TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DAVID J PYNN PRESIDENT/CEO SJHS/SVP AH OKTUL	46.2 ................. 0.6	X	X	2,240,967	37,120
(2) STEVEN R ANDERSON DIRECTOR	2.3 ................. 0	X		0	0
(3) SHARON BELL DIRECTOR	0.9 ................. 0	X		0	0
(4) SR MARY BERNARD DIRECTOR (END 8/31/15)	0.1 ................. 0	X		0	0
(5) C T DOLAN MD DIRECTOR (END 8/31/15)	1.4 ................. 1.4	X		0	0
(6) ROBERT FARRIS DIRECTOR	1.8 ................. 1.8	X		0	0
(7) SISTER M THERESE GOTTSCHALK DIRECTOR	0.7 ................. 5.3	X		0	0
(8) SR LORETTA MARIE HALL DIRECTOR (END 8/31/15)	0.5 ................. 2.5	X		0	0
(9) JONATHAN D HELMERICH VICE CHAIRMAN	1.2 ................. 0	X		0	0
(10) STEVE HEYMAN DIRECTOR	0.9 ................. 0	X		0	0
(11) KEN LACKEY CHAIRMAN	1.2 ................. 0	X		0	0
(12) ROBERT J LAFORTUNE DIRECTOR (END 8/31/15)	0.1 ................. 0.2	X		0	0
(13) REV DANIEL MUEGGENBORG MSGR DIRECTOR	1.2 ................. 0	X		0	0
(14) MILANN SIEGFRIED DIRECTOR	1.8 ................. 5.4	X		0	0
(15) DAVID SIGMON DIRECTOR	1.4 ................. 2.8	X		0	0
(16) R J SULLIVAN JR DIRECTOR	1.4 ................. 0	X		0	0
(17) W H THOMPSON JR DIRECTOR (END 8/31/15)	1.8 ................. 0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) STEPHEN BRUNS MD DIRECTOR	1.2 .......................0	X					0	0	0
(19) LEX ANDERSON TREASURER/EXEC VP SJHS CFO/VP AH CFO OKTUL	50.1 .......................0.9		X				707,600	0	25,770
(20) JOHN P BACHMAN CORPORATE VP HR	40.0 .......................0		X				420,503	0	32,595
(21) DEWEY W DAVIS VICE PRESIDENT (END 6/30/15)	40.0 .......................0.0		X				251,577	0	13,137
(22) RANDY H HAMIL CORPORATE VP REVENUE CYCLE	50.0 .......................0		X				311,422	0	12,169
(23) ROBERT S KENAGY SR. VP ST. JOHN HEALTH NETWORK	40.0 .......................0		X				576,263	0	38,571
(24) MICHAEL B REEVES CORP VP CIO (ENDS 12/19/15)	40.0 .......................0		X				569,569	0	18,648
(25) WILLIAM E WEEKS PRESIDENT CEO UTICA SERVICES/VP AH COO OKTUL	40.2 .......................0.3		X				807,332	0	29,694
(26) TIMOTHY R YOUNG SR. VP CHIEF QUALITY OFFICER	40.0 .......................0		X				578,949	0	25,008
(27) BRIAN GUENTHER EXEC DIR PROPERTY FACILITY	40.0 .......................0.1		X				201,672	0	20,577
(28) RON L HOFFMAN VP INTEGRATION	51.9 .......................0.4			X			227,221	0	25,463
(29) ROBERT O LANGLAND CORPORATE VP FINANCE ACCT. OFFICER	41.5 .......................0			X			386,926	0	33,647
(30) ELIZABETH MEDINA VP QUALITY AND SAFETY	46.2 .......................0			X			214,837	0	21,873
(31) ANN PAUL VP	46.2 .......................0			X			339,723	0	33,213
(32) GLENDA SISSON EXEC DIR INVEST/TREAS	40.0 .......................0			X			160,547	0	10,984
(33) KEVIN STECK SECRETARY (END 8/31/15)/VP INTEGRITY & COMPLIANCE	46.2 .......................0.6			X			299,211	0	12,872
(34) DIANE S HAYES DIRECTOR BUSINESS SYSTEMS	40.0 .......................0				X		190,986	0	14,510
(35) JENNIFER D WORKMAN DIRECTOR HUMAN RESOURCES	40.0 .......................0				X		180,391	0	22,844
(36) WILLIAM R NELSON DIRECTOR INFRASTRUCTURE DELIVERY	40.0 .......................0				X		165,175	0	26,470
(37) CHEENA R PAZZO VP COMMUNICATIONS/VP AH CHIEF COMM & MKTG OKTUL	40.0 .......................0				X		212,951	0	16,948
(38) MARK ROSS BUS DEV & SPEC PROJ CONSULT SEV THRU 04/02/16	40.0 .......................0				X		244,617	0	32,354
(39) SAMUEL C ANDERSON FORMER OFFICER (END 6/14)	0.0 .......................0.0					X	0	482,528	19,713

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

St John Health System Inc

Employer identification number

73-1215174

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............. 18

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL IN THE UNITED STATES ST LOUI SE PROVINCE	430653298	1		No	0	0
(B) THE CONGREGATION OF ST JOSEPH	830481134	1		No	0	0
(C) THE CONGREGATION OF THE SISTERS OF ST JOSEPH OF CARONDELET	431296364	1		No	0	0
(D) THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE - AMERICAN PROVINCE	362976619	1		No	0	0
(E) THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST FRANCIS OF ASS ISI - USCARIBBEAN PROVINCE	731419335	1		No	0	0
(F) BARTLETT HOMES INC	731301822	7		No	0	0
(G) BETHEL MANOR INC	731216617	7		No	0	0
(H) JANE PHILLIPS HEALTH CARE FOUNDATION	731250611	3		No	0	0
(I) JANE PHILLIPS MEMORIAL MEDICAL CENTER	730606129	3		No	0	0
(J) JANE PHILLIPS NOWATA HOSPITAL INC	731440267	3		No	0	0
(K) OWASSO MEDICAL FACILITY INC	203700131	3		No	0	0
(L) ST JOHN AUXILIARY INC	730999759	9		No	0	0
(M) ST JOHN BROKEN ARROW INC	383833117	3		No	0	0
(N) ST JOHN HEALTH SYSTEM FOUNDATION INC	731133139	7		No	0	0
(O) ST JOHN MEDICAL CENTER INC	730579286	3		No	0	0
(P) ST JOHN SAPULPA INC	730662663	3		No	0	0
(Q) ST JOHN VILLAS INC	731077367	9		No	0	0
(R) ST TERESA OF AVILA VILLA INC	204791422	7		No	0	0
Total 18					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Yes

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Yes

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Yes

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name	St. John Health System IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL IN THE UNITED STATES, ST. LOUISE PROVINCE, THE CONGREGATION OF ST. JOSEPH, THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET, THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE-AMERICAN PROVINCE, AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE BY AND THROUGH ASCENSION HEALTH MINISTRIES (ASCENSION SPONSOR), AND, PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE AFFILIATED ORGANIZATIONS PROVIDED THAT SUCH ORGANIZATIONS ARE DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS PUBLIC CHARITIES UNDER SECTIONS 509(A)(1) AND 509(A)(2) OF THE CODE. SUCH SUPPORTED ORGANIZATIONS ARE LISTED AT PART I. THE ORGANIZATION ALSO 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.
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.

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

St John Health System Inc

Employer identification number

73-1215174

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization St John Health System Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization St John Health System Inc		Employer identification number 73-1215174

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization St John Health System Inc			Employer identification number 73-1215174
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

St John Health System Inc

Employer identification number

73-1215174

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

45,066

Total. Add lines 1c through 1i ....................................................................................................

45,066

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

St John Health System Inc

Employer identification number

73-1215174

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	45,240		45,240
b	Buildings	1,787,690	44,413	1,743,277
c	Leasehold improvements	796,504	246,451	550,053
d	Equipment ...	5,380,463	2,871,955	2,508,508
e	Other ...	219,120		219,120
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				5,066,198

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Deferred Compensation Asset				3,943,392
(2) Notes and Other Receivables				7,249,651
(3) Other Receivables				52,578,386
(4) Other Miscellaneous Assets
(5) Interest in Investment Held by Ascension Health Alliance				282,346,864
(6) Due From Affiliates				258,682,064
(7) Investment in Unconsolidated entities				1,036,241
(8) Investment in PPE				3,751,217
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				609,587,815

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Centralized Debt Management System	48,057,337
Long Term Debt	7,900,000
MISCELLANEOUS LIABILITIES	920,796
Pension Plans	68,978,734
Estimated settlement to third party payor
Self insurance liability	10,061,801
Physician Guarantees	110,000
Interest Rate Swap	336,188
Valuation Allowance	1,715,252
Deferred Compensation	3,943,392
Savings Plan Liability	3,520,684
Capitation Claims	6,269,758
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	151,813,942
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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, 2016.

Schedule D (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
St John Health System Inc

Employer identification number
73-1215174

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Porta Caeli House PO Box 580460 Tulsa,OK74158	46-5544538	N/A	333,333	Fair Market Value	End of Life Care Support
(2) Cascia Hall Preparatory School 2520 S Yorktown Avenue Tulsa,OK741142803	73-1328398	501(c)(3)	93,000	Fair Marke Value	Athletic Trainer Program
(3) University of Tulsa 4502 E 41st Street Tulsa,OH74135	73-6017987	Gov't Entity	1,075,000	Fair Market Value	Medical Assistance
(4) Tulsa Zoo Management Inc 6421 E 36th Street North Tulsa,OH74170	73-0930870	501(c)(3)	300,000	Fair Market Value	Sponsorship
(5) Tulsa Health Department 5051 S 129th E Avenue Tulsa,OH74134	73-6006419	Gov't Entity	50,000	Fair Market Value	Community Needs Assessment Work
(6) Tulsa Area United Way 1430 S Boulder Tulsa,OH74119	73-0580283	501(c)(3)	34,197	Fair Market Value	Community Support
(7) American Heart Association Inc PO Box 50040 Prescott,AZ86304	13-5613797	501(c)(3)	30,000	Fair Market Value	Sponsorship
(8) University of Tulsa 800 S Tucker Drive Tulsa,OH74104	73-0579298	Gov't Entity	14,000	Fair Market Value	Sponsorship
(9) Trinity Villa Center for Women & Children PO Box 14323 Tulsa,OH74159	47-0980363	501(c)(3)	12,000	Fair Market Value	Contribution
(10) American Cancer Society Inc 4110 S 100th E Avenue Suite 101 Tulsa,OH74146	13-1788491	501(c)(3)	11,500	Fair Market Value	Sponsorship
(11) Osteopathic Founders Foundation 8801 S Yale Avenue Suite 400 Tulsa,OH74137	73-0583936	501(c)(3)	8,000	Fair Market Value	Sponsorship
(12) Reach Out and Read Inc 89 South Street Suite 201 Boston,MA02111	04-3481253	501(c)(3)	8,000	Fair Market Value	Sponsorship
(13) Folds of Honor Foundation 5800 N Patriot Drive Owasso,OH74055	75-3240683	501(c)(3)	5,000	Fair Market Value	Sponsorship
(14) Pathways to Health Community Partnership Inc 5051 S 129th E Avenue Tulsa,OH74134	47-2305605	501(c)(3)	5,000	Fair Market Value	Sponsorship
(15) Tulsa Chairty Flight Night Inc PO Box 21228 Dept 10 Tulsa,OH74121	73-1425307	501(c)(3)	5,000	Fair Market Value	Contribution

