Civic Intelligence

Saint Thomas Regional Hospitals

990 • Fiscal year 2019 • EIN 47-4063046

Jul 01, 2018 to Jun 30, 2019 • Filed on May 13, 2020

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

56th percentile

0.33x

Higher debt load relative to assets than 56% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Liabilities / Revenue

43rd percentile

0.29x

Higher debt load relative to revenue than 43% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Net Margin

9th percentile

-21%

Higher net margin than 9% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Top Officer Pay

92nd percentile

$1,436,721

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Asset Growth

6th percentile

-9.4%

Faster asset growth than 6% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Revenue Growth

28th percentile

-4.2%

Faster revenue growth than 28% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Assets

Down

$64,701,398

Down $6,688,850 (-9.4%) from 2018

Net Assets

Down

$43,382,656

Down $6,673,015 (-13%) from 2018

Liabilities

Down

$21,318,742

Down $15,835 (-0.1%) from 2018

Revenue

Down

$74,475,565

Down $3,260,616 (-4.2%) from 2018

Expenses

Down

$90,321,023

Down $13,241 (-0.0%) from 2018

Net Income

Down

-$15,845,458

Down $3,247,375 (-26%) from 2018

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

2019

Assets$64,701,398
Liabilities$21,318,742
Net Assets$43,382,656

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

2019

Revenue$74,475,565
Expenses$90,321,023
Net Income-$15,845,458
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
May 13, 2020
Return Version
2018v3.1
Gross Receipts
$74,475,565
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 improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$43,832,815$42,925,260▼ $907,555
Accounts Receivable$13,726,028$9,544,340▼ $4,181,688
Intangible Assets$8,169,234$6,821,237▼ $1,347,997
Inventories for Sale or Use$1,896,606$1,408,434▼ $488,172
Savings and Temporary Cash Investments$1,264,089$355,315▼ $908,774
Prepaid Expenses and Deferred Charges$14,736$0▼ $14,736
Cash and Non-Interest-Bearing Accounts$3,180$3,130▼ $50
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$71,390,248$64,701,398▼ $6,688,850
Other Assets Total$2,483,560$3,643,682▲ $1,160,122
Liabilities
Other Liabilities$14,769,193$13,928,026▼ $841,167
Accounts Payable and Accrued Expenses$6,565,384$7,334,549▲ $769,165
Deferred Revenue$0$56,167▲ $56,167
Total Liabilities$21,334,577$21,318,742▼ $15,835
Net Assets / Fund Balance
Unrestricted Net Assets$50,055,671$43,382,656▼ $6,673,015
Total Net Assets Fund Balance$50,055,671$43,382,656▼ $6,673,015
Total Liabilities and Net Assets / Fund Balance$71,390,248$64,701,398▼ $6,688,850

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$28,502,685$8,744,017$37,246,702
Equipment$9,108,171$5,457,690$14,565,861
Land$4,070,000-$4,070,000
Other Land Buildings$1,226,209$43,722$1,269,931
Leasehold Improvements$18,195$5,295$23,490
Other Assets Org$213,040--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Administrator, St. Thomas River Park HospitalFT$214,592$46,755$261,346
-Former Officer (end 4/2018)-$71,505$171,168$242,673
-VP, NursingFT$148,799$35,232$184,031
-PharmacistFT$136,693$33,765$170,458
-Manager, PharmacyFT$137,260$30,887$168,146

Board Members and Trustees

NameTitle
-Chair
-President & CEO/ministry Market Executive
-Vice Chair
-Director
-CFO, Ministry Market
-Former Key Employee (end 12/2017)
-Former Officer (end 12/2017)
-Former Officer (end 6/2018)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
American Physician Partners LLCMedical ServicesWILLIAMSON CTY BANK BLDG, 5121 MARYLAND WAY STE 300, Brentwood, TN 37027-7516$2,491,050
Rehabcare Group Srs DivRehabilitation ServicesPO BOX 503534, STE 210, Saint Louis, MO 63150$1,000,227
Cornerstone Anesthesia Group PllcAnesthesia Services220 ATHENS WAY, Nashville, TN 37228$602,938
Webb Anesthesia Services PllcAnesthesia ServicesPO BOX 953, Smitville, TN 37166-0953$377,221
Neonatal Group Of McminnvilleMedical Services236 E MAIN STREET, Mcminnville, TN 37110-2508$180,429
Revenue and Support

