Civic Intelligence

Saint Thomas Health

990 • Fiscal year 2019 • EIN 58-1716804

Jul 01, 2018 to Jun 30, 2019 • Filed on May 14, 2020

4220 Harding RdNashville, TN 37205

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

75th percentile

0.60x

Higher debt load relative to assets than 75% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Liabilities / Revenue

18th percentile

0.18x

Higher debt load relative to revenue than 18% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Net Margin

7th percentile

-15%

Higher net margin than 7% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Top Officer Pay

73rd percentile

$1,478,869

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Asset Growth

4th percentile

-9.7%

Faster asset growth than 4% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Revenue Growth

28th percentile

-1.7%

Faster revenue growth than 28% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Assets

Down

$83,708,469

Down $8,962,686 (-9.7%) from 2018

Net Assets

Up

$33,377,359

Up $14,723,883 (+79%) from 2018

Liabilities

Down

$50,331,110

Down $23,686,569 (-32%) from 2018

Revenue

Down

$272,134,544

Down $4,697,441 (-1.7%) from 2018

Expenses

Up

$311,996,344

Up $5,788,223 (+1.9%) from 2018

Net Income

Down

-$39,861,800

Down $10,485,664 (-36%) from 2018

Historical Trend

Balance Sheet Trend

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

$3.0B$2.0B$1.0B$0-$1.0BAssets 2010: $79,222,667Liabilities 2010: $187,219,594Net Assets 2010: -$107,996,9272010Assets 2011: $75,714,094Liabilities 2011: $221,152,744Net Assets 2011: -$145,438,6502011Assets 2012: $746,471,376Liabilities 2012: $928,126,937Net Assets 2012: -$181,655,5612012Assets 2013: $1,967,221,337Liabilities 2013: $2,201,244,333Net Assets 2013: -$234,022,9962013Assets 2014: $783,604,320Liabilities 2014: $45,729,000Net Assets 2014: $737,875,3202014Assets 2015: $851,549,951Liabilities 2015: $45,085,131Net Assets 2015: $806,464,8202015Assets 2016: $807,168,930Liabilities 2016: $52,370,321Net Assets 2016: $754,798,6092016Assets 2017: $111,026,716Liabilities 2017: $89,506,195Net Assets 2017: $21,520,5212017Assets 2018: $92,671,155Liabilities 2018: $74,017,679Net Assets 2018: $18,653,4762018Assets 2019: $83,708,469Liabilities 2019: $50,331,110Net Assets 2019: $33,377,3592019Assets 2020: $77,035,198Liabilities 2020: $74,524,930Net Assets 2020: $2,510,2682020Assets 2021: $139,380,675Liabilities 2021: $88,753,787Net Assets 2021: $50,626,8882021Assets 2022: $103,404,738Liabilities 2022: $56,346,913Net Assets 2022: $47,057,8252022Assets 2023: $115,302,526Liabilities 2023: $43,503,723Net Assets 2023: $71,798,8032023Assets 2024: $82,199,988Liabilities 2024: $40,676,246Net Assets 2024: $41,523,7422024

Highlighted filing

2019

Assets$83,708,469
Liabilities$50,331,110
Net Assets$33,377,359

Operations Trend

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

$400M$300M$200M$100M$0-$100MExpenses 2010: $236,510,6382010Revenue 2011: $233,504,608Expenses 2011: $256,670,180Net Income 2011: -$23,165,5722011Expenses 2012: $254,588,8752012Expenses 2013: $255,721,3902013Revenue 2014: $251,813,793Expenses 2014: $267,460,370Net Income 2014: -$15,646,5772014Revenue 2015: $278,760,998Expenses 2015: $283,974,446Net Income 2015: -$5,213,4482015Revenue 2016: $290,416,677Expenses 2016: $316,789,947Net Income 2016: -$26,373,2702016Revenue 2017: $322,430,222Expenses 2017: $350,858,327Net Income 2017: -$28,428,1052017Revenue 2018: $276,831,985Expenses 2018: $306,208,121Net Income 2018: -$29,376,1362018Revenue 2019: $272,134,544Expenses 2019: $311,996,344Net Income 2019: -$39,861,8002019Revenue 2020: $222,206,995Expenses 2020: $224,921,508Net Income 2020: -$2,714,5132020Revenue 2021: $233,929,694Expenses 2021: $229,163,056Net Income 2021: $4,766,6382021Revenue 2022: $241,312,060Expenses 2022: $264,378,416Net Income 2022: -$23,066,3562022Revenue 2023: $193,894,320Expenses 2023: $172,803,809Net Income 2023: $21,090,5112023Revenue 2024: $118,063,235Expenses 2024: $119,782,135Net Income 2024: -$1,718,9002024

Highlighted filing

2019

Revenue$272,134,544
Expenses$311,996,344
Net Income-$39,861,800
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
May 14, 2020
Return Version
2018v3.1
Gross Receipts
$272,176,114
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.