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

St John Health System Inc

Employer identification number

73-1215174

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SAMUEL C ANDERSON FORMER OFFICER (END 6/14)	(i) (ii)	0 ------------- 41,246	0 ------------- 2,730	0 ------------- 438,551	0 ------------- 0	0 ------------- 19,713	0 ------------- 502,240	0 ------------- 0
2DAVID J PYNN PRESIDENT/CEO SJHS/SVP AH OKTUL	(i) (ii)	805,290 ------------- 0	1,414,556 ------------- 0	21,120 ------------- 0	8,468 ------------- 0	28,652 ------------- 0	2,278,087 ------------- 0	0 ------------- 0
3LEX ANDERSON TREASURER/EXEC VP SJHS CFO/VP AH CFO OKTUL	(i) (ii)	508,699 ------------- 0	182,481 ------------- 0	16,420 ------------- 0	7,324 ------------- 0	18,446 ------------- 0	733,370 ------------- 0	0 ------------- 0
4JOHN P BACHMAN CORPORATE VP HR	(i) (ii)	332,876 ------------- 0	86,615 ------------- 0	1,012 ------------- 0	12,731 ------------- 0	19,865 ------------- 0	453,099 ------------- 0	0 ------------- 0
5DEWEY W DAVIS VICE PRESIDENT (END 6/30/15)	(i) (ii)	191,131 ------------- 0	57,542 ------------- 0	2,903 ------------- 0	3,469 ------------- 0	9,668 ------------- 0	264,714 ------------- 0	0 ------------- 0
6RANDY H HAMIL CORPORATE VP REVENUE CYCLE	(i) (ii)	242,515 ------------- 0	67,704 ------------- 0	1,203 ------------- 0	9,847 ------------- 0	2,323 ------------- 0	323,591 ------------- 0	0 ------------- 0
7ROBERT S KENAGY SR. VP ST. JOHN HEALTH NETWORK	(i) (ii)	439,248 ------------- 0	132,660 ------------- 0	4,355 ------------- 0	15,855 ------------- 0	22,716 ------------- 0	614,834 ------------- 0	0 ------------- 0
8MICHAEL B REEVES CORP VP CIO (ENDS 12/19/15)	(i) (ii)	431,422 ------------- 0	110,052 ------------- 0	28,095 ------------- 0	8,539 ------------- 0	10,109 ------------- 0	588,217 ------------- 0	0 ------------- 0
9WILLIAM E WEEKS PRESIDENT CEO UTICA SERVICES/VP AH COO OKTUL	(i) (ii)	586,473 ------------- 0	213,335 ------------- 0	7,524 ------------- 0	13,361 ------------- 0	16,333 ------------- 0	837,026 ------------- 0	0 ------------- 0
10TIMOTHY R YOUNG SR. VP CHIEF QUALITY OFFICER	(i) (ii)	440,199 ------------- 0	132,097 ------------- 0	6,653 ------------- 0	7,888 ------------- 0	17,120 ------------- 0	603,957 ------------- 0	0 ------------- 0
11BRIAN GUENTHER EXEC DIR PROPERTY FACILITY	(i) (ii)	186,212 ------------- 0	13,685 ------------- 0	1,776 ------------- 0	4,078 ------------- 0	16,499 ------------- 0	222,250 ------------- 0	0 ------------- 0
12RON L HOFFMAN VP INTEGRATION	(i) (ii)	173,773 ------------- 0	48,784 ------------- 0	4,664 ------------- 0	5,615 ------------- 0	19,847 ------------- 0	252,684 ------------- 0	0 ------------- 0
13ROBERT O LANGLAND CORPORATE VP FINANCE ACCT. OFFICER	(i) (ii)	287,428 ------------- 0	81,600 ------------- 0	17,898 ------------- 0	12,676 ------------- 0	20,971 ------------- 0	420,574 ------------- 0	0 ------------- 0
14ELIZABETH MEDINA VP QUALITY AND SAFETY	(i) (ii)	167,870 ------------- 0	46,438 ------------- 0	529 ------------- 0	5,227 ------------- 0	16,646 ------------- 0	236,709 ------------- 0	0 ------------- 0
15ANN PAUL VP	(i) (ii)	258,798 ------------- 0	77,085 ------------- 0	3,839 ------------- 0	12,006 ------------- 0	21,207 ------------- 0	372,935 ------------- 0	0 ------------- 0
16GLENDA SISSON EXEC DIR INVEST/TREAS	(i) (ii)	140,625 ------------- 0	12,726 ------------- 0	7,197 ------------- 0	2,987 ------------- 0	7,996 ------------- 0	171,531 ------------- 0	0 ------------- 0
17KEVIN STECK SECRETARY (END 8/31/15)/VP INTEGRITY & COMPLIANCE	(i) (ii)	232,265 ------------- 0	64,804 ------------- 0	2,141 ------------- 0	10,631 ------------- 0	2,241 ------------- 0	312,083 ------------- 0	0 ------------- 0
18DIANE S HAYES DIRECTOR BUSINESS SYSTEMS	(i) (ii)	177,029 ------------- 0	12,176 ------------- 0	1,782 ------------- 0	8,026 ------------- 0	6,484 ------------- 0	205,496 ------------- 0	0 ------------- 0
19JENNIFER D WORKMAN DIRECTOR HUMAN RESOURCES	(i) (ii)	166,510 ------------- 0	13,563 ------------- 0	318 ------------- 0	5,156 ------------- 0	17,688 ------------- 0	203,236 ------------- 0	0 ------------- 0
20WILLIAM R NELSON DIRECTOR INFRASTRUCTURE DELIVERY	(i) (ii)	154,303 ------------- 0	10,654 ------------- 0	218 ------------- 0	3,783 ------------- 0	22,687 ------------- 0	191,645 ------------- 0	0 ------------- 0
21CHEENA R PAZZO VP COMMUNICATIONS/VP AH CHIEF COMM & MKTG OKTUL	(i) (ii)	164,846 ------------- 0	47,161 ------------- 0	945 ------------- 0	10,285 ------------- 0	6,662 ------------- 0	229,899 ------------- 0	0 ------------- 0
22MARK ROSS BUS DEV & SPEC PROJ CONSULT SEV THRU 04/02/16	(i) (ii)	186,115 ------------- 0	0 ------------- 0	58,502 ------------- 0	9,262 ------------- 0	23,091 ------------- 0	276,971 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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 former officer received severance payments from the organization or a related organization during calendar year 2015: Samuel C Anderson - 430,776
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.
Schedule J, Part I, Line 7 Non-fixed payments	St. John Health System, Inc. is the controlling member organization of an integrated healthcare system ("System"). The System has established an executive accountability and financial incentive plan that encourages the executives' participation in the significant improvements of the quality, financial, growth, and human resource related operations of the Organization. Eligibility is triggered when the System meets certain earnings targets; however payments received under the plan are not entirely based on the earnings of the Organization. Executives receive points under a plan scoring system for meeting their predetermined goals. The points are then entered into the plan formula to determine the executives' incentive compensation. Maximum payments under the financial incentive plan are 30% percent of base pay for most executives.

Schedule J (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
St John Health System Inc

Employer identification number
73-1215174

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	The Oklahoma Development Finance Authority	73-1083741	678908E75	05-10-2007	254,582,328	See Part VI	X			X		X
B	The Oklahoma Development Finance Authority	73-1083741	678908N59	06-01-2012	192,912,992	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	22,975,000		14,110,000
2 Amount of bonds legally defeased ..............	7,325,000		0
3 Total proceeds of issue ..................	255,774,455		192,918,115
4 Gross proceeds in reserve funds .............	7,646,524		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	2,054,093		2,962,871
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	51,890,106		156,158,296
11 Other spent proceeds .............	201,830,257		33,796,948
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2008		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X
15 Were the bonds issued as part of an advance refunding issue? .....	X			X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.03 %		0.28 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %
6 Total of lines 4 and 5 .............	0.03 %		0.28 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............	X			X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	2.8 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............	X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X
b Exception to rebate? ........		X		X
c No rebate due? .........	X			X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
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 IV, Line 6 Column A	This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds.
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 2007, CUSIP #678908E75 The bonds are being issued to fund a loan to St. John Health System, Inc. and St. John Medical Center, 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 three previous tax-exempt bond issues that were issued 3/20/1996, 10/20/1999, and 7/27/2004. Differences between the issue price (Part I) and total proceeds (Part II, Line 3) are due to investment earnings.
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.
Schedule K, Part II, Line 4 Gross Proceeds in Reserve Funds	The amount shown is held in a defeasance escrow for the purpose of retiring the defeased portion of the bonds reported on Line 2.
Schedule K, Part III, Line 8c Supplemental Information	All dispositions reflected in this percentage were subject to a proper and timely remediation and/or VCAP.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: The Oklahoma Development Finance Authority The calculation for computing no rebate due was performed on 03/09/2012

