of the Ascension organizations that qualify under Sections 509(a)(1) or 509(a)(2) of the Code. Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(A)(1) OR 509(A)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING. Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org. In addition to supporting Ascension Sponsor which controls St. John Health System, the filing organization also supports the 509(a)(1) and 509(a)(2) organizations listed on Part I, Line 11g. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 52983 52983 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. John Health System, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. John Health System, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 31136 1816 29320 815351 390433 424918 4658344 3616831 1041513 2591953 2591953 4087704 Notes and Other Receivables Investment in Unconsolidated entities Investment in PPE DEFERRED COMPENSATION ASSET 6661507 DUE FROM AFFILIATES 387247962 Interest in Investment Held by Ascension Health Alliance 251601224 OTHER RECEIVABLES 30192605 SELF INSURANCE TRUST FUND 613000 MISCELLANEOUS OTHER ASSETS 1919 676318217 Long Term Debt MISCELLANEOUS LIABILITIES Self insurance liability Physician Guarantees Capitation Claims DUE TO AFFILIATES 37499118 OTHER MISCELLANEOUS LIABILITIES 524376 AH SAVINGS PLAN LIABILITY 1696973 Centralized Debt Management System 259657328 DEFERRED COMPENSATION LIABILITY 6661507 INTEREST RATE SWAP LIABILITY 124355 LONG TERM AT RISK LIABILITY 1230000 PENSION PLAN LIABILITY 69712856 VALUATION ALLOWANCE 1715252 WORKER'S COMPENSATION LIABILITY 4122084 382943849 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System"), which include the activity of St. John Health System, Inc.: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2017. true BOARD OF REGENTS UNIVERSITY OF OKLAHOMA 4502 E 41ST STREET TULSA OK 74135 736091755 501 (C)(3) 615000 FAIR MARKET VALUE OPERATING SUPPORT PORTA CAELI HOUSE PO BOX 580460 TULSA OK 74158 465544538 501 (C)(3) 333334 FAIR MARKET VALUE OPERATING SUPPORT AMERICAN HEART ASSOCIATION INC PO BOX 50040 PRESCOTT AZ 86304 135613797 501 (C)(3) 55000 FAIR MARKET VALUE OPERATING SUPPORT TULSA AREA UNITED WAY 1430 S BOULDER TULSA OK 74119 730580283 501 (C)(3) 25000 FAIR MARKET VALUE OPERATING SUPPORT MUSCULAR DYSTROPHY ASSOCIATION INC 222 S RIVERSIDE PLAZA CHICAGO IL 60606 131665552 501 (C)(3) 10000 FAIR MARKET VALUE OPERATING SUPPORT OKLAHOMA STATE CHAMBER OF COMMERCE 330 NE 10TH STREET OKLAHOMA OK 731043220 730712609 501 (C)(3) 10000 FAIR MARKET VALUE OPERATING SUPPORT TULSA ZOO MANAGEMENT INC 6421 E 36TH STREET NORTH TULSA OK 74170 730930870 501 (C)(3) 15000 FAIR MARKET VALUE OPERATING SUPPORT MENTAL HEALTH ASSOCIATION IN TULSA INC 1870 S BOULDER TULSA OK 74119 730657931 501 (C)(3) 15000 FAIR MARKET VALUE OPERATING SUPPORT AMERICAN CANCER SOCIETY 4110 S 100TH E AVE TULSA OK 74146 131788491 501 (C)(3) 11500 FAIR MARKET VALUE OPERATING SUPPORT BRADY CRAFT INC 108 E M BRADY STREET TULSA OK 74103 273295491 501 (C)(3) 10000 FAIR MARKET VALUE OPERATING SUPPORT THE PARENT CHILD CENTER OF TULSA INC 1421 SOUTH BOSTON TULSA OK 74119 731113167 501 (C)(3) 10000 FAIR MARKET VALUE OPERATING SUPPORT TULSA DAY CENTER FOR THE HOMELESS INC 415 W ARCHER STREET TULSA OK 741031807 731557819 501 (C)(3) 6000 FAIR MARKET VALUE OPERATING SUPPORT PATHWAYS TO HEALTH COMMUNITY PARTNERSHIP INC 5051 S 129TH E AVE TULSA OK 74134 472305605 501 (C)(3) 5525 FAIR MARKET VALUE OPERATING SUPPORT ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION INC 225 N MICHIGAN AVE CHICAGO IL 60601 133039601 501 (C)(3) 5000 FAIR MARKET VALUE OPERATING SUPPORT ARTHRITIS FOUNDATION 1355 PEACHTREE STREET NE ATLANTA GA 30309 581341679 501 (C)(3) 5000 FAIR MARKET VALUE OPERATING SUPPORT GOOD SAMARITAN HEALTH SERVICES 7501 RIVERSIDE PARKWAY TULSA OK 74136 731559561 501 (C)(3) 5000 FAIR MARKET VALUE OPERATING SUPPORT OKLAHOMA PROJECT WOMEN INC PO BOX 14026 TULSA OK 74159 731616817 501 (C)(3) 5000 FAIR MARKET VALUE OPERATING SUPPORT OKLAHOMA STATE UNIVERSITY FOUNDATION PO BOX 1749 STILLWATER OK 74076 736097060 501 (C)(3) 5000 FAIR MARKET VALUE OPERATING SUPPORT ROMAN CATHOLIC DIOCESE OF TULSA PO BOX 690240 TULSA OK 741690240 730942657 501 (C)(3) 5000 FAIR MARKET VALUE OPERATING SUPPORT TULSA AFFILIATE OF THE SUSAN G KOMEN BREAST CANCER FOUNDATION 