Coordinates the management of a non-profit hospital and healthcare delivery system 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$18,283,869$21,074,952▲ $2,791,083
Investments Program Related$13,114,012$14,355,284▲ $1,241,272
Intangible Assets$8,498,813$6,009,567▼ $2,489,246
Inventories for Sale or Use$1,298,171$1,378,532▲ $80,361
Prepaid Expenses and Deferred Charges$3,722,760$750,589▼ $2,972,171
Accounts Receivable$4,717,821$339,297▼ $4,378,524
Savings and Temporary Cash Investments$127,800$244,166▲ $116,366
Cash and Non-Interest-Bearing Accounts$2,132$91,053▲ $88,921
Other Notes and Loans Receivable, Net$0$88,659▲ $88,659
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$92,671,155$83,708,469▼ $8,962,686
Other Assets Total$42,905,777$39,376,370▼ $3,529,407
Liabilities
Other Liabilities$55,098,756$34,104,831▼ $20,993,925
Accounts Payable and Accrued Expenses$18,474,134$15,666,836▼ $2,807,298
Deferred Revenue$444,789$559,443▲ $114,654
Total Liabilities$74,017,679$50,331,110▼ $23,686,569
Net Assets / Fund Balance
Unrestricted Net Assets$18,554,981$33,377,359▲ $14,822,378
Temporarily Rstr Net Assets$98,495$0▼ $98,495
Total Net Assets Fund Balance$18,653,476$33,377,359▲ $14,723,883
Total Liabilities and Net Assets / Fund Balance$92,671,155$83,708,469▼ $8,962,686

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$13,195,550$33,949,264$47,144,814
Other Land Buildings$5,137,252$26,578$5,163,830
Buildings$1,628,584$1,873,820$3,502,404
Leasehold Improvements$1,113,566$1,908,891$3,022,457
Investment Program Related Org$14,355,284--
Other Assets Org$7,931,752--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$2,249,930$52,807▲ $128,639$55,591$2,375,785
2017$2,091,194$28,444▲ $171,807$41,515$2,249,930
2016$1,343,281$534,594▲ $238,473$25,154$2,091,194
2015$1,392,228$37,453▼ $62,883$23,517$1,343,281
2014$1,315,616$90,077▲ $45,434$58,899$1,392,228
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-PhysicianFT$590,845$715,347$1,306,192
-CEO, St. Thomas Rutherford HospitalFT$416,405$157,605$574,010
-Former Key Employee (end 6/2017)-$511,802$511,802$511,802
-CEO, St. Thomas Midtown and West HospitalsFT$427,819$80,431$508,249
-CNOFT$321,776$51,676$373,452
-CQOFT$295,101$42,992$338,092
-COOFT$266,694$35,416$302,109
-CAOFT$220,525$47,985$268,511

Board Members and Trustees

NameTitle
-Chair
-President & CEO/ministry Market Executive
-Vice Chair
-Director
-CFO, Ministry Market
-Former Key Employee (end 12/2017)
-Former Key Employee (end 3/2016)
-Former Officer (end 12/2017)
-Former Officer (end 3/2016)
-Former Officer (end 8/2015)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Middle Tennessee Emergency Physicians PCPhysician ServicesONE VANTAGE WAY, SUITE B-240, Nashville, TN 37228$2,115,066
Medspeed LLCCourier Service650 W GRAND AVENUE, STE 320, Elmhurst, IL 60126-1043$1,178,271
Arup LaboratoriesLab Testing Services500 CHIPETA WAY, SUITE 400, Salt Lake City, UT 84108-1221$609,881
Act LLCInformation Technologies913 MYATT INDUSTRIAL DRIVE, Madison, TN 37115-2429$588,295
Credit Solutions LLCCredit Agency2277 THUNDERSTICK DRIVE, Lexington, KY 40505-9002$464,483
Revenue and Support