Schedule K (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

St John Health System Inc

Employer identification number

73-1215174

Return Reference	Explanation
Form 990, Part III, Line 4a Program Service Description - Part 1	"THE ST. JOHN SYSTEM". THE ST. JOHN SYSTEM SUPPORTS THE PURPOSE AND ACTIVITIES OF ASCENSION HEALTH AND BOTH ST. JOHN'S AND ASCENSION HEALTH'S POWERS MUST BE EXERCISED IN ACCORDANCE WITH THE TEACHINGS, TRADITIONS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH FACILITIES PROMULGATED BY THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS OF THE UNITED STATES CATHOLIC CONFERENCE. AS THE PARENT COMPANY OF THE ST. JOHN SYSTEM, ST. JOHN SUPPORTS THE ACTIVITIES OF 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. IN FISCAL YEAR 2016, THE ST. JOHN SYSTEM PROVIDED HOSPITAL-BASED SERVICES THROUGH THE MEDICAL CENTER, JANE PHILLIPS, JP NOWATA, ST. JOHN SAPULPA, ST. JOHN BROKEN ARROW, AND ST. JOHN OWASSO. THESE SERVICES INCLUDE A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES SERVING THE POPULATION OF NORTHEASTERN OKLAHOMA AT THE SIX OWNED HOSPITAL CAMPUSES, AS WELL AS OTHER LOCATIONS IN OKLAHOMA AND KANSAS, WITH A COMBINED TOTAL OF APPROXIMATELY 800 HOSPITAL BEDS IN OPERATION. ST. JOHN'S PRINCIPAL FOR-PROFIT SUBSIDIARY, UTICA, ENGAGES IN A VARIETY OF HEALTH CARE ACTIVITIES INCLUDING PART OWNERSHIP OF A HEALTH INSURANCE PLAN. UTICA OWNS, OPERATES, OR MANAGES A COMPREHENSIVE CLINICAL AND ANATOMICAL LABORATORY, A MEDICAL MANAGEMENT SERVICE ORGANIZATION, SEVERAL URGENT CARE CENTERS, A PHARMACY, AND VARIOUS OTHER MEDICAL PRACTICE FACILITIES, AND EMPLOYS MORE THAN 500 PHYSICIANS AND "MID-LEVEL PROVIDERS". ST. JOHN, THROUGH UTICA AND OTHER ENTITIES, IS ALSO AN INVESTOR IN SEVERAL JOINT VENTURES, INCLUDING TWO AMBULATORY SURGERY CENTERS. ST. JOHN'S FUNDRAISING ACTIVITIES ARE CONDUCTED THROUGH ST. JOHN HEALTH SYSTEM FOUNDATION, A CHARITABLE FOUNDATION WHICH SEEKS GIFTS, BEQUESTS, AND ENDOWMENTS; ALL OF WHICH ARE USED IN FURTHERANCE OF ST. JOHN'S CHARITABLE ACTIVITIES. ST. JOHN SPONSORS CERTAIN, LONG-TERM CARE ACTIVITIES IN NORTHEASTERN OKLAHOMA THROUGH ST. JOHN VILLAS, PRIMARILY IN THE FORM OF RESIDENTIAL HOUSING FACILITIES FOR LOW INCOME AND PHYSICALLY CHALLENGED ADULTS THAT HAVE RECEIVED "HUD" FINANCING. MISSION AND VALUES: AS A CATHOLIC HEALTHCARE ORGANIZATION, ST. JOHN CARRIES ON THE MISSION OF ITS SPONSORS, THROUGH ASCENSION HEALTH, OF CONTINUING THE HEALING MINISTRY OF JESUS CHRIST. IT ASPIRES TO PROVIDE HEALTH CARE THAT WORKS, HEALTH CARE THAT IS SAFE, AND HEALTH CARE THAT LEAVES NO ONE BEHIND, WITH A PROMISE TO OUR PATIENTS AND THE COMMUNITIES WE SERVE OF PROVIDING MEDICAL EXCELLENCE AND COMPASSIONATE CARE. IT OPERATES IN CONFORMANCE WITH "THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH FACILITIES." FAITHFUL TO THE SPONSORSHIP MISSION, PHILOSOPHY AND VALUES, ST. JOHN'S MISSION IS TO PROVIDE HEALTHCARE AND RELATED MINISTRIES FOR THE PEOPLE SERVED, ESPECIALLY THE SICK, THE POOR AND THE POWERLESS. THE BOARD OF DIRECTORS, MANAGEMENT AND EMPLOYEES OF ST. JOHN ARE GUIDED IN THEIR DAY-TO-DAY ACTIONS AND INTERACTIONS WITH THOSE WHO SERVE AND WHO ARE SERVED BY THE VALUES OF SERVICE TO THE POOR, WISDOM, REVERENCE, CREATIVITY, DEDICATION AND INTEGRITY. ST. JOHN COLLABORATES WITH OTHER INDIVIDUALS AND INSTITUTIONS IN THE VARIOUS COMMUNITIES IT SERVES TO ASCERTAIN COMMUNITY NEEDS AND PROVIDES A BROAD RANGE OF SERVICES ALONG THE HEALTHCARE CONTINUUM TO HELP MEET THOSE NEEDS. PROGRAMS AND SERVICES INCLUDE PREVENTIVE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE PROGRAMS, INCLUDING AN EMPHASIS ON HEALTH PROMOTION AND DISEASE PREVENTION. ST. JOHN ALSO ADVOCATES FOR PUBLIC POLICIES WHICH ADVANCE A HEALTHY AND JUST SOCIETY. ST. JOHN WORKS WITH LOCAL, STATE AND NATIONAL LEADERS AND ORGANIZATIONS TO BRING ABOUT A HEALTHCARE DELIVERY SYSTEM THAT PROVIDES DIGNIFIED ACCESS TO AND AFFORDABLE, HIGH QUALITY HEALTHCARE FOR ALL PERSONS.
Form 990, Part III, Line 4a Program Service Description - Part 2	COMMUNITY NEEDS ASSESSMENT: EACH OWNED HOSPITAL IN THE ST. JOHN SYSTEM HAS COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY. THESE HAVE BEEN POSTED TO EACH HOSPITAL'S WEBSITE AND ALSO THE HEALTH SYSTEM WEBSITE. ST. JOHN CONTINUES TO LOOK FOR WAYS TO MEET UNMET COMMUNITY NEEDS IN A SUSTAINABLE AND COLLABORATIVE WAY WITH OTHER ORGANIZATIONS TO BUILD HEALTHIER COMMUNITIES. THE ST. JOHN SYSTEM SERVES A DIVERSE REPRESENTATION OF HEALTH DISPARITIES IN ONE OF THE LOWEST RANKED STATES IN THE UNITED STATES FOR HEALTH STATUS (45TH IN 2015). WITHIN THE STATE OF OKLAHOMA, COUNTIES SERVED RANK FROM 17TH OUT OF 77 TO 63RD OUT OF 77. USING THE COMMUNITY HEALTH NEEDS ASSSESSMENTS COMPLETED IN 2013 FOR EACH HOSPTIAL AND THE COMMUNITIES WE SERVE, THE ST. JOHN SYSTEM DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A 2014-2016 IMPLEMENTATION STRATEGY TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS). EACH ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH LOCAL HEALTH DEPARTMENTS, AND INDIVIDUALS REPRESENTING INTERESTS OF THE COMMUNITY AND/OR IN SUPPORT OF COMMUNITY BASED PROGRAMS. INPUT FROM COMMUNITY MEMBERS, COMMUNITY LEADERS AND REPRESENTATIVES, LOCAL PUBLIC HEALTH ENTITIES, AS WELL AS ST. JOHN SYSTEM'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY GROUP AND LEADERSHIP WAS OBTAINED TO EXPAND UPON INFORMATION GLEANED FROM SECONDARY DATA REVIEW. A CONCERTED EFFORT WAS MADE TO OBTAIN COMMUNITY INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES AND POPULATIONS DEEMED VULNERABLE UPON COMPLETION OF THE ASSESSMENT WITH INPUT FROM LOCAL PUBLIC HEALTH OFFICIALS AND OTHER LEADERS, THE ST. JOHN SYSTEM IDENTIFIED AND HAS CONTINUED TO COLLABORATIVELY WORK TOWARD ADDRESSING THE FOLLOWING PRIORITY NEEDS AS AN ORGANIZATION AND THROUGH SUPPORTING THE NEEDS IDENTIFIED FOR A COMMUNITY-WIDE PLAN: 1. DIET, INACTIVITY, AND OBESITY - ACTIVE PARTICIPATON BY SEVERAL ASSOCIATES IN THE COMMUNITY WIDE COALITION, PATHWAYS TO HEALTH (P2H). P2H SUPPORTS THE TULSA CITY-COUNTY HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY PARTNERS. P2H WAS FORMED BY THE TULSA CITY-COUNTY HEALTH DEPARTMENT IN 2008 IN RESPONSE TO A CHALLENGE TO DECREASE THE OVERLAP OF HEALTH SERVICES AND IDENTIFY GAPS WHERE LEADERS ARE MISSING VULNERABLE POPULATIONS. TODAY, P2H IS AN INCORPORATED NON-PROFIT ENTITY WITH THE GOAL TO CONNECT COMMUNITY HEALTH RESOURCES TO THOSE WHO NEED IT MOST. P2H LEVERAGES COMMUNITY-WIDE PARTNERSHIPS WITH MORE THAN 90 LOCAL AGENCIES, ORGANIZATIONS, CORPORATIONS AND HEALTH SYSTEMS TO IMPROVE THE HEALTH AND WELLNESS OF RESIDENTS OF TULSA COUNTY. DURING 2015, PATHWAYS TO HEALTH COMMUNITY FOUNDATION SET OBESITY PREVENTION AS ITS PRIMARY FOCUS. ST. JOHN HEALTH SYSTEM ALSO COLLABORATED WITH P2H ON SEVERAL HEALTH AND WELLNESS INITIATIVES, ACTIVITIES, AND EVENTS THROUGHOUT FY 2014-2016 INCLUDING, BUT NOT LIMITED TO: -THE 29TH ANNUAL TOUR DE TULSA PRESENTED BY ST. JOHN HEALTH SYSTEM. -THIS COMMUNITY BIKE RIDE TOOK PLACE ON SATURDAY, MAY 7, 2016 WITH MORE THAN 700 CYCLISTS FROM ACROSS THE STATE AND REGION PARTICIPATING. CYCLISTS COMPLETED THEIR CHOICE OF 22, 50, 62, OR 100 MILE ROUTES AND FAMILIES WERE ENCOURAGED TO PARTICIPATE IN A FAMILY FUN RIDE. TOUR DE TULSA IS HOSTED ANNUALLY BY THE TULSA CITY-COUNTY HEALTH DEPARTMENT AND THE TULSA BICYCLE CLUB TO PROMOTE HEALTH IN THE COMMUNITY. ST. JOHN HEALTH SYSTEM WAS PROUD TO BE THE FIRST-EVER PRESENTING SPONSOR OF THE TOUR DE TULSA. THIS EVENT PAIRED OUR ONGOING COMMITMENT TO ENCOURAGE PHYSICAL ACTIVITY FOR INDIVIDUALS OF ALL AGES, WHILE SUPPORTING VITAL COMMUNITY PROGRAMS THAT FOCUS ON INITIATIVES TO IMPROVE OVERALL HEALTH OUTCOMES TO AREA RESIDENTS. -P2H BLOCK PARTIES- ST. JOHN HEALTH SYSTEM ASSOCIATES PARTICIPATED IN A SERIES OF FREE COMMUNITY BLOCK PARTIES THROUGHOUT TULSA COUNTY HOSTED BY P2H IN 2013-2015. THE INTERACTIVE AND FAMILY-FRIENDLY EVENTS INCLUDED ACTIVITIES SUCH AS COOKING DEMONSTRATIONS, FITNESS CLASSES, GAMES, HEALTH SCREENINGS, SNACKS, AND FUN FOR ALL AGES. -FOOD ON THE MOVE- ST. JOHN HEALTH SYSTEM ASSOCIATES PARTICIPATED IN SIX FOOD ON THE MOVE MOBILE FOOD INITIATIVE EVENTS IN 