Revenue Composition

Contributions and Grants
$6,328
Program Service Revenue
$73,889,737
Investment Income
$0
Other Revenue
$579,500
Change in Net Assets
$-15,845,458
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$58,374,730
Salaries, Compensation, and Employee Benefits$31,842,047
Grants and Similar Amounts Paid$104,246
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$24,055,846$1,362,352-$25,418,198
All Other Expenses$4,087,547$2,864,313$0$6,951,860
Fees for Services Other$6,235,157$14,410$0$6,249,567
Depreciation Depletion$5,248,640$380,184-$5,628,824
Other Expenses$3,939,820$83,582-$3,939,820
Other Employee Benefits$3,048,882$172,667-$3,221,549
Occupancy$1,926,035$139,512-$2,065,547
Payroll Taxes$1,720,425$124,619-$1,845,044
Pension Plan Contributions$863,005$48,874-$911,879
Insurance-$504,588-$504,588
Office Expenses$67,651$406,134-$473,785
Current Officers, Directors, Trustees, and Key Employees-$445,377-$445,377
Grants to Domestic Orgs$103,246--$103,246
Advertising$15,948$69,663-$85,611
Fees for Services Legal-$83,808-$83,808
Travel$57,244$17,917-$75,161
Fees for Services Accounting-$27,335-$27,335
Information Technology$19,031--$19,031
Fees for Services Lobbying-$18,120-$18,120
Conferences and Meetings$3,467$3,751-$7,218
Grants to Domestic Individuals$1,000--$1,000
Total Functional Expenses$79,397,488$10,923,535$0$90,321,023
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Haven of Hope of Dekalb CountySmithville, TN501(c)(3)Mental Health Assistance$25,000
Hope SmilesBrentwood, TN501(c)(3)To improve access to dental care for the underserved in Middle Tennessee$19,500
Childrens Advocacy CenterMcMinnville, TN501(c)(3)Victim advocacy$15,000
Dekalb County GovernmentSmithville, TN170(b)(1)(A)(v)Wellness and Disease Prevention$12,000
Tennessee Justice Center IncNashville, TN501(c)(3)Help vulnerable families access health coverage$8,000
Second Harvest Food Bank of Middle TennesseeNashville, TN501(c)(3)Mobile Food Pantry$6,000
One Generation AwayFranklin, TN501(c)(3)Food Distribution at Medical Mission$5,233
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$13,164,941
Estimated 3rd Party Payor Settlement$449,991
Physician Guarantee Liability$264,686
Recovery Tail Liability$47,158
Other Liabilities$1,250
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 FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL

The process for determining compensation of the organization's ceo, executive director, or top management official is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

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

The process for determining compensation of the organization's other officers or key employees is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of the deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

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 which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax, 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: 22788, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 22788; Late Penalty Fees - Total Revenue: -120, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -120;

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
2020-05-13

Organization Details

Formed
2015
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
12
Employees
697
Volunteers
42
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 XI, Line 9 Other changes in net assets or fund balances

Transfers with ALPHA - 9166303; Transfer with Affiliates - 6140;

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.

Box J WEBSITE

Saint Thomas Regional Hospitals is comprised of four individual hospitals named Saint Thomas Stones River Hospital, Saint Thomas DeKalb Hospital, Saint Thomas Highlands Hospital, and Saint Thomas River Park Hospital with respective websites as follows: https://healthcare.ascension.org/Locations/Tennessee/TNNAS/Woodbury-Saint-Thomas-Stones-River-Hospital https://healthcare.ascension.org/Locations/Tennessee/TNNAS/Smithville-Saint-Thomas-DeKalb-Hospital https://healthcare.ascension.org/Locations/Tennessee/TNNAS/Sparta-Saint-Thomas-Highlands-Hospital https://healthcare.ascension.org/Locations/Tennessee/TNNAS/McMinnville-Saint-Thomas-River-Park-Hospital

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, 2019.

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IRS990/Desc0SAINT THOMAS REGIONAL HOSPITALS operates four hospitals namely, Saint Thomas Stones River Hospital, Saint Thomas DeKalb Hospital, Saint Thomas Highlands Hospital, and Saint Thomas River Park Hospital with a combined total of 202 BEDs PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. During fiscal year 2019, Saint Thomas Regional Hospitals treated 4,008 adults and children for a total of 22,383 patient days of service. The hospital also provided services for 92,988 outpatient visits, which included 3,379 outpatient surgeries and 46,725 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3DELL CROSSLIN
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9STEVE SCHWAB MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10SCOTT STANDARD MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11SUSAN WEST PhD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12BRIAN WILCOX MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13LISA R DAVIS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14ROBERT D HUMPHREY
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15ROBERT A PEGLOW II
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17JEREMY L SANDERS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18DANIEL J CRIPPS
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20KATHERINE D MILLER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt21KAREN L SPRINGER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt22ROBERT WACHTEL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt23GORDON B FERGUSON
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IRS990/MissionDesc0ROOTED 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.
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