Civic Intelligence

Saint Thomas Regional Hospitals

990 • Fiscal year 2016 • EIN 47-4063046

Jul 01, 2015 to Jun 30, 2016 • Filed on May 15, 2017

4220 Harding RoadNashville, TN 37205

(615) 222-5030

Siviq Scores

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

Liabilities / Assets

37th percentile

0.19x

Higher debt load relative to assets than 37% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

21st percentile

0.14x

Higher debt load relative to revenue than 21% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Net Margin

34th percentile

-0.6%

Higher net margin than 34% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

88th percentile

$1,014,449

Higher top officer pay than 88% of similar nonprofits.

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

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Assets

$59,723,848

No earlier filing loaded for comparison.

Net Assets

$48,566,347

No earlier filing loaded for comparison.

Liabilities

$11,157,501

No earlier filing loaded for comparison.

Revenue

$82,304,546

No earlier filing loaded for comparison.

Expenses

$82,781,409

No earlier filing loaded for comparison.

Net Income

-$476,863

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$80M$60M$40M$20M$0Assets 2016: $59,723,848Liabilities 2016: $11,157,501Net Assets 2016: $48,566,3472016Assets 2017: $66,492,909Liabilities 2017: $23,754,807Net Assets 2017: $42,738,1022017Assets 2018: $71,390,248Liabilities 2018: $21,334,577Net Assets 2018: $50,055,6712018Assets 2019: $64,701,398Liabilities 2019: $21,318,742Net Assets 2019: $43,382,6562019Assets 2020: $62,485,920Liabilities 2020: $47,880,063Net Assets 2020: $14,605,8572020Assets 2021: $62,019,572Liabilities 2021: $49,820,968Net Assets 2021: $12,198,6042021Assets 2022: $67,272,678Liabilities 2022: $27,415,310Net Assets 2022: $39,857,3682022Assets 2023: $66,414,035Liabilities 2023: $19,288,259Net Assets 2023: $47,125,7762023Assets 2024: $72,738,028Liabilities 2024: $21,723,362Net Assets 2024: $51,014,6662024

Highlighted filing

2016

Assets$59,723,848
Liabilities$11,157,501
Net Assets$48,566,347

Operations Trend

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

$150M$100M$50M$0-$50MRevenue 2016: $82,304,546Expenses 2016: $82,781,409Net Income 2016: -$476,8632016Revenue 2017: $86,730,634Expenses 2017: $92,425,011Net Income 2017: -$5,694,3772017Revenue 2018: $77,736,181Expenses 2018: $90,334,264Net Income 2018: -$12,598,0832018Revenue 2019: $74,475,565Expenses 2019: $90,321,023Net Income 2019: -$15,845,4582019Revenue 2020: $80,981,079Expenses 2020: $93,083,958Net Income 2020: -$12,102,8792020Revenue 2021: $112,890,582Expenses 2021: $97,962,782Net Income 2021: $14,927,8002021Revenue 2022: $105,278,363Expenses 2022: $110,239,957Net Income 2022: -$4,961,5942022Revenue 2023: $98,751,749Expenses 2023: $111,214,104Net Income 2023: -$12,462,3552023Revenue 2024: $104,951,911Expenses 2024: $117,135,873Net Income 2024: -$12,183,9622024

Highlighted filing

2016

Revenue$82,304,546
Expenses$82,781,409
Net Income-$476,863
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 15, 2017
Return Version
2015v3.0
Gross Receipts
$82,442,526
Mission and Program Overview

Mission

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

To provide spiritually centered, holistic care, which sustains and improves the health of individuals and communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net-$36,639,012-
Accounts Receivable-$12,451,760-
Cash and Non-Interest-Bearing Accounts-$5,116,944-
Inventories for Sale or Use-$2,302,999-
Intangible Assets-$1,404,015-
Prepaid Expenses and Deferred Charges-$397,867-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Total Assets$0$59,723,848▲ $59,723,848
Other Assets Total$0$1,411,251▲ $1,411,251
Liabilities
Accounts Payable and Accrued Expenses-$9,045,315-
Other Liabilities$0$2,112,186▲ $2,112,186
Total Liabilities$0$11,157,501▲ $11,157,501
Net Assets / Fund Balance
Unrestricted Net Assets-$48,566,347-
Total Net Assets Fund Balance$0$48,566,347▲ $48,566,347
Total Liabilities and Net Assets / Fund Balance$0$59,723,848▲ $59,723,848