2015-2016. FOOD ON THE MOVE IS A COLLABORATION OF FOOD AND HEALTH EXPERTS AND COMMUNITY PARTNERS TO MOBILIZE QUALITY FOOD INTO HARD TO REACH ECONOMICALLY CHALLENGED AREAS, HELPING COMBAT HUNGER IN TULSA AND OKLAHOMA IN A NEW WAY. HEALTH AND WELLNESS EDUCATION AND SCREENINGS (E.G. BLOOD PRESSURE, HEALTHY NUTRITION) WERE OFFERED BY NURSES, A DIETICIAN, AND A PHYSICIAN FROM ST. JOHN HEALTH SYSTEM AT THESE EVENTS. - THE ST. JOHN SYSTEM PARTICIPATED IN 269 COMMUNITY EVENTS, MANY FOCUSED-ON HEALTH PROMOTION AND WELLNESS. IN PARTICULAR, ST JOHN SYSTEM SPONSORED AND PARTICIPATED IN SEVERAL LOCAL HEALTH PROMOTION WALKS AND RUNS DURING THIS TIME INCLUDING, BUT NOT LIMITED TO THE: AMERICAN CANCER SOCIETY'S RELAY FOR LIFE EVENTS, AMERICAN HEART AND AMERICAN STROKE ASSOCIATIONS' HEART WALK, SUSAN G. KOMEN'S RACE FOR THE CURE, PARKINSON FOUNDATION OF OKLAHOMA'S TULSA PARKINSON'S WALK & 5K, AND OKLAHOMA CHAPTER OF THE ALZHEIMER'S ASSOCIATION'S WALK TO END ALZHEIMER'S. THE ST JOHN SYSTEM OFFERED ASSOCIATES FREE OR DISCOUNTED REGISTRATION FEES FOR MANY THESE LOCAL RUNS AND WALKS. THE ST. JOHN SYSTEM IS THE ANNUAL PRESENTING SPONSOR AND MEDICAL PROVIDER FOR THE ST. JOHN TULSA ZOORUN. THIS IS A FAMILY-FRIENDLY RACE OFFERING A 5K, 10K, 1-MILE FUNRUN, AND CHILDREN'S ACTIVITIES THROUGH THE ST. JOHN KIDS CLUB. THE ZOORUN IS THE SECOND OLDEST RUNNING EVENT IN TULSA AND SIXTH LARGEST RACE IN THE STATE. IN 2015 ALONE, MORE THAN 70 ST. JOHN ASSOCIATES VOLUNTEERED AT THE ZOORUN. ST. JOHN HEALTH SYSTEM IS ALSO AN ANNUAL SPONSOR AND THE OFFICIAL MEDICAL PROVIDER FOR THE TULSA RUN. APPROXIMATELY 60 ST. JOHN ASSOCIATES VOLUNTEER TO ASSIST WITH RACE DAY MEDICAL NEEDS FOR RUNNERS EACH YEAR. THE TULSA RUN ATTRACTS 10,000 RUNNERS ANNUALLY AND IS THE OLDEST AND ONE OF THE LARGEST RUNS IN OKLAHOMA. ST. JOHN ASSOCIATES PROMOTED HEALTH AND WELLNESS THROUGH HEALTH SCREENINGS AND PUBLIC EDUCATION AT THESE EVENTS. EACH YEAR A BUDGET IS ESTABLISHED FOR THIS PURPOSE AND IS EXCEEDED THROUGH IDENTIFICATION OF ADDITIONAL COMMUNITY REQUESTS. THE ST. JOHN SYSTEM AND HOSPITALS ALSO HOSTED A MULTITUDE OF PUBLIC HEALTH EDUCATION SEMINARS, CLASSES, AND SYMPOSIUMS ON A VARIETY OF WELLNESS TOPICS INCLUDING, BUT NOT LIMITED TO: DIABETES, HEART HEALTH, STROKE, SAFETY AND PREVENTION, TRAUMA, MATERNAL AND CHILD HEALTH, JOINT CARE, CANCER CARE, HEALTHY DIET AND NUTRITION, AND THE PROMOTION OF PHYSICAL ACTIVITY. - ST. JOHN SYSTEM'S FOOD AND NUTRITION SERVICES CONTINUES TO COLOR CODE HEALTHY MENU ITEMS ON OUR ONLINE MENUS. CALORIE CONTENTS OF SELECT MENU ITEMS ARE NOW POSTED ON ELECTRONIC MENU BOARDS IN THE CAFETERIAS. - ST. JOHN HEALTH SYSTEM AND ITS HOSPITALS BEGAN PARTICIPATION IN ASCENSION HEALTH'S SMART HEALTH WELLNESS PROGRAM INITIATIVES - FIRST FOCUSING ON OUR OWN ASSOCIATES AND SUBSEQUENTLY TAKING LESSONS LEARNED TO THE BROADER COMMUNITY. A TOTAL OF 1,538 ASSOCIATES COMPLETED THE 2015 WELLNESS PROGRAM. 2. MENTAL HEALTH, SUBSTANCE ABUSE, TOBACCO USE - AS A HEALTHCARE PROVIDER OF EMERGENCY AND ACUTE HOSPITAL AND RELATED SERVICES, ST. JOHN SYSTEM SEES THE DIRECT AND OFTEN DEVASTATING EFFECTS OF ALCOHOL AND DRUG ABUSE, AS WELL AS TOBACCO USE, ON A DAILY BASIS. MANY, IF NOT MOST, OF THE PATIENTS WHO PRESENT TO THE SYSTEM IN ACUTE CRISIS FROM ALCOHOL AND ABUSE - WHETHER FROM INJURY OR OVERDOSE (OR BOTH) - ALSO HAVE UNDERLYING ACUTE OR CHRONIC MENTAL HEALTH CONDITIONS AND NEEDS. ST. JOHN SYSTEM IS EXPLORING HOW VIRTUAL TECHNOLOGY MIGHT BE USED TO SUPPORT HOSPITALS IN PROVIDING BETTER ACCESS TO PATIENTS FOR MENTAL HEALTH SERVICES. -ST. JOHN SYSTEM AND ST. JOHN MEDICAL CENTER, INC. CONTINUE TO PROVIDE THE DRUG AND ALCOHOL EDUCATION PROGRAM BY CONTRACT TO BISHOP KELLEY STUDENTS ANNUALLY IN TULSA. THE PROGRAM IS OPEN TO ANYONE WHO WANTS TO ATTEND. -ST. JOHN SYSTEM'S HOSPITALS AND OTHER FACILITIES CONTINUE TO STRIVE TO PROVIDE PATIENTS RECEIVING INPATIENT HOSPITAL CARE AND PATIENTS RECEIVING PRIMARY CARE PATIENTS IN MEDICAL HOMES WITH EDUCATION AND SERVICES TO PROMOTE MENTAL WELL-BEING AS WELL AS THE PREVENT OR REDUCE THE OCCURRENCE SUBSTANCE ABUSE. IN OUR MEDICAL ACCESS CLINIC (MAC), FOR INSTANCE, WE HAVE PARTNERED WITH OTHER SAFETY NET PROVIDERS TO EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES. - PROCESS OUTCOMES ARE MEASURED FOR MENTAL HEALTH AND TOBACCO USE SCREENING THROUGH BOTH THE COMPREHENSIVE PRIMARY CARE PROGRAM AND THE MEDICARE SHARED SAVINGS PROGRAM IN WHICH ST. JOHN SYSTEM HOSPITALS AND EMPLOYED ST. JOHN PHYSICIANS PARTICIPATE. THROUGH THESE PROGRAMS, WE ARE NOW ABLE TO TRACK THE VOLUME OF PATIENTS WHO RECEIVE COUNSELING AND REFERRALS.
Form 990, Part III, Line 4a Program Service Description - Part 3	- EACH HOSPITAL MAINTAINS ONGOING PATIENT EDUCATION RELATED TO SMOKING; MATERIALS ARE PROVIDED TO PATIENTS AND REFERRALS ARE MADE TO THE OKLAHOMA TOBACCO HELPLINE AT 1-800-QUITNOW AND OKHELPLINE.COM FOR TOBACCO CESSATION - THROUGH A HOSPITAL OUTPATIENT DEPARTMENTS, MENTAL HEALTH AND DRUG AND ALCOHOL COUNSELING ARE PROVIDED. PATIENTS FROM ANY OF OUR HOSPITALS AND CLINICS MAY BE REFERRED TO THIS SERVICE WHICH HAS A CONVENIENT, ACCESSIBLE LOCATION. THERE ARE CURRENTLY FOUR EMBEDDED OUTPATIENT BEHAVIORAL HEALTH THERAPISTS THAT ARE SHARED ACROSS 12 SITES. REFERRALS ARE ALSO MADE TO AREA AGENCIES. 3. CHRONIC DISEASE MANAGEMENT - ST. JOHN SYSTEM AND HOSPTIALS PARTICIPATES AS AN ACCOUNTABLE CARE ORGANIZATION (ACO) PARTICIPANT IN THE MEDICARE SHARED SAVINGS PROGRAM, WHICH ESTABLISHES SEVERAL QUALITY AND PROCESS OUTCOME MEASURES THAT PERTAIN TO CHRONIC DISEASE MANAGEMENT SUCH AS DIABETES, HYPERTENSION, CORONARY ARTERY DISEASE, AND COPD. - EMPLOYED PHYSICIANS OF ST. JOHN SYSTEM ALSO PARTICIPATE IN COMPREHENSIVE PRIMARY CARE WHICH FOCUSES ON A MEDICAL HOME MODEL IN CARE FOR HIGH RISK PATIENTS WITH CHRONIC CONDITIONS. 4. ACCESS TO SERVICES ACCESS TO SERVICES IN OKLAHOMA IS A SIGNIFICANT CHALLENGE DUE TO THE LIMITED AVAILABILITY OF PRIMARY CARE PHYSICIANS AND STRESS ON HOSPITAL EMERGENCY ROOM ACCESS AND INPATIENT BEDS DUE TO A GROWING NUMBER OF TRANSFERS FROM UNDERSERVED RURAL AREAS IN OKLAHOMA. BARRIERS TO ACCESSING SERVICES ALSO INCLUDE LACK OF HEALTH INSURANCE COVERAGE AND TRANSPORTATION RESOURCES. - THE HEALTH INSURANCE MARKETPLACE, A PART OF THE AFFORDABLE CARE ACT (ACA), WAS LAUNCHED IN OCTOBER 2013, GIVING AMERICANS A VARIETY OF NEW OPTIONS FOR HEALTH COVERAGE. SINCE THEN, ST. JOHN SYSTEM HAS EXPENDED CONSIDERABLE EFFORT ENCOURAGING INDIVIDUALS TO SIGN UP FOR COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACE. THOUGH WE STILL HAVE A LONG WAY TO GO, OUR EFFORTS BRING OUR COMMUNITIES CLOSER TO ASCENSION'S GOAL OF 100% ACCESS AND 100% COVERAGE. ST. JOHN SYSTEM PARTNERS WITH THE MIDLAND GROUP TO HELP CONNECT CONSUMERS WITH A CERTIFIED APPLICATION COUNSELOR (CAC) FOR ENROLLMENT ASSISTANCE. CACS MINIMIZE CONFUSION ABOUT MARKETPLACE OPTIONS AND ENSURE DESIRED PROVIDERS AND BENEFITS ARE INCLUDED IN THE SELECTED PLAN. THEY CAN ALSO ASSIST WITH DETAILED QUESTIONS ABOUT THE MARKETPLACE. DURING THE OPEN ENROLLMENT PERIOD, ST. JOHN'S CAC IS AVAILABLE ON AN APPOINTMENT-ONLY BASIS AT ST. JOHN MEDICAL CENTER, INC. IN TULSA AND JANE PHILLIPS MEDICAL CENTER IN BARTLESVILLE TO PROVIDE FREE ENROLLMENT ASSISTANCE. MIDLAND'S ON-SITE PUBLIC BENEFITS SCREENERS ALSO WORK TO EDUCATE SELF-PAY PATIENTS WITHIN OUR HOSPITALS ABOUT THE MARKETPLACE AND HAND OUT INFORMATION FOR FURTHER ASSISTANCE WITH NAVIGATIONS. ST. JOHN SYSTEM'S HEALTH INSURANCE MARKETPLACE AMBASSADOR PROGRAM (OFTEN ABBREVIATED AS HIX AMBASSADOR PROGRAM) WAS ESTABLISHED IN OCTOBER 2013 PRIOR TO THE FIRST MARKETPLACE OPEN ENROLLMENT PERIOD. ST. JOHN SYSTEM ASSOCIATES APPLY TO PARTICIPATE IN THIS PROGRAM AS PAID VOLUNTEERS AND ARE KNOWN AS HEALTH INSURANCE MARKETPLACE (HIX) AMBASSADORS. THESE AMBASSADORS RECEIVE IN-DEPTH TRAINING ON THE MARKETPLACE AND SERVE TO PROMOTE THE MARKETPLACE THROUGH OUTREACH, EDUCATION, AND AWARENESS EFFORTS. THESE EFFORTS INCLUDE: 1) VOLUNTEERING AT ON-SITE AND COMMUNITY EVENTS AND ACTIVITIES TO PROMOTE THE MARKETPLACE, 2) ENCOURAGING ENROLLMENT IN THE PLANS THAT INCLUDE THE ST. JOHN SYSTEM NETWORK BY REFERRING TO THE MIDLAND GROUP FOR ENROLLMENT ASSISTANCE WITH A CERTIFIED APPLICATION COUNSELOR (CAC), 3) EDUCATING INDIVIDUALS ON OUR FINANCIAL ASSISTANCE PROGRAMS, 4) PROVIDING BASIC HEALTH EDUCATION AND SCREENINGS AT EVENTS. DURING THE FISCAL YEAR ENDING IN JUNE 30, 2016, ST. JOHN SYSTEM ADDITIONALLY PROVIDED A MULTITUDE OF RESOURCES TO PATIENTS AND MEMBERS OF THE COMMUNITY REGARDING MARKETPLACE ENROLLMENT INCLUDING THE FOLLOWING: 1). SIGNAGE, EDUCATIONAL HANDOUTS, AND MARKETING MATERIALS POSTED THROUGHOUT THE HEALTH SYSTEM, AT EVENT BOOTHS, AND KEY LOCATIONS IN THE COMMUNITY. ST JOHN SYSTEM PRODUCED AND DISTRIBUTED EDUCATIONAL SIGNAGE, FLIERS, AND CARDS TO 119 LOCATIONS WITHIN THE HEALTH SYSTEM (INCLUDED SPECIALTY CLINICS ST. JOHN CLINIC, SOME NURSING FLOORS, PATIENT ADMISSIONS AND FINANCIAL COUNSELING AT ALL HOSPITALS, INPATIENT AND OUTPATIENT SPECIALTY DEPARTMENTS AT ALL HOSPITALS, HOSPITAL EMERGENCY DEPARTMENTS, MAIN LOBBIES, AND HIGH TRAFFIC AREAS WITHIN ALL HOSPITALS). 