Civic Intelligence

Saint Thomas Health Foundations

990 • Fiscal year 2018 • EIN 58-1663055

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

11th percentile

0.01x

Higher debt load relative to assets than 11% of similar nonprofits.

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

Liabilities / Revenue

24th percentile

0.13x

Higher debt load relative to revenue than 24% of similar nonprofits.

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

Net Margin

89th percentile

45%

Higher net margin than 89% 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 22.3% of source-year revenue.

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

Asset Growth

70th percentile

8.0%

Faster asset growth than 70% of similar nonprofits.

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

Revenue Growth

32nd percentile

-0.1%

Faster revenue growth than 32% of similar nonprofits.

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

Assets

Up

$65,791,437

Up $4,876,298 (+8.0%) from 2017

Net Assets

Up

$64,853,063

Up $5,286,845 (+8.9%) from 2017

Liabilities

Down

$938,374

Down $410,547 (-30%) from 2017

Revenue

Down

$7,030,678

Down $8,788 (-0.1%) from 2017

Expenses

Down

$3,868,666

Down $125,108 (-3.1%) from 2017

Net Income

Up

$3,162,012

Up $116,320 (+3.8%) from 2017

Historical Trend

Balance Sheet Trend

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

$100M$50M$0Assets 2010: $36,942,130Liabilities 2010: $1,551,622Net Assets 2010: $35,390,5082010Assets 2013: $46,409,455Liabilities 2013: $2,093,600Net Assets 2013: $44,315,8552013Assets 2014: $54,874,873Liabilities 2014: $1,679,939Net Assets 2014: $53,194,9342014Assets 2015: $56,122,783Liabilities 2015: $788,868Net Assets 2015: $55,333,9152015Assets 2016: $54,349,197Liabilities 2016: $1,795,422Net Assets 2016: $52,553,7752016Assets 2017: $60,915,139Liabilities 2017: $1,348,921Net Assets 2017: $59,566,2182017Assets 2018: $65,791,437Liabilities 2018: $938,374Net Assets 2018: $64,853,0632018Assets 2019: $70,836,066Liabilities 2019: $643,461Net Assets 2019: $70,192,6052019Assets 2020: $73,499,305Liabilities 2020: $524,437Net Assets 2020: $72,974,8682020Assets 2021: $94,987,166Liabilities 2021: $671,805Net Assets 2021: $94,315,3612021Assets 2022: $82,676,015Liabilities 2022: $290,724Net Assets 2022: $82,385,2912022

Highlighted filing

2018

Assets$65,791,437
Liabilities$938,374
Net Assets$64,853,063

Operations Trend

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

$15M$10M$5.0M$0Expenses 2010: $7,700,2082010Expenses 2013: $9,131,7972013Revenue 2014: $9,779,497Expenses 2014: $5,427,103Net Income 2014: $4,352,3942014Revenue 2015: $7,691,234Expenses 2015: $3,346,952Net Income 2015: $4,344,2822015Revenue 2016: $4,883,037Expenses 2016: $3,331,307Net Income 2016: $1,551,7302016Revenue 2017: $7,039,466Expenses 2017: $3,993,774Net Income 2017: $3,045,6922017Revenue 2018: $7,030,678Expenses 2018: $3,868,666Net Income 2018: $3,162,0122018Revenue 2019: $7,213,543Expenses 2019: $2,714,408Net Income 2019: $4,499,1352019Revenue 2020: $5,448,464Expenses 2020: $2,730,790Net Income 2020: $2,717,6742020Revenue 2021: $10,168,106Expenses 2021: $4,803,494Net Income 2021: $5,364,6122021Revenue 2022: $9,347,487Expenses 2022: $4,874,512Net Income 2022: $4,472,9752022

Highlighted filing

2018

Revenue$7,030,678
Expenses$3,868,666
Net Income$3,162,012
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 13, 2019
Return Version
2017v2.2
Gross Receipts
$42,437,433
Mission and Program Overview

Mission

To advance the caring ministry and medical excellence of saint thomas health and its affiliated hospitals and outreach programs.

To actively seek and invest charitable support for Saint Thomas Health, so that they may improve the health and well-being of all the people in the communities they serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$43,522,778$56,962,228▲ $13,439,450
Investments Other Securities$8,102,261--
Savings and Temporary Cash Investments$798,500$862,672▲ $64,172
Pledges and Grants Receivable$1,101,623$695,476▼ $406,147
Prepaid Expenses and Deferred Charges$15,868$18,493▲ $2,625
Cash and Non-Interest-Bearing Accounts$5,056$0▼ $5,056
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$60,915,139$65,791,437▲ $4,876,298
Other Assets Total$7,369,053$7,252,568▼ $116,485
Liabilities
Other Liabilities$1,175,047$491,067▼ $683,980
Accounts Payable and Accrued Expenses$157,883$447,307▲ $289,424
Grants Payable$15,991$0▼ $15,991
Total Liabilities$1,348,921$938,374▼ $410,547
Net Assets / Fund Balance
Unrestricted Net Assets$33,349,292$35,722,521▲ $2,373,229
Temporarily Rstr Net Assets$22,787,418$25,689,981▲ $2,902,563
Permanently Rstr Net Assets$3,429,508$3,440,561▲ $11,053
Total Net Assets Fund Balance$59,566,218$64,853,063▲ $5,286,845
Total Liabilities and Net Assets / Fund Balance$60,915,139$65,791,437▲ $4,876,298