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$30,927,989$2,167,592$33,095,581
Land$4,070,000-$4,070,000
Equipment$1,571,390$391,803$1,963,193
Other Land Buildings$47,519-$47,519
Leasehold Improvements$22,114$1,376$23,490
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-CEO Highlands (end 5/31/16) & CEO River Park (10/21/15 - 12/31/15)FT$77,852$644$78,496
-CEO Stones River/dekalb (end 5/31/16)FT$63,436$3,696$67,132
-CFO - River Park/highlandsFT$50,987$6,043$57,030
-CEO River Park (end 10/20/15)FT$45,549$2,167$47,716
-CFO Stones River/dekalbFT$33,028$5,052$38,080

Board Members and Trustees

NameTitle
-Bd Member & COO Sthe (end 3/12/16) Chair & CEO Sthe (begin 3/13/16)
-CHAIR/TREAS/SEC'Y & CEO STR
-Chairman
-Vice Chairman
-Board Member
-Board Member (begin 1/1/16)
-Board Member (begin 7/1/15)
-Board Member (end 12/31/15)
-CEO River Park (begin 5/2016)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Webb Anesthesia Services PlcMedical ServicesPO BOX 953, Smithville, TN 37166-0953$203,846
Revenue and Support

Revenue Composition

Contributions and Grants
$10,902
Program Service Revenue
$80,881,484
Investment Income
$3,056
Other Revenue
$1,409,104
Change in Net Assets
$-476,863
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$42,835,172
Salaries, Compensation, and Employee Benefits$39,926,237
Grants and Similar Amounts Paid$20,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$29,394,267$3,266,030-$32,660,297
Fees for Services Other$17,048,728$1,216,874$0$18,265,602
Depreciation Depletion$3,371,126$374,570-$3,745,696
Other Employee Benefits$2,976,698$330,745-$3,307,443
Payroll Taxes$2,076,869$230,763-$2,307,632
Occupancy$1,654,060$183,785-$1,837,845
All Other Expenses$1,539,057$146,870$0$1,685,927
Office Expenses$934,577$233,644-$1,168,221
Pension Plan Contributions$825,215$91,691-$916,906
Current Officers, Directors, Trustees, and Key Employees$660,563$73,396$0$733,959
Other Expenses$263,331$29,259-$292,590
Advertising$242,687--$242,687
Insurance$174,751$9,197-$183,948
Travel$64,683$16,171-$80,854
Fees for Services Legal-$58,838-$58,838
Conferences and Meetings$25,845$6,461-$32,306
Grants to Domestic Orgs$20,000--$20,000
Fees for Services Management$15,454$2,727-$18,181
Information Technology$13,377$704-$14,081
Interest$23$1-$24
Total Functional Expenses$76,403,514$6,377,895$0$82,781,409
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Beersheba Springs Medical ClinicBeersheba Springs, TN501(c)(3)Operating Grant$12,500
Mountain Top IncAltamont, TN501(c)(3)Operating Grant$6,600
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

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

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Other Liabilities$730,295
Intercompany Payables$544,434
AH Savings Plan Liability$432,344
Physician Guarantee$405,113
Governance and Compliance

Governance Checklist

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

Governance Explanations

Form 990, Part VI, Line 15 COMPENSATION DETERMINATION

In determining the compensation of the organization's ceo, the process, performed by ascension health, a related organization of saint thomas regional hospital, 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 ceo was compared to individuals at other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when compensation was decided. In determining the compensation of other officers or key employees of the organization, the process, performed by saint thomas health, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.