2). A DEDICATED ENROLLMENT ASSISTANCE PHONE LINE WITH PHONE PROMPT THAT LINKED CONSUMERS AND PATIENTS TO THE MIDLAND GROUP FOR OVER THE PHONE ASSISTANCE AND TO SCHEDULE APPOINTMENTS FOR IN-PERSON ENROLLMENT ASSISTANCE WAS MADE AVAILABLE 3). A DEDICATED HEALTH INSURANCE MARKETPLACE PAGE WITH INFORMATION ABOUT THE MARKETPLACE AND ENROLLMENT ASSISTANCE WAS MADE AVAILABLE ON THE ST. JOHN SYSTEM WEBSITE. 4). AN INTERNAL WEB PAGE WITH INFORMATION, RESOURCES, AND UPDATES ON THE HEALTH INSURANCE MARKETPLACE FOR HEALTH SYSTEM ASSOCIATES WAS MADE AVAILABLE. 5). ADDITIONAL EFFORTS WERE MADE TO EDUCATE ASSOCIATES ABOUT THE MARKETPLACE VIA PRESENTATIONS, SIGNAGE, AND EDUCATIONAL HANDOUTS. SINCE 2014, ST. JOHN SYSTEM HAS PARTICIPATED IN A COMMUNITY COALITION, CLAIM YOUR COVERAGE, WHICH CONVENES MULTIPLE STAKEHOLDERS IN THE TULSA COUNTY COMMUNITY TOGETHER TO EDUCATE OUR COMMUNITY ABOUT THE MARKETPLACE AND TO PROMOTE ENROLLMENT. STAKEHOLDERS PARTICIPATING IN THIS COALITION INCLUDE LOCAL HOSPITALS AND HEALTH SYSTEMS, THE TULSA CITY-COUNTY LIBRARY SYSTEM, THE TULSA CITY-COUNTY HEALTH DEPARTMENT, INSURANCE COMPANIES, LICENSED HEALTH INSURANCE AGENTS AND BROKERS, CERTIFIED APPLICATION COUNSELOR AND NAVIGATOR ORGANIZATIONS, TWO FHQCS, LOCAL PHILANTHROPY GROUPS, THE COMMUNITY SERVICE COUNCIL, AND THE INDIAN HEALTH SYSTEM. THE COALITION ALSO WORKS TO IMPROVE HEALTH INSURANCE LITERACY WITHIN OUR COMMUNITY. ST. JOHN SYSTEM IS HONORED TO BE RECOGNIZED AS A CHAMPION FOR COVERAGE BY U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS). AS A CHAMPION, WE HAVE VOLUNTEERED TO HELP UNINSURED AMERICANS LEARN MORE ABOUT THE HEALTH INSURANCE MARKETPLACE. AS A CHAMPION FOR COVERAGE, WE LEVERAGE PUBLICLY AVAILABLE MARKETPLACE MATERIALS - BOTH DIGITAL AND IN PRINT - TO HELP MEMBERS OF OUR COMMUNITY UNDERSTAND THEIR NEW OPTIONS THROUGH THE MARKETPLACE. -FROM SEPTEMBER 2015 AND JANUARY 2016, ST. JOHN SYSTEM ENGAGED A TOTAL OF 345 INDIVIDUALS IN DISCUSSION ABOUT THE HEALTH INSURANCE MARKETPLACE AND REFERRED THEM TO ENROLLMENT ASSISTANCE AVAILABLE THROUGH OUR HEALTH SYSTEM. OF THOSE 772 INDIVIDUALS, 145 WERE ENGAGED IN DISCUSSION ABOUT THE ENROLLMENT PROCESS DURING ONE OF OUR 9 COMMUNITY OUTREACH EVENTS HELD BETWEEN SEPTEMBER 2015 AND DECEMBER 2015. THE REMAINING 200 CONSUMERS WHO WERE SEEKING INFORMATION ABOUT THE MARKETPLACE SPOKE TO OUR CONTRACTED CERTIFIED APPLICATION COUNSELORS (CACS) WITH THE MIDLAND GROUP OVER THE PHONE ABOUT THE ENROLLMENT PROCESS. IF THE CALLER DID NOT SCHEDULE AN ENROLLMENT ASSISTANCE APPOINTMENT, THEY WERE EITHER INQUIRING ABOUT WHAT PLANS ST. JOHN HEALTH SYSTEM TAKES, WHETHER THEY QUALIFIED FOR A TAX CREDIT, OR ASKED GENERAL INFORMATION, BUT DID NOT WANT TO SET UP AN APPOINTMENT AT THAT TIME (145 INDIVIDUALS OUT OF 200 TOTAL CONSUMERS). ST. JOHN SYSTEM'S CONTRACTED CACS WITH THE MIDLAND GROUP ASSISTED 71 CONSUMERS WITH NAVIGATION ACTIVITIES DURING THE ENROLLMENT PERIOD. - LACK OF TRANSPORTATION PREVENTS CERTAIN PATIENTS FROM RECEIVING PREVENTATIVE CARE AND CONTINUING AN ESTABLISHED COURSE OF TREATMENT. RECOGNIZING THIS BARRIER TO ACCESSING HEALTH CARE, ST. JOHN SYSTEM AND ST. JOHN MEDICAL CENTER, INC. NEGOTIATED A TRANSPORTATION SERVICES AGREEMENT WITH MORTON COMPREHENSIVE HEALTH SERVICES INC. (MORTON). MORTON, A 501(C) (3) NON-PROFIT CORPORATION, IS ONE OF OKLAHOMA'S LARGEST COMMUNITY HEALTH AND FEDERALLY QUALIFIED HEALTH CENTERS IN THE STATE OF OKLAHOMA. THROUGH THE AGREEMENT WITH MORTON COMPREHENSIVE COMMUNITY HEALTH CENTER FOR THEIR BUS SERVICES, THE HEALTH SYSTEM can PROVIDE TRANSPORTATION TO THOSE IN NEED IN THE COMMUNITY WHO MEET SPECIFIC CRITERIA (ESTIMATED OVER $120,000 IN 12 MONTHS; 1,083 RIDES PROVIDED IN FY 16). - VETERANS ARE NOW ABLE TO RECEIVE CARE FROM ST. JOHN HEALTH SYSTEM DOCTORS THROUGH THE VETERANS CHOICE PROGRAM, GIVING VETERANS THE CHOICE TO RECEIVE CARE AT ST. JOHN LOCATIONS THROUGHOUT OKLAHOMA AND SOUTHEAST KANSAS. AS PART OF ASCENSION, THE NATION'S LARGEST NONPROFIT HEALTHCARE SYSTEM AND THE WORLD'S LARGEST CATHOLIC HEALTH SYSTEM, ST. JOHN JOINS 23 OTHER STATES AND THE DISTRICT OF COLUMBIA IN SUSTAINING AND IMPROVING THE HEALTH OF INDIVIDUALS AND OUR COMMUNITIES BY SERVING AS AN OFFICIAL PROVIDER OF VETERAN CARE OUTSIDE THE DEPARTMENT OF VETERANS AFFAIRS (VA).
Form 990, Part III, Line 4a Program Service Description - Part 4	- DURING 2015 THE ST. JOHN PHARMACY APPLIED FOR AND WAS CERTIFIED TO BE A DISPENSARY OF HOPE (DOH) ACCESS SITE. DOH BEGAN IN MIDDLE TENNESSEE IN 2003 AND BY 2006, HAD ESTABLISHED A DISTRIBUTION SYSTEM WITH THE PURPOSE OF EXPANDING ITS VISION. DOH CLINICS IN PHARMACIES ARE CURRENTLY IN 24 STATES AND DOH IS APPROVED IN 44 STATES ACROSS THE NATION. THE DOH CONNECTS SURPLUS MEDICATIONS FROM MANUFACTURERS, DISTRIBUTORS, AND PROVIDERS TO CLINICS AND PHARMACIES SERVING THE POOR AND UNINSURED. PHARMACY AND CLINIC PARTNERS PROVIDE DOH MEDICATIONS TO PATIENTS FREE OF CHARGE, TRACK AND SEGREGATE DOH INVENTORY, AND QUALIFY PATIENTS (LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL). EXPECTED OUTCOMES INCLUDE THE POTENTIAL TO COMPLETE MORE THAN 1500 PRESCRIPTIONS PER MONTH AND THE REDUCTION OF PATIENT RE-ADMISSIONS WITHIN 30 DAYS (MEASURABLE). GOVERNANCE: THE ADMINISTRATIVE POWERS OF ST. JOHN ARE VESTED IN ITS BOARD OF DIRECTORS, WHICH CONTROLS AND MANAGES THE PROPERTIES, AFFAIRS AND FUNDS OF ST. JOHN, SUBJECT TO DIRECTION FROM ASCENSION HEALTH AND RESERVATION OF CERTAIN POWERS BY ASCENSION HEALTH. ASCENSION HEALTH HAS RESERVED THE RIGHT TO SET OVERALL STRATEGIC DIRECTION, CHANGE THE BYLAWS OF ST. JOHN, APPOINT ITS PRINCIPAL EXECUTIVE OFFICERS, APPROVE CERTAIN BORROWINGS, ANNUAL BUDGETS, AND ACQUISITIONS AND DIVESTITURES OF CERTAIN PROPERTY, APPROVE ST. JOHN'S INDEPENDENT ACCOUNTING FIRM, AND ELECT OR APPOINT ITS BOARD OF DIRECTORS. THE BOARD GENERALLY MEETS ON A BI-MONTHLY BASIS AND REVIEWS RECOMMENDATIONS OF ITS COMMITTEES, WHICH INCLUDE AN EXECUTIVE COMMITTEE, A FINANCE COMMITTEE, AN EXECUTIVE COMPENSATION COMMITTEE, A PHYSICIAN TRANSACTION REVIEW COMMITTEE, A CORPORATE RESPONSIBILITY COMMITTEE, AND A NOMINATING COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ST. JOHN, AS WELL AS CERTAIN OTHER BOARD MEMBERS, AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE ABSENCE OF A REGULAR OR SPECIAL MEETING OF THE BOARD. WITH THE EXCEPTION OF THE EXECUTIVE, AUDIT, EXECUTIVE COMPENSATION, CORPORATE RESPONSIBILITY, AND NOMINATING COMMITTEES, WHICH ARE COMPRISED SOLELY OF BOARD MEMBERS, BOARD COMMITTEES ARE GENERALLY COMPRISED OF BOARD MEMBERS of ST. JOHN MEDICAL CENTER, INC., ADMINISTRATIVE STAFF, AND COMMUNITY REPRESENTATIVES. THE BOARD REVIEWS AND APPROVES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RECOMMENDED IMPLEMENTATION INITIATIVES. COMMUNITY BENEFIT: IN MEASURING AND REPORTING QUANTIFIABLE COMMUNITY BENEFIT, ST. JOHN FOLLOWS GUIDELINES PROMULGATED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND ENDORSED BY OTHER ORGANIZATIONS. UNCOMPENSATED CARE AND OTHER ELEMENTS OF COMMUNITY BENEFIT ARE MEASURED AT THE UNREIMBURSED ESTIMATED COST OF SERVICES OR RESOURCES PROVIDED. SAFETY NET AND EMERGENCY SERVICES (SUBPART A OF ACCESS TO SERVICES): THE ST. JOHN SYSTEM SERVES AS AN