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$55,136$55,136
Other Assets Org$5,608,481--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$6,249,042$29,405▲ $544,051$85,629$6,736,869
2017$5,009,879$538,180▲ $761,483$60,500$6,249,042
2016$5,765,209$113,056▼ $362,933$505,453$5,009,879
2015$5,593,408$16,292▲ $192,907$37,398$5,765,209
2014$4,184,443$663,068▲ $851,797$105,900$5,593,408
Compensation and Service Providers

Board Members and Trustees

NameTitle
-President
-President & CEO, Ministry Market (end 12/2017)
-Vice-chairman
-Board Member
-Board Member (start 7/2017)
-Executive Director
-CFO, Ministry Market
-Cmio, Ministry Market
-Former Officer (end 4/2012)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Gavion LLCInvestment Consulting Services6000 POPLAR AVE, SUITE 325, Memphis, TN 38119$211,606
Revenue and Support

Revenue Composition

Contributions and Grants
$3,947,550
Program Service Revenue
$0
Investment Income
$3,234,656
Other Revenue
$-151,528
All Other Contributions
$2,012,511
Change in Net Assets
$3,162,012
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$2,191,121
Other Expenses$1,677,545
Total Fundraising Expense$95,737
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,829,236--$1,829,236
Other Expenses$378,098$32,801$65,601$378,098
Grants to Domestic Individuals$361,885--$361,885
Fees for Service Investment Mgmnt Fees-$342,069-$342,069
Advertising$91,820$5,401$10,802$108,023
All Other Expenses$60,705$3,571$7,142$71,418
Office Expenses$32,731$1,925$3,851$38,507
Occupancy$32,521$1,913$3,826$38,260
Information Technology$21,499$1,265$2,529$25,293
Conferences and Meetings$10,862$639$1,278$12,779
Travel$6,018$354$708$7,080
Total Functional Expenses$3,382,991$389,938$95,737$3,868,666
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Saint Thomas HealthNashville, TN501(c)(3)Operating/capital Support$586,395
Saint Thomas Midtown HospitalNashville, TN501(c)(3)Operating/capital Support$378,480
Matthew Walker Comprehensive Health Center IncNashville, TN501(c)(3)Operating/capital Support$265,000
Saint Thomas NetworkNashville, TN501(c)(3)Operating/capital Support$217,945
Saint Thomas West HospitalNashville, TN501(c)(3)Operating/capital Support$142,138
Saint Thomas Medical PartnersNashville, TN501(c)(3)Operating/capital Support$136,309
Nashville Academy of MedicineNashville, TN501(c)(3)Operating/capital Support$70,785
United Way of Middle TennesseeNashville, TN501(c)(3)Operating/capital Support$32,183
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$279,128
Fundraising Gross Income$127,600
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Seton Celebration Gala$309,050$79,000$100,989$-21,989
The Good Health Classic$163,325$23,100$4,184$18,916
Total Events$633,016$127,600$279,128$-151,528
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
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$491,067
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 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 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 health foundations has a single corporate member, saint thomas network.

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

Saint thomas health foundations has a single corporate member, saint thomas network, who has the ability to elect members to the governing body of saint thomas health foundations.

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

All decisions that have a material impact to saint thomas health foundations financial information or corporation as a whole are subject to approval by its sole corporate member, saint thomas network.

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 signs a statement annually 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.

Filing and Contact Details

Filer

Filer Name
Saint Thomas Health Foundations
EIN
58-1663055
Phone
3147338000
Address
4220 Harding Road, Nashville, TN 37205

Signing Officer

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

Organization Details

Formed
1979
Legal Domicile
Tn
Voting Board Members
18
Independent Board Members
18
Employees
0
Volunteers
18
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2B AUDITED FINANCIAL STATEMENTS

The activity of saint thomas health foundations, inc. Is reported in the consolidated financial statements of ascension health alliance. No individual audit of saint thomas health foundations, inc. Is completed. Therefore, the audited financial statements are of ascension health alliance and affiliates, which include the activity of saint thomas health foundations, inc.

Form 990, Part XII, Line 2C OVERSIGHT OF AUDIT OR SELECTION OF INDEPENDENT ACCOUNTANT

Saint thomas health foundations, inc. 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.

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

The foundation's endowment funds consists of individual donor-restricted endowment funds established for a variety of purposes. The endowment funds are subject to the restrictions of gift instruments generally requiring that the principal be invested in perpetuity, the income from which is expendable to support various organizational purposes such as education, community outreach, and charity care.

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/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8JIM CLAYTON III
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9DEBBIE W CRAIG
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11CONNIE GRAVES MD
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13SCOTT MERTIE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14KATHLEEN POHLID
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19LISA DAVIS
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IRS990/Form990PartVIISectionAGrp/TitleTxt20CMIO, MINISTRY MARKET
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