Civic Intelligence

Saint Thomas Regional Hospitals

990 • Fiscal year 2022 • EIN 47-4063046

Jul 01, 2021 to Jun 30, 2022 • Filed on May 11, 2023

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.41x

Higher debt load relative to assets than 63% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Liabilities / Revenue

35th percentile

0.26x

Higher debt load relative to revenue than 35% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Net Margin

20th percentile

-4.7%

Higher net margin than 20% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Top Officer Pay

98th percentile

$4,697,662

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 4.5% of source-year revenue.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2022

Asset Growth

76th percentile

8.5%

Faster asset growth than 76% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Revenue Growth

26th percentile

-6.7%

Faster revenue growth than 26% of similar nonprofits.

2022 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2021 to 2022

Assets

Up

$67,272,678

Up $5,253,106 (+8.5%) from 2021

Net Assets

Up

$39,857,368

Up $27,658,764 (+227%) from 2021

Liabilities

Down

$27,415,310

Down $22,405,658 (-45%) from 2021

Revenue

Down

$105,278,363

Down $7,612,219 (-6.7%) from 2021

Expenses

Up

$110,239,957

Up $12,277,175 (+13%) from 2021

Net Income

Down

-$4,961,594

Down $19,889,394 (-133%) from 2021

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

2022

Assets$67,272,678
Liabilities$27,415,310
Net Assets$39,857,368

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

2022

Revenue$105,278,363
Expenses$110,239,957
Net Income-$4,961,594
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 11, 2023
Return Version
2021v4.2
Gross Receipts
$105,278,363
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$44,955,731$47,361,038▲ $2,405,307
Accounts Receivable$9,757,748$12,207,464▲ $2,449,716
Intangible Assets$4,320,723$2,993,145▼ $1,327,578
Inventories for Sale or Use$1,268,715$1,503,893▲ $235,178
Savings and Temporary Cash Investments$415,655$750,003▲ $334,348
Prepaid Expenses and Deferred Charges$68,262$36,000▼ $32,262
Cash and Non-Interest-Bearing Accounts$3,126$3,126→ $0
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
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$62,019,572$67,272,678▲ $5,253,106
Other Assets Total$1,229,612$2,418,009▲ $1,188,397
Liabilities
Other Liabilities$43,680,009$20,759,870▼ $22,920,139
Accounts Payable and Accrued Expenses$6,140,959$6,655,440▲ $514,481
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$49,820,968$27,415,310▼ $22,405,658
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$12,198,604$39,857,368▲ $27,658,764
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$12,198,604$39,857,368▲ $27,658,764
Total Liabilities and Net Assets / Fund Balance$62,019,572$67,272,678▲ $5,253,106

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$28,611,178$14,846,232$43,457,410
Equipment$8,715,537$14,190,357$22,905,894
Other Land Buildings$5,949,852$244,270$6,194,122
Land$4,070,000-$4,070,000
Leasehold Improvements$14,471$9,019$23,490
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Administrator, River ParkFT$218,057$101,835$319,892
-VP, NursingFT$173,861$75,494$249,355
-Registered NurseFT$157,418$30,016$187,434
-Manager, PharmacyFT$155,951$26,300$182,251
-Rn, Director of NursingFT$146,187$26,212$172,399

Board Members and Trustees

NameTitle
-Chair
-President/CEO, Ministry Market Executive
-Vice Chair
-Director
-Director (end 12/2021)
-Director (start 1/2022)
-CFO, Ministry Market
-Former Key Employee (end 12/2017)
-Former Officer (end 12/2017)
-Former Officer (end 12/2020)
-Former Officer (end 6/2018)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Kindred Rehab Group Mgmt Services LLCRehabilitation ServicesPO BOX 502096, STE 110, Saint Louis, MO 63150$999,341
Lets Pave LLCConstruction Services2907 W BUTTERFIELD RD, STE 200, Oak Brook, IL 60523$751,560
The Robins & Morton GroupConstruction Services400 SHADES CREEK PKWY, Birmingham, AL 35209$535,868
Brian A DyerConstruction Services1045 C AVONDALE RD, Hendersonville, TN 37075$449,512
Webb Anesthesia Services PllcAnesthesia ServicesPO BOX 953, Smitville, TN 37166-0953$382,498
Revenue and Support