5058 LBJ FREEWAY DALLAS TX 75244 751835298 501 (C)(3) 5000 FAIR MARKET VALUE OPERATING SUPPORT TULSA BASEBALL INC 201 N ELGIN AVENUE TULSA OK 74120 731288559 501 (C)(3) 6000 FAIR MARKET VALUE OPERATING SUPPORT OSTEOPATHIC FOUNDERS FOUNDATION 8801 S YALE AVENUE TULSA OK 74137 730583936 8000 FAIR MARKET VALUE OPERATING SUPPORT ARUBAH COMMUNITY CLINIC ASSOCIATION 1021 W MAIN STREET COLLINSVILLE OK 74021 273865132 501 (C)(3) 6000 FAIR MARKET VALUE OPERATING SUPPORT 22 1 SCHOLARSHIPS 12 40000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. St. John Health System, Inc. provides funds to various organizations to support their operations. St. John Health System, Inc. determines the amount of the funds provided on an annual basis. We have dedicated staff who meet with grant recipients and who monitor use of funds for intended purposes. true true false false false false false false false DAVID J PYNN President/CEO/SVP AH-MNSTRY MKT EXEC TULSA 804882 0 1362969 0 195916 0 16269 0 28173 0 2408209 0 0 0 SAMUEL C ANDERSON FORMER OFFICER (END 6/2014) 0 0 0 0 0 482528 0 0 0 16950 0 499478 0 0 MICHAEL B REEVES FORMER OFFICER (END 12/2015) 0 294681 0 101252 0 19034 0 17225 0 8897 0 441089 0 0 DAVID STIRE Hospital President SJBA/SJO/JP 0 0 48466 0 291400 0 0 0 15510 0 355376 0 0 0 LEX ANDERSON ASSIS TREASURER/EXEC VP SJHS CFO/VP AH CFO OKTUL 448110 0 255006 0 169098 0 15205 0 19869 0 907288 0 0 0 JOHN P BACHMAN VP HR - MNSTRY MKT KS TULSA 0 298414 0 152515 0 43749 0 14575 0 22784 0 532037 0 0 RANDY H HAMIL CORPORATE VP REVENUE CYCLE 242515 0 61618 0 21114 0 14042 0 3697 0 342986 0 0 0 TODD HOFFMAN MD PRES. CLINICAL AMG TULSA MKT 0 766120 0 223300 0 4908 0 31800 0 52086 0 1078214 0 0 ROBERT S KENAGY VP INTEGRATION (END 2/2016) 126529 0 27521 0 24012 0 3488 0 8941 0 190491 0 0 0 GLENDA SISSON EXEC DIR INVEST/TREAS (END 7/2016) 79738 0 60938 0 126009 0 5982 0 8682 0 281349 0 0 0 WILLIAM E WEEKS COO - MNSTRY MKT TULSA 553831 0 396102 0 283773 0 15900 0 23429 0 1273035 0 0 0 TIMOTHY R YOUNG CHIEF CLINICAL OFFICER 456357 0 149994 0 142276 0 17225 0 19546 0 785398 0 0 0 RON L HOFFMAN FORMER KEY EMPLOYEE (END 6/2016) 0 173650 0 43235 0 77572 0 15272 0 20592 0 330321 0 0 KEVIN STECK FORMER KEY EMPLOYEE (END 8/2015) 232265 0 58385 0 58768 0 13787 0 3476 0 366681 0 0 0 ROBERT O LANGLAND CORPORATE VP FINANCE ACCT. OFFICER 288988 0 77112 0 74308 0 14575 0 15114 0 470097 0 0 0 ELIZABETH MEDINA CHIEF QUALITY OFFICER 175524 0 44059 0 20417 0 14365 0 17937 0 272302 0 0 0 ANN L PAUL CSO - MNSTRY MKT TULSA 266375 0 173691 0 32654 0 13250 0 22005 0 507975 0 0 0 JOYCE A GEORGE DIRECTOR, HEALTH INFORMATION MANAGEMENT 110631 0 8504 0 51002 0 7955 0 9116 0 187208 0 0 0 CHEENA R PAZZO CCMO - MINISTRY MARKET TULSA 168042 0 76872 0 21139 0 13366 0 5457 0 284876 0 0 0 BAT SHUNATONA VP, CLINICAL DOCUMENTATION 278287 50619 89959 4000 20079 135 15662 1563 7574 1832 411561 58149 0 0 DOUGLAS L STONE CORPORATE CONTROLLER 135254 0 9752 0 69599 0 10945 0 14603 0 240153 0 0 0 JENNIFER D WORKMAN SR DIRECTOR, HR 186627 0 109154 0 59758 0 15514 0 19945 0 390998 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ascension Health, a related organization of St. John Health System, Inc., uses the following methods to establish the compensation of the Organization's President and CEO: -Compensation Committee -Independent Compensation Consultant -Compensation Survey or Study -Approval by the Board or Compensation Committee 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: Samuel C Anderson - $480,118 Glenda Sisson - $60,666 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 executives is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year. A The Oklahoma Development Finance Authority 731083741 678908N59 2012-06-01 192912992 See Part VI false false false A 16945000 0 192918115 0 0 0 2962871 0 0 156158296 33796948 0 2012 true false true true A false true true true false 0.0028 0.0 0.0028 false false true A false false true false false false false false true A true Schedule K, Part I Schedule K, Part I Bond Issues - All debt listed below is secured by the revenue of the members of the Obligated Group consisting of St. John Health System, Inc., St. John Medical Center, Inc., Jane Phillips Memorial Medical Center, St. John Broken Arrow, Inc., Owasso Medical Facility, Inc., and St. John