IMPORTANT SAFETY NET PROVIDER OF A BROAD CONTINUUM OF HEALTH CARE SERVICES TO THE CITIZENS OF NORTHEASTERN OKLAHOMA AND THE SURROUNDING REGION. EACH OF ITS SIX MAIN HOSPITALS OPERATES A FULL-SERVICE, 24-HOUR, 365-DAY EMERGENCY ROOM PROVIDING BOTH URGENT AND EMERGENCY CARE TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER, LOCATED IN TULSA, OKLAHOMA, IS A FULL-SERVICE TERTIARY HOSPITAL, WHICH PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT HEALTH CARE SERVICES. THE MEDICAL CENTER IS A TERTIARY REFERRAL CENTER AND SERVES AS ONE OF TWO PRIMARY TRAUMA REFERRAL CENTERS FOR TULSA AND NORTHEASTERN OKLAHOMA. ST. JOHN MEDICAL CENTER, INC. OPERATES A HIGHLY TECHNICAL PATIENT LOGISTICS CENTER TO FACILITATE THE TRANSFER OF PATIENTS FROM ST. JOHN'S COMMUNITY HOSPITALS AND NON-AFFILIATED HOSPITALS, THROUGHOUT THE REGION, TO ST JOHN MEDICAL CENTER, INC. FOR MUCH NEEDED TERTIARY CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY. THE LOGISTICS CENTER WAS ALSO EQUIPPED AS AN EMERGENCY COMMAND CENTER IN THE EVENT OF A PUBLIC HEALTH EMERGENCY. ST. JOHN MEDICAL CENTER, INC. SERVES AS A PRIMARY TULSA TEACHING HOSPITAL FOR THE UNIVERSITY OF OKLAHOMA'S SCHOOL OF COMMUNITY MEDICINE RESIDENCY PROGRAMS FOR INTERNAL MEDICINE AND SURGERY AND HOSTS AN ORTHOPEDIC TRAUMA FELLOWSHIP PROGRAM. IT IS ALSO THE PRIMARY TEACHING HOSPITAL FOR THE "IN HIS IMAGE" FAMILY MEDICINE RESIDENCY PROGRAM. IT IS ALSO NORTHEASTERN OKLAHOMA'S ONLY "MAGNET" ACCREDITED HOSPITAL, SIGNIFYING EXCELLENCE IN NURSING CARE. ST. JOHN MEDICAL CENTER, INC. IS TULSA'S AND NORTHEASTERN OKLAHOMA'S ONLY ACS VERIFIED LEVEL II TRAUMA CENTER AND ONLY JOINT COMMISSION-ACCREDITED COMPREHENSIVE STROKE CENTER. THE MEDICAL CENTER OFFERS ADVANCED SERVICES IN TRAUMA, NEUROLOGICAL AND NEUROSURGICAL (INCLUDING STROKE) CARE, CARDIOLOGY AND CARDIOTHORACIC SURGERY, KIDNEY TRANSPLANT, ADULT, PEDIATRIC AND NEONATAL INTENSIVE CARE, CANCER TREATMENT, JOINT REPLACEMENT, AND MANY OTHER AREAS. EACH HOSPITAL IS AN INTEGRAL PART OF THE MISSION OF SERVICE AND THE CONTINUUM OF MEDICAL CARE PROVIDED BY ST. JOHN. PATIENTS SEEN IN THE ST. JOHN SYSTEM FOR THE FISCAL YEAR ENDED JUNE 30, 2016: TOTAL DISCHARGES (EXCLUDING NORMAL NEWBORNS) - 43,290 TOTAL OBSERVATION DAYS - 17,359 COMBINED DISCHARGES AND OBSERVATION DAYS - 60,649 TOTAL PATIENT DAYS (EXCL. NORMAL NEWBORN AND OBSERVATIONS) - 196,237 BIRTHS - 3,543 EMERGENCY ROOM VISITS - 158,909 SELECTED OUTPATIENT VISITS (EXCL. ER & ONE DAY SURGERIES) - 366,194 INPATIENT SURGICAL CASES - 11,642 OUTPATIENT SURGICAL CASES - 18,480 PHYSICIAN OFFICE PATIENT VISITS - 534,721 URGENT CARE CLINIC PATIENT VISITS - 63,926 COMBINED PHYSICIAN OFFICE AND URGENT CARE VISITS - 598,647 TOTAL LABORATORY PROCEDURES (INCL. HOSPITAL & REFERENCE LABS) - 8,466,898
Form 990, Part III, Line 4a Program Service Description - Part 5	DIRECT CARE FOR THE POOR AND VULNERABLE (SUBPART B OF ACCESS TO SERVICES): THE ST. JOHN SYSTEM CONSIDERS CARE FOR THE POOR TO BE AN ESSENTIAL PART OF ITS MISSION OF SERVICE TO THE COMMUNITY. THE TOTAL COST OF CARE FOR THE POOR INCLUDES THE COST OF CHARITY CARE, THE UNREIMBURSED COST OF SERVICES TO MEDICAID BENEFICIARIES (TOGETHER REFERRED TO AS "UNCOMPENSATED CARE FOR THE POOR") AND THE COST OF SPECIAL PROGRAMS OR OTHER ACTIVITIES SPECIFICALLY TARGETED TO INCREASE ACCESS TO CARE OR PROVIDE OTHER SERVICES TO THE POOR. "CARE FOR THE POOR" INCLUDES THE ESTIMATED COST OF CARE CLASSIFIED AS CHARITY CARE PLUS THE ESTIMATED EXCESS OF THE COST OF SERVICES PROVIDED TO MEDICAID BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM MEDICAID. "CARE FOR THE POOR" DOES NOT INCLUDE THE COST OF SERVICES CLASSIFIED AND WRITTEN OFF AS BAD DEBTS OR THE EXCESS OF THE COST OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM MEDICARE. CHARITY AND UNCOMPENSATED CARE: THE ST. JOHN SYSTEM'S HOSPITALS AND OTHER FACILITIES PROVIDE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. IN FY 16, THE ST. JOHN SYSTEM HOSPITALS PROVIDED A DISCOUNT OF AT LEAST 40% OF BILLED CHARGES TO ALL UNINSURED PATIENTS. UNINSURED PATIENTS ALSO COULD QUALIFY FOR AN ADDITIONAL 15% PROMPT PAY DISCOUNT. IN ADDITION TO THESE AUTOMATIC DISCOUNTS, PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE UP TO AND INCLUDING FREE CARE. THE DETERMINATION OF THE PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS BASED ON AN OBJECTIVE DETERMINATION OF THE PATIENT'S FINANCIAL RESOURCES AND ABILITY TO PAY. IN GENERAL, ALL UNINSURED PATIENTS WITH HOUSEHOLD INCOMES OF LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR FREE OR SUBSTANTIALLY DISCOUNTED CARE. OTHER ENTITIES IN THE ST. JOHN SYSTEM ALSO PROVIDE CHARITY CARE BASED ON INDIVIDUAL DETERMINATIONS OF NEED. MANAGEMENT FOR ST. JOHN BELIEVES THAT ALL OF ITS BILLING AND COLLECTION POLICIES AND PROCEDURES COMPLY WITH IRS GUIDELINES AND DIRECTIVES. MEDICAL ACCESS PROGRAM ("MAP") (SUBPART C OF ACCESS TO SERVICES): DURING FY 16, THE MEDICAL CENTER ALSO CONTINUED WORK ON AN OUTREACH PROJECT TO IMPROVE ACCESS TO MEDICAL CARE TO THE POOR THAT IS REFERRED TO AS THE MEDICAL ACCESS PROGRAM ("MAP"). SUPPORTED IN PART BY FUNDING FROM THE CHAPMAN TRUSTS, A COLLECTION OF PRIVATE TRUSTS OF WHICH THE MEDICAL CENTER IS ONE OF THE BENEFICIARIES. THE PROGRAM IS A COMPREHENSIVE EFFORT TO PROVIDE INCREASED ACCESS TO MEDICAL SERVICES ACROSS A BROAD CONTINUUM OF CARE TO THE POOR AND DISADVANTAGED IN THE TULSA METROPOLITAN AREA. THE PROGRAM IS A COLLABORATIVE EFFORT LED BY THE MEDICAL CENTER THAT INCLUDES FINANCIAL SUPPORT FOR NEW AND EXISTING COMMUNITY OUTREACH ACTIVITIES. KEY ELEMENTS OF THE PROGRAM INCLUDE: - EXPANDED FREE PRIMARY CARE CLINIC VISITS PROVIDED PRIMARILY THROUGH DIRECT FUNDING PROVIDED TO THE UNIVERSITY OF OKLAHOMA'S BEDLAM CLINICS, GOOD SAMARITAN MOBILE CLINICS AND TEN OTHER FREE CLINICS. THESE CLINICS HAVE BEEN ABLE TO SIGNIFICANTLY EXPAND THE NUMBER OF PRIMARY AND URGENT CARE PATIENT ENCOUNTERS EACH YEAR WITH THE ADDITIONAL FUNDING PROVIDED THROUGH MAP. - PROVISION OF FREE DIAGNOSTIC IMAGING FOR ELIGIBLE PATIENTS TO RECEIVE FREE DIAGNOSTIC IMAGING SERVICES, INCLUDING BASIC X-RAY, CT, ULTRASOUND AND MRI. - EXPANSION OF ACCESS TO FREE MEDICAL SERVICES BY REOPENING OR EXPANDING CLINICS REPRESENTING 23 SPECIALTY SERVICES IN COLLABORATION WITH UNIVERSITY OF OKLAHOMA AND OTHER PARTIES AND BY DIRECT REFERRALS FROM THE PRIMARY CARE CLINICS TO PRIVATE PHYSICIANS. EXAMPLES WOULD BE TREATMENT OF PATIENTS WITH CANCER DIAGNOSES, AND OTHER LIFE THREATENING ILLNESSES OR INJURIES. EXPANSION OF THIS REFERRAL PROGRAM CONTINUES. - EXPANSION OF ACCESS TO FREE PRESCRIPTIONS AND OTHER MEDICATIONS IN COLLABORATION WITH THE PRIMARY CARE CLINICS AND OTHER PARTNERS. - OPERATION OF A "MEDICAL HOME" CLINIC FOR UNINSURED PATIENTS AS PART OF THE MAP INITIATIVE.
Form 990, Part III, Line 4a Program Service Description - Part 6	IT IS HOPED THAT MAP CAN CONTINUE TO GROW AND SERVE AS A MODEL FOR COLLABORATION AND OUTREACH THAT CANNOT ONLY BE USED TO PROVIDE MORE EFFECTIVE HEALTH CARE IN TULSA TO ITS MOST NEEDY CITIZENS, BUT ALSO SERVE AS A MODEL FOR OTHER COMMUNITIES. ST. JOHN HOSPITALS ALSO PARTICIPATED IN A PROGRAM SPONSORED BY THE TULSA MEDICAL SOCIETY TO PROVIDE FREE SURGICAL SERVICES TO CERTAIN PATIENTS. MEDICAL EDUCATION (SUBPART D OF ACCESS TO SERVICES): AS DESCRIBED ABOVE, THE MEDICAL CENTER PARTICIPATES IN A CITY-WIDE RESIDENT TRAINING PROGRAM ADMINISTERED BY THE UNIVERSITY OF OKLAHOMA TULSA SCHOOL OF COMMUNITY MEDICINE AND THE TULSA MEDICAL EDUCATION FOUNDATION. THE MEDICAL CENTER IS AN ENTITY WHICH HOSTS THE INTERNAL MEDICINE AND SURGICAL RESIDENCY PROGRAMS. IT ALSO HOSTS AND PROVIDES FINANCIAL SUPPORT FOR THE "IN HIS IMAGE" FAMILY MEDICINE RESIDENCY PROGRAM. THE MEDICAL CENTER PROVIDES ANNUAL FINANCIAL SUPPORT TO THE TULSA MEDICAL EDUCATION FOUNDATION TO FURTHER ITS EDUCATIONAL ACTIVITIES. THE MEDICAL CENTER ALSO SUPPORTS THE INITIATIVES OF THE TULSA HOSPITAL COUNCIL TO PROVIDE FINANCIAL SUPPORT TO EXPAND ENROLLMENTS IN AREA ALLIED HEALTH AND NURSING EDUCATION PROGRAMS. THE MEDICAL CENTER MAINTAINS AFFILIATIONS WITH A NUMBER OF AREA MEDICAL EDUCATION FACILITIES AND ORGANIZATIONS TO PROMOTE THE OFFERING AND