Civic Intelligence

Saint Thomas West Hospital

990 • Fiscal year 2021 • EIN 62-0347580

Jul 01, 2020 to Jun 30, 2021 • Filed on May 13, 2022

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

99th percentile

1.29x

Higher debt load relative to assets than 99% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Liabilities / Revenue

73rd percentile

1.14x

Higher debt load relative to revenue than 73% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Net Margin

48th percentile

10%

Higher net margin than 48% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Top Officer Pay

83rd percentile

$4,300,164

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Asset Growth

99th percentile

207%

Faster asset growth than 99% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Revenue Growth

94th percentile

124%

Faster revenue growth than 94% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Assets

Up

$949,679,305

Up $640,620,735 (+207%) from 2020

Net Assets

Down

-$279,852,495

Down $347,949,982 (-511%) from 2020

Liabilities

Up

$1,229,531,800

Up $988,570,717 (+410%) from 2020

Revenue

Up

$1,081,181,844

Up $598,503,968 (+124%) from 2020

Expenses

Up

$970,347,427

Up $520,056,964 (+115%) from 2020

Net Income

Up

$110,834,417

Up $78,447,004 (+242%) from 2020

Historical Trend

Balance Sheet Trend

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

$1.5B$1.0B$500M$0-$500MAssets 2010: $679,948,197Liabilities 2010: $258,294,968Net Assets 2010: $421,653,2292010Assets 2011: $800,579,152Liabilities 2011: $258,988,460Net Assets 2011: $541,590,6922011Assets 2012: $939,998,471Liabilities 2012: $378,212,944Net Assets 2012: $561,785,5272012Assets 2013: $1,052,783,876Liabilities 2013: $419,030,316Net Assets 2013: $633,753,5602013Assets 2014: $186,290,264Liabilities 2014: $145,166,436Net Assets 2014: $41,123,8282014Assets 2015: $194,960,934Liabilities 2015: $138,713,962Net Assets 2015: $56,246,9722015Assets 2016: $224,457,272Liabilities 2016: $144,282,961Net Assets 2016: $80,174,3112016Assets 2017: $315,474,205Liabilities 2017: $174,583,118Net Assets 2017: $140,891,0872017Assets 2018: $310,811,151Liabilities 2018: $175,824,435Net Assets 2018: $134,986,7162018Assets 2019: $319,532,820Liabilities 2019: $170,860,417Net Assets 2019: $148,672,4032019Assets 2020: $309,058,570Liabilities 2020: $240,961,083Net Assets 2020: $68,097,4872020Assets 2021: $949,679,305Liabilities 2021: $1,229,531,800Net Assets 2021: -$279,852,4952021Assets 2022: $772,575,470Liabilities 2022: $599,212,090Net Assets 2022: $173,363,3802022Assets 2023: $728,479,720Liabilities 2023: $545,372,176Net Assets 2023: $183,107,5442023Assets 2024: $815,650,131Liabilities 2024: $588,307,936Net Assets 2024: $227,342,1952024