Revenue Composition

Contributions and Grants
$2,918,285
Program Service Revenue
$101,472,679
Investment Income
$805
Other Revenue
$886,594
All Other Contributions
$0
Change in Net Assets
$-4,961,594
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$65,910,711
Salaries, Compensation, and Employee Benefits$44,267,146
Grants and Similar Amounts Paid$62,100
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$33,482,599$2,513,030-$35,995,629
Depreciation Depletion$6,396,012$473,105-$6,869,117
All Other Expenses$4,819,153$382,598$0$5,201,751
Other Expenses$4,917,252$91,444-$4,917,252
Fees for Services Other$4,450,872$267,411$0$4,718,283
Other Employee Benefits$3,286,825$246,692-$3,533,517
Payroll Taxes$2,514,746$186,013-$2,700,759
Occupancy$2,020,607$149,462-$2,170,069
Pension Plan Contributions$1,365,506$102,488-$1,467,994
Current Officers, Directors, Trustees, and Key Employees$569,247$0$0$569,247
Insurance-$497,752-$497,752
Office Expenses$60,505$96,935-$157,440
Advertising$24,482$121,375-$145,857
Fees for Services Legal-$126,240-$126,240
Travel$55,580$17,450-$73,030
Grants to Domestic Orgs$55,000--$55,000
Conferences and Meetings$33,029--$33,029
Fees for Services Management-$20,833-$20,833
Information Technology$13,829--$13,829
Grants to Domestic Individuals$7,100--$7,100
Fees for Services Lobbying-$6,491-$6,491
Fees for Services Accounting-$420-$420
Interest-$155-$155
Total Functional Expenses$83,421,898$26,818,059$0$110,239,957
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Haven of Hope of Dekalb County IncSmithville, TN501(c)(3)Mental Health Assistance to Unisured/underinsured$28,000
Second Harvest Food Bank of Middle TennesseeNashville, FL501(c)(3)Healthy Nutrition Program$12,000
WHITE COUNTY SCHOOLS' COORDINATED SCHOOL HEALTHSparta, TN501(c)(3)Purchase of Vision Screeners$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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$16,925,320
Physician Guarantee Liability$2,438,715
Recovery Tail Liability$760,069
Long Term Operating Lease$421,847
Estimated 3rd Party Payor Settlement$167,074
Accrued Real Estate Tax Liability$46,845
Other Liabilities-
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 35% controlled entity
No
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, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered 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 ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered 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 conflicts 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 2F Other Program Service Revenue

Other Miscellanous Revenue - Total Revenue: 11, Related or Exempt Function Revenue: 11, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;

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

Other Miscellanous Revenue - Total Revenue: 21245, Related or Exempt Function Revenue: 2494, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 18751;

Filing and Contact Details

Filer

Filer Name
Saint Thomas Regional Hospitals
EIN
47-4063046
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Phone
3147338000
Signed
2023-05-11

Organization Details

Formed
2015
Legal Domicile
Tn
Voting Board Members
11
Independent Board Members
9
Employees
737
Volunteers
30
Supplemental Narrative

Additional Explanations

Form 990, Part IV, Line 20B AUDITED FINANCIAL STATEMENTS

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

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

Transfers with Affiliates - 32620358;

Form 990, Part XII, Line 2C Audited Financial Statement

The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.

Form 990, Page 1 - Item J Entity 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-ascension-saint-thomas-stones-river https://healthcare.ascension.org/locations/tennessee/tnnas/smithville-ascension-saint-thomas-dekalb https://healthcare.ascension.org/locations/tennessee/tnnas/sparta-ascension-saint-thomas-highlands https://healthcare.ascension.org/locations/tennessee/tnnas/mcminnville-ascension-saint-thomas-river-park

Form 990, Page 1 Physical Address

The physical address for this entity is 4220 harding pike, nashville, tn 37205. The address on page 1 is for mailing purposes only.

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, 2022.

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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/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 184 BEDs PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. During fiscal year 2022, Saint Thomas Regional Hospitals treated 4,350 adults and children for a total of 25,361 patient days of service. The hospital also provided services for 83,337 outpatient visits, which included 3,339 outpatient surgeries and 45,979 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5EMIL HASSAN
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12LISA RENEE DAVIS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13ROBERT ARTHUR PEGLOW II RN
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IRS990/Form990PartVIISectionAGrp/TitleTxt13VP, NURSING
IRS990/Form990PartVIISectionAGrp/TitleTxt14ADMINISTRATOR, RIVER PARK
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IRS990/Form990PartVIISectionAGrp/TitleTxt16RN, DIRECTOR OF NURSING
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