Civic Intelligence

Saint Thomas Regional Hospitals

990 • Fiscal year 2018 • EIN 47-4063046

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

4220 Harding RoadNashville, TN 37205

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

52nd percentile

0.30x

Higher debt load relative to assets than 52% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Liabilities / Revenue

41st percentile

0.27x

Higher debt load relative to revenue than 41% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Net Margin

9th percentile

-16%

Higher net margin than 9% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Top Officer Pay

94th percentile

$1,567,070

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Asset Growth

69th percentile

7.4%

Faster asset growth than 69% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2017 to 2018

Revenue Growth

15th percentile

-10%

Faster revenue growth than 15% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2017 to 2018

Assets

Up

$71,390,248

Up $4,897,339 (+7.4%) from 2017

Net Assets

Up

$50,055,671

Up $7,317,569 (+17%) from 2017

Liabilities

Down

$21,334,577

Down $2,420,230 (-10%) from 2017

Revenue

Down

$77,736,181

Down $8,994,453 (-10%) from 2017

Expenses

Down

$90,334,264

Down $2,090,747 (-2.3%) from 2017

Net Income

Down

-$12,598,083

Down $6,903,706 (-121%) from 2017

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

2018

Assets$71,390,248
Liabilities$21,334,577
Net Assets$50,055,671

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

2018

Revenue$77,736,181
Expenses$90,334,264
Net Income-$12,598,083
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 13, 2019
Return Version
2017v2.2
Gross Receipts
$77,736,087
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 served.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$42,281,385$43,832,815▲ $1,551,430
Accounts Receivable$14,747,879$13,726,028▼ $1,021,851
Intangible Assets$5,043,102$8,169,234▲ $3,126,132
Inventories for Sale or Use$1,926,494$1,896,606▼ $29,888
Savings and Temporary Cash Investments$0$1,264,089▲ $1,264,089
Prepaid Expenses and Deferred Charges$257,015$14,736▼ $242,279
Cash and Non-Interest-Bearing Accounts$941,368$3,180▼ $938,188
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$66,492,909$71,390,248▲ $4,897,339
Other Assets Total$1,295,666$2,483,560▲ $1,187,894
Liabilities
Other Liabilities$16,895,663$14,769,193▼ $2,126,470
Accounts Payable and Accrued Expenses$6,836,772$6,565,384▼ $271,388
Deferred Revenue$22,372$0▼ $22,372
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$23,754,807$21,334,577▼ $2,420,230
Net Assets / Fund Balance
Unrestricted Net Assets$42,738,102$50,055,671▲ $7,317,569
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$42,738,102$50,055,671▲ $7,317,569
Total Liabilities and Net Assets / Fund Balance$66,492,909$71,390,248▲ $4,897,339

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$28,021,628$6,832,054$34,853,682
Equipment$9,436,448$3,058,523$12,494,971
Land$4,070,000-$4,070,000
Other Land Buildings$2,285,243$23,984$2,309,227
Leasehold Improvements$19,496$3,994$23,490
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-CEO - River ParkFT$215,229$127,397$342,624
-CEO - Stones River, Dekalb & HighlandsFT$213,180$101,721$314,901
-Finance ManagerFT$130,219$64,874$195,093
-Manager, PharmacyFT$152,503$31,865$184,368
-CNO & COOFT$66,639$115,035$181,673
-Former Officer (end 5/2016)-$115,906$115,906$115,906

Board Members and Trustees

NameTitle
-Chairman
-President & CEO, Ministry Market (end 12/2017)
-President & CEO, Ministry Market (start 1/2018)
-Vice-chairman
-Board Member
-Board Member (start 1/2018)
-CFO, Ministry Market
-CMO
-Regional CEO
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Emcare PhysiciansPhysician Services210 25TH AVENUE N STE 1110, 5121 MARYLAND WAY STE 300, Nashville, TN 37203$2,475,464
American Physician Partners LLCMedical ServicesWILLIAMSON CTY BANK BLDG, Brentwood, TN 37027$1,502,524
Rehabcare Group Srs DivRehabilitation ServicesPO BOX 503534, Saint Louis, MO 63150$915,971
Specialized Refinishing LLCConstruction ServicesPO BOX 3334, Lebanon, TN 37088$530,023
Cornerstone Anesthesia Group PllcMedical Services210 25TH AVENUE N STE 1110, Nashville, TN 37203$512,009
Revenue and Support