Highlighted filing

2021

Assets$949,679,305
Liabilities$1,229,531,800
Net Assets-$279,852,495

Operations Trend

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

$1.5B$1.0B$500M$0Expenses 2010: $395,276,7452010Expenses 2011: $433,602,5162011Expenses 2012: $411,080,5972012Revenue 2013: $462,283,352Expenses 2013: $405,840,584Net Income 2013: $56,442,7682013Revenue 2014: $434,016,708Expenses 2014: $366,194,701Net Income 2014: $67,822,0072014Revenue 2015: $431,022,663Expenses 2015: $374,823,389Net Income 2015: $56,199,2742015Revenue 2016: $427,087,630Expenses 2016: $385,728,596Net Income 2016: $41,359,0342016Revenue 2017: $443,388,027Expenses 2017: $403,831,695Net Income 2017: $39,556,3322017Revenue 2018: $464,696,163Expenses 2018: $418,308,919Net Income 2018: $46,387,2442018Revenue 2019: $475,430,998Expenses 2019: $428,455,078Net Income 2019: $46,975,9202019Revenue 2020: $482,677,876Expenses 2020: $450,290,463Net Income 2020: $32,387,4132020Revenue 2021: $1,081,181,844Expenses 2021: $970,347,427Net Income 2021: $110,834,4172021Revenue 2022: $1,095,179,913Expenses 2022: $1,078,891,594Net Income 2022: $16,288,3192022Revenue 2023: $1,113,846,166Expenses 2023: $1,052,532,589Net Income 2023: $61,313,5772023Revenue 2024: $1,250,375,354Expenses 2024: $1,157,769,455Net Income 2024: $92,605,8992024

Highlighted filing

2021

Revenue$1,081,181,844
Expenses$970,347,427
Net Income$110,834,417
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 13, 2022
Return Version
2020v4.0
Gross Receipts
$1,085,302,009
Mission and Program Overview

Mission

To serve all persons, with special attention to those who are poor and vulnerable, while improving the health of individuals and communities.

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$134,529,181$359,325,136▲ $224,795,955
Accounts Receivable$53,649,862$126,271,685▲ $72,621,823
Inventories for Sale or Use$12,678,314$21,904,627▲ $9,226,313
Savings and Temporary Cash Investments$6,682,474$17,217,097▲ $10,534,623
Investments Program Related$6,997,446$7,715,171▲ $717,725
Other Notes and Loans Receivable, Net$0$430,034▲ $430,034
Prepaid Expenses and Deferred Charges$113,060$278,689▲ $165,629
Intangible Assets$142,763$165,421▲ $22,658
Pledges and Grants Receivable$0$47,420▲ $47,420
Cash and Non-Interest-Bearing Accounts$8,707$16,945▲ $8,238
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$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$309,058,570$949,679,305▲ $640,620,735
Other Assets Total$94,256,763$416,307,080▲ $322,050,317
Liabilities
Other Liabilities$209,450,068$1,163,120,957▲ $953,670,889
Accounts Payable and Accrued Expenses$31,189,754$65,820,735▲ $34,630,981
Deferred Revenue$321,261$590,108▲ $268,847
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$240,961,083$1,229,531,800▲ $988,570,717
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$68,097,487$-279,852,495▼ $347,949,982
Total Net Assets Fund Balance$68,097,487$-279,852,495▼ $347,949,982
Total Liabilities and Net Assets / Fund Balance$309,058,570$949,679,305▲ $640,620,735

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$228,259,966$519,649,470$747,909,436
Equipment$70,748,791$237,347,869$308,096,660
Other Land Buildings$38,186,712$9,007,303$47,194,015
Land$20,366,561-$20,366,561
Leasehold Improvements$1,763,106$3,796,839$5,559,945
Other Assets Org$13,164,907--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$3,450,875$646,487▲ $1,134,114$24,943$5,206,533
2019$4,074,462$0▲ $115,762$739,349$3,450,875
2018$3,875,780$750▲ $228,111$30,179$4,074,462
2017$3,587,562$250▲ $322,007$34,039$3,875,780
2016$3,162,120$2,336▲ $450,949$27,843$3,587,562
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-CMOFT$418,131$160,766$578,897
-Medical DirectorFT$321,455$57,500$378,955
-VP, OperationsFT$217,352$73,342$290,694
-VP, NursingFT$228,461$51,676$280,137
-Director, Clinical ProgramsFT$199,524$47,825$247,349
-Director, PharmacyFT$194,278$51,307$245,585
-Medical PhysicistFT$204,188$29,963$234,151