Form 990, Part VI, Line 6 Classes of members or stockholders

Saint thomas regional hospitals has a single corporate member, saint thomas health.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Saint Thomas Regional Hospitals has a single corporate member, Saint Thomas Health, who has the ability to elect members to the governing body of Saint Thomas Regional Hospitals.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

All decisions that have a material impact to the Saint Thomas Regional Hospitals financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. Ascension Health, the sole corporate member of Saint Thomas Health, has designed 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 & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.

Form 990, Part VI, Line 11B Review of form 990 by governing body

Management works diligently to complete the form 990 in a thorough manner. Due to timing, leadership reviewed the return in lieu of the return being provided to the full board.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the 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 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

PHARMACY REVENUE - Total Revenue: 2929, Related or Exempt Function Revenue: 2929, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISC REVENUE - Total Revenue: 266294, Related or Exempt Function Revenue: 266294, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Saint Thomas Regional Hospitals
EIN
47-4063046
Phone
6152225030
Address
4220 Harding Road, Nashville, TN 37205

Signing Officer

Name
Lisa Davis
Title
CFO, Saint Thomas Health
Signed
2017-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
2015
Legal Domicile
Tn
Voting Board Members
17
Independent Board Members
15
Employees
902
Volunteers
27

Preparer

Firm
Deloitte Tax LLP
Address
111 Monument Circle Suite 4200, Indianapolis, IN 46204-5108
Preparer
Shawna Jimenez
Phone
3174648600
Supplemental Narrative

Additional Explanations

Form 990, Part IV, Line 20B EXPLANATION OF FINANCIAL STATEMENTS

The activity of saint thomas regional hospitals is reported in the consolidated financial statements of ascension health alliance. No individual audit of saint thomas regional hospitals is completed. Therefore, the attached audited financial statements are of ascension health alliance and affiliates, which include the activity of saint thomas regional hospitals.

Form 990, Part IX, Line 11G Other Fees

PURCHASED SERVICES - Total Expense: 12009692, Program Service Expense: 10808723, Management and General Expenses: 1200969, Fundraising Expenses: ; PHYSICIAN CONTRACTED SERVICES - Total Expense: 5550520, Program Service Expense: 5550520, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN GUARANTEES - Total Expense: 546343, Program Service Expense: 546343, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 29047, Program Service Expense: 26142, Management and General Expenses: 2905, Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 130000, Program Service Expense: 117000, Management and General Expenses: 13000, Fundraising Expenses: ;

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

INTRACOMPANY forgiveness - 49043210;

Form 990, Part XII, Line 2C Audit

Saint Thomas Regional Hospitals' activity is part of Ascension Health Alliance's consolidated financial statements which are audited by E&Y. Ascension Health Alliance's Audit Committee is responsible for the oversight of the audit of consolidated financial statements and the selection of the independent auditor.

Financial Statement Notes

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

The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2016.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2ANTHONY HEARD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3LEE MOSS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4PATRICK R SHEPHERD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5SAMAR ALI
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6WILLIAM ANDERSON
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7DELL CROSSLIN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8EMIL HASSAN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9MARK PEACOCK MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10MARK PETERS MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11STEVE SCHWAB MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12KAREN SPRINGER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13SCOTT STANDARD MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14BRIAN WILCOX MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15JOHN JAY WILLIAMS MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16SISTER HELEN BREWER DC
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17KEN PETRONI MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18NICOLE SCHLECHTER MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19SUSAN CONLEY
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20WILLIAM LITTLE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt21TIMOTHY MCGILL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt22DAVID ALAN SHARP
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt23JENNIFER WELDON
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt24DALE HUMPHREY
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IRS990/Form990PartVIISectionAGrp/TitleTxt20CEO HIGHLANDS (END 5/31/16) & CEO RIVER PARK (10/21/15 - 12/31/15)
IRS990/Form990PartVIISectionAGrp/TitleTxt21CEO RIVER PARK (END 10/20/15)
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IRS990/Form990PartVIISectionAGrp/TitleTxt23CFO - RIVER PARK/HIGHLANDS
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IRS990/MissionDesc0Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.
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