Civic Intelligence

Saint Thomas Health Foundations

990 • Fiscal year 2019 • EIN 58-1663055

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

9th percentile

0.01x

Higher debt load relative to assets than 9% of similar nonprofits.

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

Liabilities / Revenue

17th percentile

0.09x

Higher debt load relative to revenue than 17% of similar nonprofits.

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

Net Margin

94th percentile

62%

Higher net margin than 94% 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 19.9% of source-year revenue.

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

Asset Growth

61st percentile

7.7%

Faster asset growth than 61% of similar nonprofits.

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

Revenue Growth

46th percentile

2.6%

Faster revenue growth than 46% of similar nonprofits.

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

Assets

Up

$70,836,066

Up $5,044,629 (+7.7%) from 2018

Net Assets

Up

$70,192,605

Up $5,339,542 (+8.2%) from 2018

Liabilities

Down

$643,461

Down $294,913 (-31%) from 2018

Revenue

Up

$7,213,543

Up $182,865 (+2.6%) from 2018

Expenses

Down

$2,714,408

Down $1,154,258 (-30%) from 2018

Net Income

Up

$4,499,135

Up $1,337,123 (+42%) from 2018

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

2019

Assets$70,836,066
Liabilities$643,461
Net Assets$70,192,605

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

2019

Revenue$7,213,543
Expenses$2,714,408
Net Income$4,499,135
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
May 13, 2020
Return Version
2018v3.1
Gross Receipts
$33,935,403
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$56,962,228$57,063,889▲ $101,661
Savings and Temporary Cash Investments$862,672$5,841,698▲ $4,979,026
Pledges and Grants Receivable$695,476$515,277▼ $180,199
Prepaid Expenses and Deferred Charges$18,493$2,417▼ $16,076
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$65,791,437$70,836,066▲ $5,044,629
Other Assets Total$7,252,568$7,412,785▲ $160,217
Liabilities
Other Liabilities$491,067$538,744▲ $47,677
Accounts Payable and Accrued Expenses$447,307$104,717▼ $342,590
Total Liabilities$938,374$643,461▼ $294,913
Net Assets / Fund Balance
Unrestricted Net Assets$35,722,521$38,539,395▲ $2,816,874
Temporarily Rstr Net Assets$25,689,981$28,197,060▲ $2,507,079
Permanently Rstr Net Assets$3,440,561$3,456,150▲ $15,589
Total Net Assets Fund Balance$64,853,063$70,192,605▲ $5,339,542
Total Liabilities and Net Assets / Fund Balance$65,791,437$70,836,066▲ $5,044,629

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$55,136$55,136
Buildings$0$0$0
Other Land Buildings$0$0$0
Land$0-$0
Leasehold Improvements$0$0$0
Other Assets Org$5,641,960--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$6,736,869$53,984▲ $391,476$96,379$7,085,950
2017$6,249,042$29,405▲ $544,051$85,629$6,736,869
2016$5,009,879$538,180▲ $761,483$60,500$6,249,042
2015$5,765,209$113,056▼ $362,933$505,453$5,009,879
2014$5,593,408$16,292▲ $192,907$37,398$5,765,209
Compensation and Service Providers

Board Members and Trustees

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

Highest Paid Contractors

ContractorServicesLocationCompensation
Gavion LLCInvestment Consulting Services6000 POPLAR AVE, SUITE 325, Memphis, TN 38119$165,747
Revenue and Support

Revenue Composition

Contributions and Grants
$3,633,701
Program Service Revenue
$0
Investment Income
$3,756,698
Other Revenue
$-176,856
All Other Contributions
$1,931,177
Change in Net Assets
$4,499,135
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,520,135
Other Expenses$1,194,273
Total Fundraising Expense$85,563
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,145,464--$1,145,464
Grants to Domestic Individuals$374,671--$374,671
Fees for Service Investment Mgmnt Fees-$338,644-$338,644
All Other Expenses$83,088$4,887$9,775$97,750
Occupancy$32,521$1,913$3,826$38,260
Information Technology$20,959$1,233$2,466$24,658
Office Expenses$20,163$1,186$2,372$23,721
Conferences and Meetings$8,016$472$943$9,431
Travel$6,065$357$714$7,136
Advertising$5,805$341$683$6,829
Fees for Services Other$459$27$54$540
Other Expenses$394$23$46$463
Fees for Services Management$170$10$20$200
Total Functional Expenses$2,247,420$381,425$85,563$2,714,408
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Matthew Walker Comprehensive Health CenterNashville, TN501(c)(3)Operating Support$265,000
Saint Thomas West HospitalNashville, TN501(c)(3)Operating Support$252,721
Bellevue Medical Group LLCNashville, TN501(c)(3)Operating Support$198,730
Saint Thomas Medical PartnersNashville, TN501(c)(3)Operating Support$193,244
Saint Thomas HealthNashville, TN501(c)(3)Operating Support$69,276
St Thomas Hospital AuxilliaryNashville, TN501(c)(3)Operating Support$42,585
United Way of Middle TennesseeNashville, TN501(c)(3)Operating Support$21,445
Nashville Academy of MedicineNashville, TN-Operating Support$14,737
Saint Thomas NetworkNashville, TN-Operating Support$10,517
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$304,906
Fundraising Gross Income$128,050
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Seton Celebration GALA$317,082$87,650$65,232$22,418
The Good Health Classic$195,110$26,400$100$26,300
Total Events$632,191$128,050$304,906$-176,856
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$538,744
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 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 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 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 Merhson
Title
Tax Officer
Signed
2020-05-13

Organization Details

Formed
1979
Legal Domicile
Tn
Voting Board Members
22
Independent Board Members
19
Employees
0
Volunteers
19
Supplemental Narrative

Additional Explanations

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

Transfer with Affiliates - 603558;

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.

Form 990, Header, Box J Website

https://healthcare.ascension.org/Locations/Tennessee/TNNAS/Nashville-Saint-Thomas-Midtown-Hospital/Foundation

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, 2019.

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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3DOUGLAS SMALL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4TIMOTHY P ADAMS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5LISA R DAVIS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6JOHN G POPE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7FABIAN BEDNE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8BRYAN BELL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9CONNIE BRADLEY
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10JAMES H CLAYTON III
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11DEBORAH W CRAIG
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12CARROLL CROSSLIN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13CHRIS CUNNINGHAM
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14HAROLD FOGELBERG
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15PATRICIA KYGER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16SCOTT MERTIE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17KATHLEEN POHLID
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18STUART SPEARS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19BRYANT TIRRILL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20CAROL TITUS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt21ROSEMARY WALTERS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt22KAREN L SPRINGER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt23DAN THOMPSON
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IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4EX-OFFICIO/PRESIDENT & CEO/MINISTRY MARKET EXECUTIVE
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IRS990/Form990PartVIISectionAGrp/TitleTxt22FORMER OFFICER (END 12/2017)
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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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