Board Members and Trustees

NameTitle
-Chair (end 12/2020)
-Chair (start 1/2021)
-President/CEO, Ministry Market Executive
-Treasurer (end 12/2020)/vice Chair (start 1/2021)
-Vice Chair (end 12/2020)
-Director
-Director (start 1/2021)
-Director/treasurer (start 1/2021)
-CFO, Ministry Market
-Former Officer (end 12/2017)
-Former Officer (end 6/2019)
-Former Officer (end 7/2016)
-Former Officer (end 8/2015)
-Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Gresham SmithConstruction Services222 SECOND AVE S STE 1400, STE 202, Nashville, TN 37201-2308$3,447,690
Cardiovascular Anesthesiologists PCMedical ServicesPO BOX 277599, Atlanta, GA 30384-7599$3,117,396
Tennessee Perfusion AssociatesMedical Services4230 HARDING PIKE, Nashville, TN 37205$2,492,336
Nashville Inpatient Mgmt SvcsManagement Services300 20TH AVE N STE G4, Nashville, TN 37203-2244$1,769,591
Advanced Diagnostic Imaging PCDiagnostic ServicesPO BOX 440460, Nashville, TN 37203-2244$1,217,931
Revenue and Support

Revenue Composition

Contributions and Grants
$17,459,762
Program Service Revenue
$1,059,697,558
Investment Income
$-8,031
Other Revenue
$4,032,555
All Other Contributions
$0
Change in Net Assets
$110,834,417
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$691,946,140
Salaries, Compensation, and Employee Benefits$273,155,173
Grants and Similar Amounts Paid$5,246,114
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$214,422,947$7,516,721-$221,939,668
Other Expenses$63,283,420$35,473,925-$63,283,420
All Other Expenses$29,648,693$16,892,582$0$46,541,275
Depreciation Depletion$37,467,409$1,606,598-$39,074,007
Other Employee Benefits$23,776,831$833,511-$24,610,342
Fees for Services Other$20,903,220$3,215,854$0$24,119,074
Payroll Taxes$15,937,383$683,393-$16,620,776
Occupancy$10,271,813$440,454-$10,712,267
Pension Plan Contributions$7,884,057$276,380-$8,160,437
Grants to Domestic Orgs$5,246,114--$5,246,114
Insurance-$4,088,449-$4,088,449
Current Officers, Directors, Trustees, and Key Employees$0$1,823,950$0$1,823,950
Office Expenses$429,219$289,224-$718,443
Information Technology$480,797$25,081-$505,878
Travel$114,574$29,270-$143,844
Conferences and Meetings$78,953$1,740-$80,693
Fees for Services Legal-$67,228-$67,228
Advertising$23,763$21,523-$45,286
Fees for Services Lobbying-$18,110-$18,110
Fees for Services Accounting-$12,337-$12,337
Interest-$41-$41
Total Functional Expenses$703,592,451$266,754,976$0$970,347,427
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Saint Thomas Medical PartnersNashville, TN501(c)(3)Operating Support$4,647,883
Interfaith Dental ClinicNashville, TN501(c)(3)Support for General Dentistry to Low Income, Uninsured and Underserved$36,834
Siloam Family Health CenterNashville, TN501(c)(3)COMMUNITY HEALTH WORKERS: ADVANCING HEALTH EQUITY IN NASHVILLE'S IMMIGRANT AND REFUGEE POPULATIONS$24,960
The New Beginnings CenterNashville, TN501(c)(3)The New Beginnings Center Support$24,320
Village at GlencliffNashville, TN501(c)(3)Support for Meals for Residents of Village at Glencliff$24,000
Room in the InnNashville, TN501(c)(3)Room in the Inn Homeless Shelter Support$21,816
ASSOCIATION for GUIDANCE AID PLACEMENT & EMPATHY (AGAPE)Nashville, TN501(c)(3)Mental Health Counseling for Hispanic Clients$20,000
Catholic Charities of Tennessee IncNashville, TN501(c)(3)Operating Support$20,000
The Nashville Food Project IncNashville, TN501(c)(3)The Nashville Food Project Food Assistance Program Support$20,000
Hope Clinic for WomenNashville, TN501(c)(3)Pregnancy Resources Support$16,000
NashvillehealthNashville, TN501(c)(3)Nashville Health Program Support$16,000
YMCA of Middle TennesseeNashville, TN501(c)(3)Second Harves Food Bank of Middle Tennesee Support$16,000
Inspiritus IncNashville, TN501(c)(3)Surviving to Thriving Program Support$15,166
Building Lives Foundation IncNashville, TN501(c)(3)Therapy Services for Veterans$12,000
The Next Door IncNashville, TN501(c)(3)Support for Addiction Treatment in Women$12,000
Family and Children ServiceNashville, TN501(c)(3)Operating Support$10,000
Sexual Assault CenterNashville, TN501(c)(3)Therapeutic Treatment & Support Services for Sexual Assault Survivors$9,600
Tennessee Justine CenterNashville, TN501(c)(3)Individual Assistance Program Support$9,168
CHRISTIAN WOMEN'S JOB CORPS OF MIDDLE TN'S (DBA BEGIN ANEW OF MIDDLE TN)Nashville, TN501(c)(3)Support for Equiping Men and Women With Life and Career Skills$8,000
Gildas Club Middle TennesseeNashville, TN501(c)(3)Cancer Support Program$8,000
Pencil FoundationNashville, TN501(c)(3)Support to Tennessee Public Schools$8,000
Renewal House IncNashville, TN501(c)(3)Family Residential Program Support$8,000
Supplies OverseasLouisville, KY501(c)(3)Operating Support-
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
Other Liabilities$738,835,264
Recovery Tail Liability$309,634,621
Accrued Sales Use Tax$91,365,758
Intercompany Debt with Ascension Health Alliance$13,309,570
Estimated 3rd Party Payor Settlement$6,158,141
Deferred Compensation/Retirement/Pension Liability$2,083,005
Physician Guarantee Liability$1,089,540
Lease Liability$516,865
Medicare Advance Payments$80,124
Accrued Real Estate Tax$25,729
Due to Affiliates$16,487
Asset Retirement Obligation$5,853
Real Estate Security Deposit-
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 2 Family/business relationships amongst interested persons