Revenue Composition

Contributions and Grants
$724,745
Program Service Revenue
$255,037,220
Investment Income
$14,531,031
Other Revenue
$1,841,548
Change in Net Assets
$-39,861,800
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$174,476,228
Salaries, Compensation, and Employee Benefits$137,520,116
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$93,192,920$20,759,483-$113,952,403
Fees for Services Other$13,680,993$1,933,668$0$15,614,661
Interest-$14,211,880-$14,211,880
Other Employee Benefits$10,879,401$2,423,475-$13,302,876
Depreciation Depletion$6,865,462$1,688,867-$8,554,329
All Other Expenses$5,760,745$2,334,851$0$8,095,596
Payroll Taxes$4,864,106$1,196,545-$6,060,651
Occupancy$4,101,824$1,525,487-$5,627,311
Office Expenses$537,516$2,271,745-$2,809,261
Current Officers, Directors, Trustees, and Key Employees-$2,364,423-$2,364,423
Advertising$120,882$1,961,741-$2,082,623
Pension Plan Contributions$1,504,601$335,162-$1,839,763
Other Expenses$1,673,284$281,032-$1,673,284
Information Technology$501,466$830,293-$1,331,759
Insurance-$784,906-$784,906
Travel$372,703$239,199-$611,902
Conferences and Meetings$294,390$97,141-$391,531
Fees for Services Legal-$88,286-$88,286
Fees for Services Management$22,334$21,881-$44,215
Fees for Services Accounting-$16,631-$16,631
Total Functional Expenses$193,544,674$118,451,670$0$311,996,344
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
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$33,316,086
Accrued Tax Liability$563,847
Miscellaneous Liabilities$159,430
Lease Liability$64,978
Recovery Tail Liability$490
Debt with Ascension Health Alliance-
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 has a single corporate member, Ascension Health.

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

Saint Thomas Health has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Saint Thomas Health.

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

Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.

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 2F Other Program Service Revenue

Contracted Services Revenue - Total Revenue: 1399063, Related or Exempt Function Revenue: 1399063, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Research Revenue - Total Revenue: 1370438, Related or Exempt Function Revenue: 1370438, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income from Affiliates - Total Revenue: 29026, Related or Exempt Function Revenue: 29026, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

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

Miscellaneous Revenue - Total Revenue: 305844, Related or Exempt Function Revenue: 74924, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 230920; Hotel/Conference Revenue - Total Revenue: 81350, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 81350; Education Revenue - Total Revenue: 74936, Related or Exempt Function Revenue: 74936, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 65219, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 65219; Escheatment Revenue - Total Revenue: 6414, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6414;

Filing and Contact Details

Filer

Filer Name
Saint Thomas Health
EIN
58-1716804
Phone
3147338000
Address
4220 Harding Rd, Nashville, TN 37205

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2020-05-14

Organization Details

Formed
1986
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
12
Employees
630
Volunteers
12
Supplemental Narrative

Additional Explanations

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

Transfer With Alpha Fund - 49969447; Non Controlling Interest - 2640122; Transfer from Affiliate - 7266940; Controlling Capital to JV Partner - -5290826;

Form 990, Part XII, Line 2B audited financial statements

The activity of Saint Thomas Health is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Saint Thomas Health is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Saint Thomas Health.

Form 990, Part XII, Line 2C oversight of audit or selection of independent accountant

SAINT THOMAS HEALTH 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 endowment funds are held by saint thomas health foundations. The endowment funds are specifically designated pools of assets held and invested by the foundation to provide long-term growth, interest and dividends. Only the income from an endowment fund is used.

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 HEALTH IS THE PARENT OF A FIVE HOSPITAL HEALTH SYSTEM IN NASHVILLE, TN. AS SUCH, IT COORDINATES THE MANAGEMENT OF A NON-PROFIT HOSPITAL AND HEALTHCARE DELIVERY SYSTEM. THE COMMUNITY BENEFITS FROM THIS COORDINATION BY HAVING AVAILABLE A CONTINUUM OF CARE WHICH ALLOWS FOR THE INTRODUCTION OF THE MOST APPROPRIATE AND COST EFFECTIVE CARE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt14CEO, ST. THOMAS RUTHERFORD HOSPITAL
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IRS990/Form990PartVIISectionAGrp/TitleTxt23PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt24PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt25FORMER OFFICER (END 8/2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt26FORMER OFFICER (END 3/2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt27FORMER OFFICER (END 12/2017)
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IRS990/Form990PartVIISectionAGrp/TitleTxt30FORMER KEY EMPLOYEE (END 12/2017)
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$82.2$40.7$41.5$118$120$1.72
2023Summary only. Only limited summary data is available for this year.$115$43.5$71.8$194$173$21.1
2022Summary only. Only limited summary data is available for this year.$103$56.3$47.1$241$264$23.1
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$139$88.8$50.6$234$229$4.77
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$77.0$74.5$2.51$222$225$2.71
2019Detailed filing. Detailed filing data is available for this year.$83.7$50.3$33.4$272$312$39.9
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$92.7$74.0$18.7$277$306$29.4
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$111$89.5$21.5$322$351$28.4
2016Detailed filing. Detailed filing data is available for this year.$807$52.4$755$290$317$26.4
2015Detailed filing. Detailed filing data is available for this year.$852$45.1$806$279$284$5.21
2014Detailed filing. Detailed filing data is available for this year.$784$45.7$738$252$267$15.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,967$2,201$234$256
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$746$928$182$255
2011Summary only. Only limited summary data is available for this year.$75.7$221$145$234$257$23.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$79.2$187$108$237