ENHANCEMENT OF BASIC AND CONTINUING MEDICAL, NURSING AND ALLIED HEALTH EDUCATION. EDUCATIONAL AFFILIATIONS FOR TRAINING OF NON-PHYSICIAN MEDICAL PERSONNEL INCLUDE THE FOLLOWING INSTITUTIONS: UNIVERSITY OF OKLAHOMA, LANGSTON UNIVERSITY, UNIVERSITY OF TULSA, ROGERS STATE COLLEGE, OKLAHOMA STATE UNIVERSITY, AND SEVERAL OTHER INSTITUTIONS. THE MEDICAL CENTER MAINTAINS A CONTINUING EDUCATION PROGRAM WHICH IS ACCREDITED TO AWARD CATEGORY I EDUCATION CREDITS TO PARTICIPATING PHYSICIANS. JANE PHILLIPS, THROUGH JANE PHILIPS MEMORIAL MEDICAL CENTER, ALSO PARTICIPATES IN MEDICAL EDUCATION ACTIVITIES BY PROVIDING FINANCIAL SUPPORT TO TULSA MEDICAL EDUCATION FOUNDATION, ACCEPTING ROTATIONAL ASSIGNMENTS FOR CERTAIN RESIDENTS, AND BY PROVIDING FINANCIAL SUPPORT TO AREA SCHOOLS TO SUPPORT NURSING EDUCATION. OTHER COMMUNITY BENEFIT AND OUTREACH ACTIVITIES: THE CRITICAL ACCESS HOSPITALS OPERATED BY THE ST. JOHN SYSTEM OPERATES AT OR NEAR A LOSS, . THE ST. JOHN SYSTEM CONSIDERS THESE SUBSIDIZED ACTIVITIES TO BE ESSENTIAL COMPONENTS OF ITS MISSION OF SERVICE. THE ST. JOHN SYSTEM PROVIDES OTHER FORMS OF COMMUNITY BENEFIT IN THE FORM OF FREE, OR REDUCED-CHARGE EDUCATIONAL SEMINARS FOR THE GENERAL PUBLIC ON WIDE RANGING TOPICS FROM PRENATAL CARE TO CHRONIC DISEASE MANAGEMENT. IT PARTICIPATES IN COMMUNITY-WIDE HEALTH SCREENING EVENTS, BLOOD DONATION DRIVES, AND A NUMBER OF OTHER OUTREACH ACTIVITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF NORTHEASTERN OKLAHOMA AND THE SURROUNDING AREA. ONGOING COMMUNITY INPUT: IN ADDITION TO THE MANY ORGANIZATIONS WITH WHICH ST. JOHN HEALTH SYSTEM, INC. ENGAGES IN THE COMMUNITY, THE MEDICARE SHARED SAVINGS PROGRAM HAS SOUGHT COMMUNITY FEEDBACK BY INCLUDING TWO PATIENTS WHO ARE MEDICARE BENEFICIARIES ON THE ACCOUNTABLE CARE ORGANIZATION'S BOARD AND MAINTAINS A SEAT DESIGNATED FOR A HEALTH DEPARTMENT REPRESENTATIVE ON ONE OF THE PRIMARY COMMITTEES. ST. JOHN HEALTH SYSTEM, INC. AND SEVERAL ASSOCIATES ACTIVELY ENGAGE IN THE COMMUNITY WIDE COALITION, PATHWAYS TO HEALTH (P2H). P2H SUPPORTS THE TULSA CITY-COUNTY HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY PARTNERS. P2H WAS FORMED BY THE TULSA CITY-COUNTY HEALTH DEPARTMENT IN 2008 IN RESPONSE TO A CHALLENGE TO DECREASE THE OVERLAP OF HEALTH SERVICES AND IDENTIFY GAPS WHERE LEADERS ARE MISSING VULNERABLE POPULATIONS. TODAY, P2H IS AN INCORPORATED NON-PROFIT ENTITY WITH THE GOAL TO CONNECT COMMUNITY HEALTH RESOURCES TO THOSE WHO NEED IT MOST. P2H LEVERAGES COMMUNITY-WIDE PARTNERSHIPS WITH MORE THAN 90 LOCAL AGENCIES, ORGANIZATIONS, CORPORATIONS AND HEALTH SYSTEMS TO IMPROVE THE HEALTH AND WELLNESS OF RESIDENTS OF TULSA COUNTY.
Form 990, Part III, Line 4a Program Service Description - Part 7	OTHER PROGRAM SERVICE ACCOMPLISHMENTS: AS PREVIOUSLY DISCUSSED, THE ST. JOHN SYSTEM IS ORGANIZED AND OPERATED TO PROVIDE MEDICAL EXCELLENCE AND COMPASSIONATE CARE TO THE CITIZENS OF NORTHEASTERN OKLAHOMA, WITH A SPECIAL PREFERENCE FOR THE POOR AND DISADVANTAGED. SUMMARY: THE ST. JOHN SYSTEM'S ROLE AS ONE OF THE SIGNIFICANT SAFETY-NET HEALTH CARE PROVIDERS FOR THE REGION CONTINUES TO GROW IN PROMINENCE. ST. JOHN REINVESTS 100% OF ANY PROFITS DERIVED INTO NEW AND EXPANDED SERVICES TO THE COMMUNITY. THE ST. JOHN SYSTEM IS VERY PROUD OF ITS HISTORY OF SERVICE TO THE COMMUNITY AND VIEWS ITS RESPONSIBILITY TO CONTINUE TO PROVIDE MEDICAL SERVICES TO EVERYONE, ESPECIALLY THE POOR AND DISADVANTAGED, VERY SERIOUSLY. AS THE ST. JOHN SYSTEM CONTINUES TO FACE GROWING FINANCIAL CHALLENGES, IT BECOMES INCREASINGLY DIFFICULT TO SUSTAIN OUR MISSION OF SERVICE. NEVERTHELESS, WE BELIEVE THAT THE QUANTIFIABLE COMMUNITY BENEFIT, AS WELL AS THE MANY OTHER AREAS OF SERVICE PROVIDED BY THE ST. JOHN SYSTEM AND IDENTIFIED IN FY 16, CONTINUE A SOUND RECORD OF STEWARDSHIP AND A SIGNIFICANT CONTRIBUTION TO THE WELL-BEING OF BOTH THE COLLECTIVE COMMUNITIES AND THE INDIVIDUALS WITHIN THOSE COMMUNITIES WE SERVE.
Form 990, Part V, Line 2a STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE	THE SALARIES REFLECTED ON FORM 990 WERE ALL REPORTED ON FORM 941, EMPLOYER'S QUARTERLY FEDERAL TAX RETURN OF ST. JOHN MEDICAL CENTER, INC. ("SJMC"). THESE SALARIES WERE REIMBURSED TO SJMC BY THE FILING ORGANIZATION AND WERE INCLUDED IN THE NUMBER OF EMPLOYEES ON SJMC'S CALENDAR YEAR 2015 FORM W-3. THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A OF FORM 990 BY THE FILING ORGANIZATION REPRESENTS THE NUMBER OF EMPLOYEES PROVIDING SERVICES TO THE FILING ORGANIZATION DURING CALENDAR YEAR 2015.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH 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	St. John Health System, Inc. ("SJHS") has hired a third party preparer experienced in the preparation of Form 990 to assist in the preparation of the return. The Vice President/Chief Financial Officer and other personnel of SJHS will work closely with the paid preparer in gathering the information for the return and will perform the initial detailed review of the return. A copy of the return will be provided to all voting Board Members of the filing organization prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy	At every fiscal year end, St. John Health System, Inc. (SJHS) distributes a copy of the current Conflict of Interest Policy and Procedure Bulletin, together with an explanation and questionnaire to the members of the Board of Directors, administrative officers and key employees of SJHS, its subsidiaries and affiliates, including St. John Health System, Inc. The Board Members, administrative officers and key employees of SJHS, its subsidiaries and affiliates must complete the questionnaire and return it to the designated SJHS official within two weeks of receipt. Completed questionnaires are reviewed and summarized by the Vice President, Corporate Compliance and Integrity, or his/her designee. That individual then presents the questionnaire results to the heads of each hospital for further provision to the various boards' Audit and Compliance Committees. The Audit and Compliance Committees, as appropriate, submit a confidential report to their Board Chairman summarizing the questionnaire results. The Board Chairman, as appropriate, may review with the Executive Committee the responses to the questionnaire results. Members of a committee with governing board delegated powers annually sign a statement which affirms such person has received a copy of the Conflict 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	Compensation for all other executives in St. John Health System, Inc. ("SJHS") is analyzed by an independent health care consulting firm. The analysis includes a fair market value assessment and establishment of a range for each position based on research of comparable health care systems of similar size. The report and recommended compensation levels for each executive management position is reviewed and approved by the Executive Compensation Committee of the SJHS Board of Directors. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
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 VIII, Line 11d Other Miscellaneous Revenue	Other Miscellaneous Revenue - Total Revenue: 12537, Related or Exempt Function Revenue: 12537, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Purchased Services - Total Expense: 49491566, Program Service Expense: 22302934, Management and General Expenses: 27188632, Fundraising Expenses: ; Consulting Fees - Total Expense: 432374, Program Service Expense: 194845, Management and General Expenses: 237529, Fundraising Expenses: ; Physician Fees - Total Expense: 113341, Program Service Expense: 51076, Management and General Expenses: 62265, Fundraising Expenses: ; Employee Recruitment Fees - Total Expense: 183625, Program Service Expense: 82749, Management and General Expenses: 100876, Fundraising Expenses: ; Other Professional Fees - Total Expense: 4099355, Program Service Expense: 1847338, Management and General Expenses: 2252017, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers with Affiliates - -20686881; FAS 158 Pension - -17796903;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

