Civic Intelligence

St John Health System Inc

990 • Fiscal year 2018 • EIN 73-1215174

Jul 01, 2017 to Jun 30, 2018 • Filed on May 13, 2019

1923 South Utica AvenueTulsa, OK 74104

(314) 733-8000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

89th percentile

0.93x

Higher debt load relative to assets than 89% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

92nd percentile

4.00x

Higher debt load relative to revenue than 92% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

1st percentile

-151%

Higher net margin than 1% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

77th percentile

$1,671,761

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Asset Growth

4th percentile

-13%

Faster asset growth than 4% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

16th percentile

-5.6%

Faster revenue growth than 16% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Down

$625,356,863

Down $97,555,879 (-13%) from 2017

Net Assets

Down

$46,544,124

Down $97,979,237 (-68%) from 2017

Liabilities

Up

$578,812,739

Up $423,358 (+0.1%) from 2017

Revenue

Down

$144,588,991

Down $8,555,007 (-5.6%) from 2017

Expenses

Up

$363,187,295

Up $102,535,660 (+39%) from 2017

Net Income

Down

-$218,598,304

Down $111,090,667 (-103%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.0B$0-$1.0B-$2.0BAssets 2011: $1,040,380,707Liabilities 2011: $368,740,435Net Assets 2011: $671,640,2722011Assets 2012: $1,301,894,176Liabilities 2012: $553,494,930Net Assets 2012: $748,399,2462012Assets 2013: $1,337,532,018Liabilities 2013: $612,525,050Net Assets 2013: $725,006,9682013Assets 2014: $1,379,257,016Liabilities 2014: $594,995,761Net Assets 2014: $784,261,2552014Assets 2015: $796,335,081Liabilities 2015: $586,918,172Net Assets 2015: $209,416,9092015Assets 2016: $656,340,923Liabilities 2016: $569,221,508Net Assets 2016: $87,119,4152016Assets 2017: $722,912,742Liabilities 2017: $578,389,381Net Assets 2017: $144,523,3612017Assets 2018: $625,356,863Liabilities 2018: $578,812,739Net Assets 2018: $46,544,1242018Assets 2019: $1,582,425,616Liabilities 2019: $536,130,159Net Assets 2019: $1,046,295,4572019Assets 2020: $334,642,105Liabilities 2020: $541,640,410Net Assets 2020: -$206,998,3052020Assets 2021: $416,235,544Liabilities 2021: $454,705,029Net Assets 2021: -$38,469,4852021Assets 2022: $44,452,114Liabilities 2022: $588,445,123Net Assets 2022: -$543,993,0092022Assets 2023: $36,469,460Liabilities 2023: $806,383,522Net Assets 2023: -$769,914,0622023Assets 2024: $22,499,721Liabilities 2024: $1,157,294,303Net Assets 2024: -$1,134,794,5822024

Highlighted filing

2018

Assets$625,356,863
Liabilities$578,812,739
Net Assets$46,544,124

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$200M$0-$200M-$400MRevenue 2011: $55,034,666Expenses 2011: $69,950,372Net Income 2011: -$14,915,7062011Revenue 2012: $58,294,519Expenses 2012: $75,017,043Net Income 2012: -$16,722,5242012Revenue 2013: $164,142,032Expenses 2013: $121,460,317Net Income 2013: $42,681,7152013Revenue 2014: $231,886,607Expenses 2014: $198,472,468Net Income 2014: $33,414,1392014Revenue 2015: $225,698,519Expenses 2015: $259,435,274Net Income 2015: -$33,736,7552015Revenue 2016: $209,103,966Expenses 2016: $277,102,483Net Income 2016: -$67,998,5172016Revenue 2017: $153,143,998Expenses 2017: $260,651,635Net Income 2017: -$107,507,6372017Revenue 2018: $144,588,991Expenses 2018: $363,187,295Net Income 2018: -$218,598,3042018Revenue 2019: $148,062,139Expenses 2019: $225,231,990Net Income 2019: -$77,169,8512019Revenue 2020: $128,884,052Expenses 2020: $207,208,657Net Income 2020: -$78,324,6052020Revenue 2021: $124,878,705Expenses 2021: $207,553,746Net Income 2021: -$82,675,0412021Revenue 2022: $134,643,116Expenses 2022: $186,836,914Net Income 2022: -$52,193,7982022Revenue 2023: $151,567,417Expenses 2023: $196,432,999Net Income 2023: -$44,865,5822023Revenue 2024: $135,511,975Expenses 2024: $219,930,036Net Income 2024: -$84,418,0612024

Highlighted filing

2018

Revenue$144,588,991
Expenses$363,187,295
Net Income-$218,598,304
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 13, 2019
Return Version
2017v2.2
Gross Receipts
$144,887,321
Mission and Program Overview