Revenue Composition

Contributions and Grants
$2,072
Program Service Revenue
$76,897,809
Investment Income
$5,314
Other Revenue
$830,986
All Other Contributions
$0
Change in Net Assets
$-12,598,083
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$56,872,967
Salaries, Compensation, and Employee Benefits$33,377,438
Grants and Similar Amounts Paid$83,859
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$23,603,229$2,004,358-$25,607,587
All Other Expenses$4,926,201$4,122,736$0$9,048,937
Depreciation Depletion$4,912,491$545,832-$5,458,323
Fees for Services Other$4,499,618$499,390$0$4,999,008
Other Expenses$4,505,139$-114,422-$4,505,139
Other Employee Benefits$3,581,065$304,179-$3,885,244
Occupancy$132,800$1,916,706-$2,049,506
Payroll Taxes$1,747,002$148,454-$1,895,456
Pension Plan Contributions$1,047,576$88,957-$1,136,533
Current Officers, Directors, Trustees, and Key Employees$784,409$68,209-$852,618
Office Expenses$38,488$542,007-$580,495
Insurance-$504,602-$504,602
Grants to Domestic Orgs$83,359--$83,359
Travel$43,388$33,387-$76,775
Advertising$3,334$37,201-$40,535
Fees for Services Legal-$27,786-$27,786
Information Technology$10,358$330-$10,688
Conferences and Meetings$5,865$2,032-$7,897
Fees for Services Accounting-$6,558-$6,558
Fees for Services Lobbying-$4,222-$4,222
Grants to Domestic Individuals$500--$500
Interest-$-191-$-191
Total Functional Expenses$67,841,623$22,492,641$0$90,334,264
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Haven of Hope of Dekalb County IncSmithville, TN501(c)(3)General Purpose$25,000
Hope SmilesBrentwood, TN501(c)(3)General Purpose$12,000
Tennessee Justice Center IncNashville, TN501(c)(3)General Purpose$12,000
County of WhiteSparta, TN-General Purpose$7,893
Dekalb County Board of EducationSmithville, TN-General Purpose$7,495
Helping Hands MinistryMcminnville, TN501(c)(3)General Purpose$6,870
Sparta White Cnty Senior Citizen CntrSparta, TN501(c)(3)General Purpose$6,101
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

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

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$14,333,024
Deferred Compensation/Retirement/Pension Liability$258,818
Estimated 3rd Party Payor Settlement$85,760
Physician Guarantee Liability$60,224
Other Liabilities$26,917
Savings Plan Liability$4,450
Recovery Tail Liability-
Accrued Tax Liability-
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 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL

The process of determining the amount of compensation paid to the organization's ceo, executive director or top management official is performed by ascension health and its subsidiary organizations. Ascension health is the national health system parent. The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive compensation committee reviewed and approved the compensation. In the review of the compensation, the organization's ceo, executive director or top management official's salary was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when their compensation was decided.

Form 990, Part VI, Line 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES

The process of determining the amount of compensation paid to the organization's officers and key employees is performed by saint thomas health and its subsidiary organizations. Saint thomas health is the ministry health system parent. The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive compensation committee reviewed and approved the compensation. In the review of the compensation, the officers' salaries were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. Individuals were not present when their compensation was decided.

Form 990, Part VI, Line 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.

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

During the return preparation process, the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. Upon completion, the form 990 is reviewed by the organization's internal tax department which consists of attorneys and cpas. A complete final copy of the return is provided to the organization's president, financial officer, and/or other key officers in lieu of the full board.

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

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

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

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

Miscellaneous Revenue - Total Revenue: 309947, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 309947;

Filing and Contact Details

Filer

Filer Name
Saint Thomas Regional Hospitals
EIN
47-4063046
Phone
3147338000
Address
4220 Harding Road, Nashville, TN 37205

Signing Officer

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

Organization Details

Formed
2015
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
12
Employees
789
Volunteers
37
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2 New program services

Saint Thomas Stones River Hospital began the Adult Psych Program in April 2018.

Form 990, Part III, Line 3 Significant changes in program services

Saint Thomas Stones River Hospital ended MRI service in March 2018, and ended in-house respiratory in April 2018.

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 Expenses

Miscellaneous - Total Expense: 3553676, Program Service Expense: 36274, Management and General Expenses: 3517402, Fundraising Expenses: ; Contract Labor - Total Expense: 471134, Program Service Expense: 471134, Management and General Expenses: , Fundraising Expenses: ; Minor Equipment - Total Expense: 226347, Program Service Expense: 191861, Management and General Expenses: 34486, Fundraising Expenses: ; Equipment Lease - Total Expense: 455293, Program Service Expense: 394283, Management and General Expenses: 61010, Fundraising Expenses: ; Non Recurring Expenses - Total Expense: -45160, Program Service Expense: , Management and General Expenses: -45160, Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 646755, Program Service Expense: 271864, Management and General Expenses: 374891, Fundraising Expenses: ; Dues - Total Expense: 63942, Program Service Expense: 25, Management and General Expenses: 63917, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 69354, Program Service Expense: 41206, Management and General Expenses: 28148, Fundraising Expenses: ; Licenses & Permits - Total Expense: 54347, Program Service Expense: 34384, Management and General Expenses: 19963, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 3085, Program Service Expense: 3085, Management and General Expenses: , Fundraising Expenses: ; Charitable Expense - Total Expense: 17888, Program Service Expense: 19041, Management and General Expenses: -1153, Fundraising Expenses: ; Transportation Expense - Total Expense: 12109, Program Service Expense: 10940, Management and General Expenses: 1169, Fundraising Expenses: ; Record Retention Expense - Total Expense: 48178, Program Service Expense: 3900, Management and General Expenses: 44278, Fundraising Expenses: ; Property and Other Taxes - Total Expense: 23915, Program Service Expense: 130, Management and General Expenses: 23785, Fundraising Expenses: ; Physician Fees to Affiliate - Total Expense: 3448074, Program Service Expense: 3448074, Management and General Expenses: , Fundraising Expenses: ;

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

Transfers with ALPHA - 19814495; Transfer with Affiliates - 101150;

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 provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2018.

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IRS990/Desc0Saint Thomas Regional Hospitals is a 202-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, Saint Thomas Regional Hospitals treated 4,222 adults and children for a total of 22,691 patient days of service. The hospital also provided services for 105,788 outpatient visits, which included 3,235 outpatient surgeries and 49,306 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO, MINISTRY MARKET (END 12/2017)
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