[2] During the 1970s and 1980s much restructuring took place in response to changing social and economic conditions, moving away from the traditional militaristic structure and resulting in the current modern organisation.

In June 2020, Hato Hone St John announced that it would be laying off staff due to a NZ$30 million deficit caused by the economic effects of the COVID-19 pandemic in New Zealand.

[6][7] In mid-October 2024, Associate Health Minister Casey Costello announced that St John would receive an additional NZ$21 million in government funding.

Hato Hone St John treated or transported 469,850 patients in the year ending 30 June 2017, attending more than 389,350 emergency incidents.

[9] Hato Hone St John is a charitable organisation which relies on its volunteer workforce to deliver health services to the New Zealand population.

The partnership helps to expand support for St John services and deliver programmes like CPR training on a wide scale.