Mission

Continue the healing ministry of Jesus Christ by providing medical excellence and compassionate care to all who need it with a special emphasis for the poor and powerless.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$30,891,459$23,825,576▼ $7,065,883
Savings and Temporary Cash Investments$4,432,598$4,654,467▲ $221,869
Land, Buildings, and Equipment, Net$4,087,704$4,407,396▲ $319,692
Investments Program Related$2,835,736$2,360,458▼ $475,278
Prepaid Expenses and Deferred Charges$4,238,322$492,976▼ $3,745,346
Pledges and Grants Receivable$46,543$59,023▲ $12,480
Investments Other Securities$0$480▲ $480
Cash and Non-Interest-Bearing Accounts$62,163$200▼ $61,963
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$722,912,742$625,356,863▼ $97,555,879
Other Assets Total$676,318,217$589,556,287▼ $86,761,930
Liabilities
Other Liabilities$382,943,849$576,835,460▲ $193,891,611
Tax Exempt Bond Liabilities$178,410,595$0▼ $178,410,595
Accounts Payable and Accrued Expenses$17,034,937$1,977,279▼ $15,057,658
Total Liabilities$578,389,381$578,812,739▲ $423,358
Net Assets / Fund Balance
Unrestricted Net Assets$144,523,361$46,544,124▼ $97,979,237
Total Net Assets Fund Balance$144,523,361$46,544,124▼ $97,979,237
Total Liabilities and Net Assets / Fund Balance$722,912,742$625,356,863▼ $97,555,879

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,218,101$4,132,856$5,350,957
Other Land Buildings$2,806,693-$2,806,693
Leasehold Improvements$382,602$526,944$909,546
Other Assets Org$536,487,275--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-COO - Ministry Mkt TulsaPT$515,732$440,090$955,822
-CSO - Ministry Market TulsaFT$263,093$234,167$497,260
-Asst Treasurer/exec VP Sjhs/CFO (end 10/2017)PT$279,255$161,421$440,676
-VP Clinical DocumentationFT$336,763$88,280$425,043
-Corp VP Finance Acct OfficerFT$227,741$114,145$341,886
-Former Key Employee (end 8/2015)-$237,849$56,895$294,744
-Chief Quality OfficerFT$183,693$60,657$244,350
-Director quality ManagementFT$149,467$30,423$179,890
-Rn Pool Level 4FT$150,213$7,222$157,435

Board Members and Trustees

NameTitle
-Chair
-President/CEO/SVP Ah-ministry Mkt Exec Ks (start 10/2017)
-President/CEO/SVP Ah-ministry Mkt Exec Tulsa (end 10/2017)
-Vice Chair
-Director
-Asst Treasurer/CFO-ministry Mkt Kansas
-Chief Medical Officer
-Former Key Employee (end 6/2016)
-Former Officer (end 12/2015)
-Former Officer (end 6/2014)
-Pres Clinical Amg Tulsa Mkt
-Secretary
-Treasurer
-Treasurer (start 10/2017) (end 5/2018)
-VP Hr-ministry Market Ks Tulsa

Highest Paid Contractors

ContractorServicesLocationCompensation
Tulsa Bone And Joint Associates PCMedical Services4802 S 109TH EAST AVE, Tulsa, OK 74146-5822$1,433,638
Linen King LLCLinen Services14780 S MEMORIAL DR, Bixby, OK 74008$573,054
Trust Healthcare Services LLCFinancial Services2305 BLACKMAN RD STE D, Springfield, MO 65809-2809$499,184
St John Home Care LLCMedical Services4720 S HARVARD AVE STE 202, Tulsa, OK 74135-3071$203,397
Ascension Workers Compensation Self InsInsurance Services11775 BORMAN DR STE 200, St Louis, MO 63164-4134$183,978
Revenue and Support