Timothy P Adams and Lisa R Davis - Business relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

Saint Thomas West Hospital has a single corporate member, Saint Thomas Health.

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

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

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

All decisions that have a material impact to Saint Thomas West Hospital's financial information or corporation as a whole are subject to approval by its sole corporate member, Saint Thomas Health. Ascension Health, the sole corporate member of Saint Thomas 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: 32495, Related or Exempt Function Revenue: 32495, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 382318, Related or Exempt Function Revenue: 382318, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; INTEREST INCOME FROM PATIENT ACCOUNTS - Total Revenue: 22484, Related or Exempt Function Revenue: 22484, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;

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

Education Revenue - Total Revenue: 39295, Related or Exempt Function Revenue: 39295, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 50, Related or Exempt Function Revenue: 50, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellanous Revenue - Total Revenue: 278821, Related or Exempt Function Revenue: 267624, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 11197;

Filing and Contact Details

Filer

Filer Name
Saint Thomas West Hospital
EIN
62-0347580
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
See Schedule O for a complete list

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Signed
2022-05-13

Organization Details

Formed
1898
Legal Domicile
Tn
Voting Board Members
11
Independent Board Members
10
Employees
4,896
Volunteers
189
Supplemental Narrative

Additional Explanations

Form 990, Part IV, Line 20B Explanation of financial statements

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

Form 990, Part IV, Line 24A TAX EXEMPT BONDS

The filing entity is a health facility that is part of ascension health system. Ascension health alliance iseitherthe borrower for,or secures,tax exempt hospital revenue bonds. The filing entitymayhold an intercompany note payable with ascension health alliance, and this information is reported on the balance sheet.