St John Health System Inc

Employer identification number

73-1215174

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS,MO631455998 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	NA		No
(2)ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO631455998 31-1662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	ASCENSION HEALTH ALLIANCE		No
(3)ST JOHN SAPULPA INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0662663	HEALTH CARE	OK	501(c)(3	3	ST JOHN HEALTH SYSTEM INC	Yes
(4)JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-0606129	HEALTH CARE	OK	501(c)(3	3	ST JOHN HEALTH SYSTEM INC	Yes
(5)ST JOHN HEALTH SYSTEM FOUNDATION INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1133139	HEALTH CARE	OK	501(c)(3	7	ST JOHN HEALTH SYSTEM INC	Yes
(6)ST JOHN MEDICAL CENTER INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0579286	HEALTH CARE	OK	501(c)(3	3	ST JOHN HEALTH SYSTEM INC	Yes
(7)ST JOHN VILLAS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1077367	NURSING HOME	OK	501(c)(3	9	ST JOHN HEALTH SYSTEM INC	Yes
(8)OWASSO MEDICAL FACILITY INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-3700131	HEALTH CARE	OK	501(c)(3	3	ST JOHN HEALTH SYSTEM INC	Yes
(9)ST JOHN BROKEN ARROW INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 38-3833117	HEALTH CARE	OK	501(c)(3	3	ST JOHN HEALTH SYSTEM INC	Yes
(10)ST JOHN AUXILIARY INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-0999759	HEALTH CARE	OK	501(c)(3	9	ST JOHN HEALTH SYSTEM INC	Yes
(11)ST JOHN BUILDING CORPORATION 1923 SOUTH UTICA AVENUE TULSA,OK74104 61-1659782	REAL ESTATE	OK	501(c)(2		ST JOHN HEALTH SYSTEM INC	Yes
(12)JANE PHILLIPS NOWATA HOSPITAL INC 237 SOUTH LOCUST NOWATA,OK74048 73-1440267	HEALTH CARE	OK	501(c)(3	3	JANE PHILLIPS MEMORIAL MEDICAL CENTER	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Oklahoma Cancer Specialists Real Estate Company LLC 12697 E 51st St South TULSA,OK74146 47-3843491	REAL ESTATE HOLDING	OK	NA	N/A
(2) SJFI LLC 1923 SOUTH UTICA AVENUE TULSA,OK74104 46-2713285	ACCOUNTABLE CARE ORGANIZATION	OK	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) UTICA SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1057650	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(2) REGIONAL MEDICAL LABORATORIES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1131608	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(3) PHYSICIAN SUPPORT SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1437252	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(4) OMNI MEDICAL GROUP INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1335536	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(5) ST JOHN URGENT CARE CLINICS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-4990275	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(6) ST JOHN ANESTHESIA SERVICES INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 20-3690446	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(7) ST JOHN PHYSICIANS INC 1923 SOUTH UTICA AVENUE TULSA,OK74104 73-1321032	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(8) CERES MEDICAL PRACTICE INC 3400 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1522656	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(9) GEMINI MEDICAL GROUP INC 3400 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 73-1503529	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(10) JANE PHILLIPS SPECIALTY PHYSICIANS INC 3400 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 01-0879962	MEDICAL SERVICES	OK	NA	C Corporation			Yes
(11) SYNERGY HOSPITALIST GROUP INC 3400 E FRANK PHILLIPS BLVD BARTLESVILLE,OK74006 30-0375404	MEDICAL SERVICES	OK	NA	C Corporation			Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST JOHN BUILDING CORPORATION	K	2,995,899	FMV OF SERVICES OR CASH
(2) ST JOHN BUILDING CORPORATION	P	15,904,467	FMV OF SERVICES OR CASH
(3) ST JOHN BUILDING CORPORATION	Q	7,521,837	FMV OF SERVICES OR CASH
(4) ST JOHN MEDICAL CENTER	D	229,789,536	FMV OF SERVICES OR CASH
(5) ST JOHN MEDICAL CENTER	P	699,387,302	FMV OF SERVICES OR CASH
(6) ST JOHN MEDICAL CENTER	Q	606,871,400	FMV OF SERVICES OR CASH
(7) ST JOHN MEDICAL CENTER	S	172,304	FMV OF SERVICES OR CASH
(8) OWASSO MEDICAL FACILITY INC	D	35,745,522	FMV OF SERVICES OR CASH
(9) OWASSO MEDICAL FACILITY INC	P	36,045,218	FMV OF SERVICES OR CASH
(10) OWASSO MEDICAL FACILITY INC	Q	24,292,065	FMV OF SERVICES OR CASH
(11) ST JOHN BROKEN ARROW INC	D	108,945,980	FMV OF SERVICES OR CASH
(12) ST JOHN BROKEN ARROW INC	P	41,051,446	FMV OF SERVICES OR CASH
(13) ST JOHN BROKEN ARROW INC	Q	28,927,783	FMV OF SERVICES OR CASH
(14) ST JOHN SAPULPA INC	D	19,144,341	FMV OF SERVICES OR CASH
(15) ST JOHN SAPULPA INC	P	14,721,997	FMV OF SERVICES OR CASH
(16) ST JOHN SAPULPA INC	Q	11,584,757	FMV OF SERVICES OR CASH
(17) ST JOHN HEALTH SYSTEM FOUNDATION INC	P	1,063,788	FMV OF SERVICES OR CASH
(18) ST JOHN HEALTH SYSTEM FOUNDATION INC	Q	3,465,473	FMV OF SERVICES OR CASH
(19) UTICA SERVICES INC	P	25,268,132	FMV OF SERVICES OR CASH
(20) UTICA SERVICES INC	Q	39,057,474	FMV OF SERVICES OR CASH
(21) REGIONAL MEDICAL LABORATORIES INC	M	150,176	FMV OF SERVICES OR CASH
(22) REGIONAL MEDICAL LABORATORIES INC	P	30,714,449	FMV OF SERVICES OR CASH
(23) REGIONAL MEDICAL LABORATORIES INC	Q	19,640,507	FMV OF SERVICES OR CASH
(24) SJFI LLC	P	67,149	FMV OF SERVICES OR CASH
(25) SJFI LLC	Q	634,560	FMV OF SERVICES OR CASH
(26) ST JOHN PHYSICIANS INC	M	1,468,669	FMV OF SERVICES OR CASH
(27) ST JOHN PHYSICIANS INC	P	17,307,341	FMV OF SERVICES OR CASH
(28) ST JOHN PHYSICIANS INC	Q	30,336,264	FMV OF SERVICES OR CASH
(29) PHYSICIAN SUPPORT SERVICES	M	74,993	FMV OF SERVICES OR CASH
(30) PHYSICIAN SUPPORT SERVICES	P	44,480,503	FMV OF SERVICES OR CASH
(31) PHYSICIAN SUPPORT SERVICES	Q	44,520,353	FMV OF SERVICES OR CASH
(32) OMNI MEDICAL GROUP INC	M	560,504	FMV OF SERVICES OR CASH
(33) OMNI MEDICAL GROUP INC	P	8,349,345	FMV OF SERVICES OR CASH
(34) OMNI MEDICAL GROUP INC	Q	846,266	FMV OF SERVICES OR CASH
(35) ST JOHN URGENT CARE CLINICS INC	L	60,739	FMV OF SERVICES OR CASH
(36) ST JOHN URGENT CARE CLINICS INC	M	239,916	FMV OF SERVICES OR CASH
(37) ST JOHN URGENT CARE CLINICS INC	P	2,398,552	FMV OF SERVICES OR CASH
(38) ST JOHN URGENT CARE CLINICS INC	Q	229,318	FMV OF SERVICES OR CASH
(39) ST JOHN ANESTHESIA SERVICES INC	P	4,210,237	FMV OF SERVICES OR CASH
(40) ST JOHN ANESTHESIA SERVICES INC	Q	2,923,520	FMV OF SERVICES OR CASH
(41) JANE PHILLIPS MEDICAL CENTER	P	42,165,246	FMV OF SERVICES OR CASH
(42) JANE PHILLIPS MEDICAL CENTER	Q	8,438,497	FMV OF SERVICES OR CASH
(43) JANE PHILLIPS NOWATA HOSPITAL INC	P	2,860,022	FMV OF SERVICES OR CASH
(44) GEMINI MEDICAL GROUP INC	M	96,000	FMV OF SERVICES OR CASH
(45) GEMINI MEDICAL GROUP INC	P	127,788	FMV OF SERVICES OR CASH
(46) GEMINI MEDICAL GROUP INC	Q	3,223,117	FMV OF SERVICES OR CASH
(47) CERES MEDICAL PRACTICE INC	Q	81,609	FMV OF SERVICES OR CASH
(48) SYNERGY HOSPITALIST GROUP INC	P	147,945	FMV OF SERVICES OR CASH
(49) SYNERGY HOSPITALIST GROUP INC	Q	444,753	FMV OF SERVICES OR CASH
(50) JANE PHILLIPS SPECIALTY PHYSICIANS INC	M	116,400	FMV OF SERVICES OR CASH
(51) JANE PHILLIPS SPECIALTY PHYSICIANS INC	P	570,911	FMV OF SERVICES OR CASH
(52) JANE PHILLIPS SPECIALTY PHYSICIANS INC	Q	11,170,750	FMV OF SERVICES OR CASH
(53) ST JOHN VILLAS INC	S	6,943,775	FMV OF SERVICES OR CASH

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	232,664
9	Program service revenue (Part VIII, line 2g) .........	55,412,082	49,728,989
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	31,650,494	1,196,559
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	138,635,943	157,945,754
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	225,698,519	209,103,966
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	738,833	1,998,530
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	49,023,929	49,499,894
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	209,672,512	225,604,059
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	259,435,274	277,102,483
19	Revenue less expenses. Subtract line 18 from line 12.......	-33,736,755	-67,998,517
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	796,335,081	656,340,923
21	Total liabilities (Part X, line 26).............	586,918,172	569,221,508
22	Net assets or fund balances. Subtract line 21 from line 20.....	209,416,909	87,119,415

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 196,435,540 including grants of $ 1,998,530 ) (Revenue $ 207,674,743 )
	ST. JOHN HEALTH SYSTEM, INC. ("ST. JOHN"), 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 THROUGHOUT NORTHEASTERN OKLAHOMA. ST. JOHN, HEADQUARTERED IN TULSA, OKLAHOMA, CONDUCTS ITS OPERATIONS THROUGH SEVERAL WHOLLY-OWNED OR WHOLLY-CONTROLLED SUBSIDIARIES, INCLUDING: ST. JOHN MEDICAL CENTER, INC. (THE "MEDICAL CENTER"), ST. JOHN SAPULPA, INC. ("ST. JOHN SAPULPA"), JANE PHILLIPS MEMORIAL MEDICAL CENTER ("JANE PHILLIPS"), UTICA SERVICES, INC. ("UTICA"), ST. JOHN VILLAS, INC. ("ST. JOHN VILLAS"), OWASSO MEDICAL FACILITY, INC. ("ST. JOHN OWASSO"), ST. JOHN HEALTH SYSTEM FOUNDATION, INC. ("ST. JOHN FOUNDATION"), ST. JOHN BUILDING CORPORATION ("SJBC"), ST. JOHN BROKEN ARROW, INC. ("ST. JOHN BROKEN ARROW"), AND JANE PHILLIPS NOWATA HOSPITAL, INC. ("JP NOWATA"). ST. JOHN, THESE SUBSIDIARIES, AND ALL OTHER SUBSIDIARIES UNDER ST. JOHN'S DIRECT OR INDIRECT CONTROL OR OWNERSHIP ARE REFERRED TO HEREIN AS (CONTINUED ON SCHEDULE O)

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses196,435,540

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,288,441	482,528	524,179

(A) Name and business address	(B) Description of services	(C) Compensation
ACCENTURE LLP 161 N CLARK ST CHICAGO,ID60601	CONSULTING SERVICES	2,833,634
DELOITTE & TOUCHE LLP PO BOX 2079 CAROL STREAM,ID601322079	CONSULTING SERVICES	207,709



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

1	Briefly describe the organization’s mission or most significant activities: To provide medical excellence and compassionate care to all who need it.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	902
6	Total number of volunteers (estimate if necessary) .............	6	12
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	232,664

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		232,664

			Business Code
2a	Affiliate Service Revenue	900099	52,478,108	52,478,108
b	Net Patient Revenue	900099	-2,951,828	-2,951,828
c	Research Revenue	900099	202,709	202,709
d
e
f	All other program service revenue.			0	0	0	0
g Total.Add lines 2a–2f.....			49,728,989

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,196,559			1,196,559
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	0	0
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Capitation Revenue		900099	158,300,310	158,300,310
b	RECYCLING REVENUE		900099	7,773	7,773
c	Income/(loss) from Unconsolidated Entities		900099	-374,866	-374,866
d	All other revenue ....			12,537	12,537	0	0
e	Total. Add lines 11a–11d ......			157,945,754
12	Total revenue. See Instructions......			209,103,966	207,674,743	0	1,196,559

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,998,530	1,998,530
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	8,685,661	5,775,964	2,909,697
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	31,214,601	17,723,460	13,491,141
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,959,176	-677,678	2,636,854
9	Other employee benefits .......	5,936,183	5,574,359	361,824
10	Payroll taxes ...........	1,704,273	997,834	706,439
11	Fees for services (non-employees):
a	Management ......	1,833,716		1,833,716
b	Legal .........	431,575		431,575
c	Accounting ...........	1,620,514		1,620,514
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	88,011		88,011
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	54,320,261	24,478,942	29,841,319	0
12	Advertising and promotion ....	1,568,256	951,722	616,534
13	Office expenses .......	1,770,923	1,328,192	442,731
14	Information technology ......	954,546	629,477	325,069
15	Royalties ..
16	Occupancy ...........	3,141,496	1,388,141	1,753,355
17	Travel ............	133,945	94,857	39,088
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	247,878	223,264	24,614
20	Interest ...........	1,207,463	-71,104	1,278,567
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	13,345,018	9,894,019	3,450,999
23	Insurance ...	1,126,064	377,795	748,269
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Patient Related Supplies	1,850,124	1,025,367	824,757
b	Capitation Expense	123,386,522	123,386,522
c	Restructuring Expense	10,929,321		10,929,321
d	Smyphony Conversion	3,097,401		3,097,401
e	All other expenses	4,551,025	1,335,877	3,215,148	0
25	Total functional expenses. Add lines 1 through 24e	277,102,483	196,435,540	80,666,943	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			10,857,573	1	135,853
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............				4
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			0	8
9	Prepaid expenses and deferred charges ......			3,503,306	9	258,580
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	8,229,017
b	Less: accumulated depreciation	10b	3,162,819	2,525,611	10c	5,066,198
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			8,049,712	13	4,203,600
14	Intangible assets ...............			45,807,170	14	37,088,877
15	Other assets. See Part IV, line 11 ...........			725,591,709	15	609,587,815
16	Total assets. Add lines 1 through 15 (must equal line 34)...			796,335,081	16	656,340,923

17	Accounts payable and accrued expenses .....	28,327,752	17	14,275,919
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	415,211,917	20	403,131,647
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	143,378,503	25	151,813,942
26	Total liabilities. Add lines 17 through 25..	586,918,172	26	569,221,508

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	209,416,909	27	87,119,415
28	Temporarily restricted net assets ...........	0	28
29	Permanently restricted net assets	0	29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	209,416,909	33	87,119,415
34	Total liabilities and net assets/fund balances ........	796,335,081	34	656,340,923