Sapulpa, Inc. The members of the Obligated Group are jointly and severally liable for the entire debt. Schedule K, Part I, Column (f) Description of Purpose Issuer Name: The Oklahoma Development Finance Authority St. John Health System, Inc.: Revenue and Refunding Bonds, Series 2012, CUSIP #678908N59 The bonds are being issued to fund a loan to St. John Health System, Inc. to finance capital improvements to and equipment for health care facilities owned and operated by St. John Health System, Inc., St. John Medical Center, Inc., and other subsidiaries of St. John Health System, Inc. The bonds are also being issued to refund portions of a previous tax-exempt bond issued 9/29/1999. Differences between the issue price (Part I) and total proceeds (Part II, Line 3) are due to investment earnings. X EQUIPMENT 1 254289 Cost 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Other - EQUIPMENT THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. Form 990, Part VI, Line 15a COMPENSATION OF CEO In determining the compensation of the organization's President & CEO, the process, performed by Ascension Health, a related organization of St. John Health System, Inc., included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved the compensation. In the review of the compensation, the President & CEO was compared to individuals at other organization's in the area who hold the same title. During the review and approval of the compensation, documentation was recorded in the compensation committee minutes. The individual was not present was his compensation was determined. Form 990, Part VI, Line 6 Classes of members or stockholders St. John Health System, Inc. has a single corporate member, Ascension Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. John Health System, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. John Health System, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. John Health System, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health. Ascension Health, the sole corporate member of St. John Health System, Inc., has designated a system authority matrix which assigns authority for key decisions that are necessary in the operation of the System. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluations; debt limits; strategic and financial plans; assets; and system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 15b Process to establish compensation of other employees IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ST. JOHN HEALTH SYSTEM, INC.'S EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO ALPHA FUND - XXX-XX-XXXX; NET TRANSFERS WITH AFFILIATES - -98962264; FAS 158 DEFERRED PENSION ADJUSTMENT - -5883993; FMV ADJUSTMENT OF DONATED ASSETS - 995712; Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS The activity of ST. JOHN HEALTH SYSTEM, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ST. JOHN HEALTH SYSTEM, INC. is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ST. JOHN HEALTH SYSTEM, INC. Form 990, Part XII, Line 2c AUDIT COMMITTEE ST. JOHN HEALTH SYSTEM, INC. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ST JOHN SAPULPA INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 E FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 731133139 HEALTH CARE OK 501(c)(3) 7 ST JOHN HEALTH SYSTEM INC true ST JOHN MEDICAL CENTER INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN VILLAS INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 731077367 NURSING HOME OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true OWASSO MEDICAL FACILITY INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN AUXILIARY INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION 1923 SOUTH UTICA AVENUE TULSA OK 74104 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOPSITAL INC 237 SOUTH LOCUST NOWATA OK 74048 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true Oklahoma Cancer Specialists Real Estate Company LLC 12697 E 51st St South TULSA OK 74146 473843491 REAL ESTATE HOLDING OK NA N/A SJFI LLC 1923 SOUTH UTICA AVENUE TULSA OK 74104 462713285 ACCOUNTABLE CARE ORGANIZATION OK NA N/A UTICA SERVICES INC 1923 SOUTH UTICA AVENUE TULSA OK 74104 731057650 MEDICAL SERVICES OK ST JOHN HEALTH SYSTEM INC C Corporation 1 true REGIONAL MEDICAL 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