Revenue Composition

Contributions and Grants
$459,636
Program Service Revenue
$139,109,040
Investment Income
$4,783,483
Other Revenue
$236,832
All Other Contributions
$361,115
Change in Net Assets
$-218,598,304
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$335,160,993
Salaries, Compensation, and Employee Benefits$27,255,143
Grants and Similar Amounts Paid$771,159
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest-$16,344,045-$16,344,045
Other Salaries and Wages$1,096,987$13,881,754-$14,978,741
Depreciation Depletion$186,671$8,156,252-$8,342,923
Other Expenses$32,699,048$7,713,924-$7,713,924
Other Employee Benefits$341,172$4,356,913-$4,698,085
Current Officers, Directors, Trustees, and Key Employees$290,623$3,861,132-$4,151,755
All Other Expenses$313,726$3,648,646$0$3,962,372
Occupancy$153,754$2,131,859-$2,285,613
Pension Plan Contributions$145,505$1,856,716-$2,002,221
Fees for Services Other$31,135$1,452,966$0$1,484,101
Fees for Services Management$25,811$1,434,311-$1,460,122
Payroll Taxes$103,350$1,320,991-$1,424,341
Office Expenses$8,947$1,244,013-$1,252,960
Insurance$275$1,195,591-$1,195,866
Grants to Domestic Orgs$764,159--$764,159
Advertising$5,551$392,938-$398,489
Fees for Services Accounting-$276,183-$276,183
Conferences and Meetings$7,756$86,415-$94,171
Travel$4,020$76,514-$80,534
Fees for Service Investment Mgmnt Fees-$59,298-$59,298
Information Technology-$50,102-$50,102
Fees for Services Lobbying-$37,492-$37,492
Fees for Services Legal-$34,929-$34,929
Grants to Domestic Individuals$7,000--$7,000
Total Functional Expenses$180,270,632$182,916,663$0$363,187,295
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
All Saints Home Medical LLCTulsa, OH501(c)(3)Operating Support$235,456
Porta Caeli House CorporationTulsa, OK501(c)(3)Operating Support$200,000
Bishop Kelley High SchoolTulsa, OK501(c)(3)Operating Support$120,000
Reach Out and Read IncTulsa, OK501(c)(3)Operating Support$35,000
Mental Health AssociationTulsa, OK501(c)(3)Operating Support$15,000
The Parent Child Center of Tulsa IncTulsa, OK501(c)(3)Operating Support$15,000
Tulsa Zoo Management IncTulsa, OK501(c)(3)Operating Support$15,000
Tri County Technology Endowment Fund IncBartlesville, OK501(c)(3)Operating Support$10,000
Washington-nowata County SaneBartlesville, OK501(c)(3)Operating Support$10,000
American Heart Association IncPrescott, AZ501(c)(3)Operating Support$7,500
Pathways to Health Community Partnership IncTulsa, OK501(c)(3)Operating Support$7,045
Alzheimers Disease & Related DisordersChicago, IL501(c)(3)Operating Support$6,000
American Cancer Society IncTulsa, OK501(c)(3)Operating Support$5,500
American Diabetes AssociationAlexandria, VA501(c)(3)Operating Support$5,000
Arthritis FoundationAtlanta, GA501(c)(3)Operating Support$5,000
Arubah Community Clinic AssociationCollinsville, OK-Operating Support$5,000
Brady Craft IncTulsa, OK501(c)(3)Operating Support$5,000
Osteopathic Founders FoundationTulsa, OK501(c)(3)Operating Support$5,000
Tulsa Charity Flight Night IncTulsa, OK501(c)(3)Operating Support$5,000
Tulsa Day Center for the Homeless IncTulsa, OK501(c)(3)Operating Support$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$463,294,447
Long Term at Risk Liability$101,412,263
Valuation Allowance$8,087,502
Interest Rate Swap Liability$2,332,368
Other Miscellaneous Liabilities$1,715,252
Deferred Compensation/Retirement/Pension Liability-
Need to Review-
Accrued Tax Liability-
Debt with Ascension Health Alliance-
AH Savings Plan Liability-
WORKER'S COMPENSATION LIABILITY$-6,372
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 VII, Section A Related Entities

The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

Education Revenue - Total Revenue: -975, Related or Exempt Function Revenue: -975, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue - Total Revenue: 42297, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 42297;

Filing and Contact Details

Filer

Filer Name
St John Health System Inc
EIN
73-1215174
Phone
3147338000
Address
1923 South Utica Avenue, Tulsa, OK 74104

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2019-05-13

Organization Details

Formed
1982
Legal Domicile
Ok
Voting Board Members
12
Independent Board Members
11
Employees
974
Volunteers
11
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfers with alpha fund - 1089735465; net transfers with affiliates - -xxx-xx-xxxx;

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.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

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, 2018.

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IRS990/Desc0St. 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.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13ARTHUR CHIP MCELROY II
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IRS990/Form990PartVIISectionAGrp/TitleTxt28FORMER KEY EMPLOYEE (END 6/2016)
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$22.5$1,157$1,135$136$220$84.4
2023Detailed filing. Detailed filing data is available for this year.$36.5$806$770$152$196$44.9
2022Detailed filing. Detailed filing data is available for this year.$44.5$588$544$135$187$52.2
2021Detailed filing. Detailed filing data is available for this year.$416$455$38.5$125$208$82.7
2020Detailed filing. Detailed filing data is available for this year.$335$542$207$129$207$78.3
2019Detailed filing. Detailed filing data is available for this year.$1,582$536$1,046$148$225$77.2
2018Detailed filing. Detailed filing data is available for this year.$625$579$46.5$145$363$219
2017Detailed filing. Detailed filing data is available for this year.$723$578$145$153$261$108
2016Detailed filing. Detailed filing data is available for this year.$656$569$87.1$209$277$68.0
2015Detailed filing. Detailed filing data is available for this year.$796$587$209$226$259$33.7
2014Detailed filing. Detailed filing data is available for this year.$1,379$595$784$232$198$33.4
2013Summary only. Only limited summary data is available for this year.$1,338$613$725$164$121$42.7
2012Summary only. Only limited summary data is available for this year.$1,302$553$748$58.3$75.0$16.7
2011Summary only. Only limited summary data is available for this year.$1,040$369$672$55.0$70.0$14.9