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

Transfers with Affiliates - -XXX-XX-XXXX;

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

Saint Thomas West Hospital 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 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.

Form 990 Page 1 Box C D/B/A Names

Ascension RX Ascension Saint Thomas Hospital Ascension Saint Thomas Hospital West Ascension Saint Thomas Midtown Ascension Saint Thomas West

Box J Website

Saint Thomas Midtown Hospital, part of Saint Thomas West Hospital, has its own website as follows: https://healthcare.ascension.org/locations/tennessee/tnnas/nashville-ascension-saint-thomas-hospital-midtown

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 the endowment fund is used.

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, 2021.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0GRESHAM SMITH
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IRS990/Desc0Saint Thomas Midtown Hospital was merged into Saint Thomas West Hospital effective 7/1/2020. Therefore, Saint Thomas West Hospital includes Saint Thomas West Hospital, a 448-bed hospital and Saint Thomas Midtown Hospital, a 554-bed hospital. Both campus' provide services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2021, Saint Thomas West Hospital treated 38,469 adults and children for a total of 212,782 patient days of service. The hospital also provided services for 258,868 outpatient visits, which included 11,726 outpatient surgeries and 77,033 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 FY21.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0ALLEN B WILCOX MD
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2DELL CROSSLIN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3LEE MOSS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4SUSAN WEST PHD
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7EMIL HASSAN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8MARCELA GOMEZ
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9SCOTT STANDARD MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10SISTER CATHERINE BROWN DC
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11STEVE SCHWAB MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12STEVE VANHOOK MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13LISA R DAVIS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14HARRISON E KISER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15JEREMY GRAY
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16MARCOS A FERNANDEZ-SCHKLAR RN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17MARK E MARSDEN MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18SAMANTHA L STRATON RN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19CARMEN G LEFFLER
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt21LAURIE OLIVER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt22NICOLE L SCHLECHTER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt23STEPHEN D HOLCOMB
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IRS990/Form990PartVIISectionAGrp/TitleTxt0VICE CHAIR (END 12/2020)
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IRS990/Form990PartVIISectionAGrp/TitleTxt4SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt5PRESIDENT/CEO, MINISTRY MARKET EXECUTIVE
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IRS990/Form990PartVIISectionAGrp/TitleTxt14VP, OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP, OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP, NURSING
IRS990/Form990PartVIISectionAGrp/TitleTxt17CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt18VP, NURSING
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR, PHARMACY
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR, PHARMACY
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR, CLINICAL PROGRAMS
IRS990/Form990PartVIISectionAGrp/TitleTxt22MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23MEDICAL PHYSICIST
IRS990/Form990PartVIISectionAGrp/TitleTxt24FORMER OFFICER (END 8/2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt25FORMER OFFICER (END 12/2017)
IRS990/Form990PartVIISectionAGrp/TitleTxt26FORMER OFFICER (END 6/2019)
IRS990/Form990PartVIISectionAGrp/TitleTxt27FORMER OFFICER (END 12/2017)
IRS990/Form990PartVIISectionAGrp/TitleTxt28FORMER OFFICER (END 7/2016)
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr01898
IRS990/FormerOfcrEmployeesListedInd0true
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/FundraisingAmt00
IRS990/FundraisingDirectExpensesAmt00
IRS990/FundraisingGrossIncomeAmt00
IRS990/GainOrLossGrp/OtherAmt0-8031
IRS990/GainOrLossGrp/SecuritiesAmt00
IRS990/GamingActivitiesInd0false
IRS990/GamingDirectExpensesAmt00
IRS990/GamingGrossIncomeAmt00
IRS990/GoverningBodyVotingMembersCnt011
IRS990/GovernmentGrantsAmt017292236
IRS990/GrantAmt05246114
IRS990/GrantsPayableGrp/BOYAmt00

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$816$588$227$1,250$1,158$92.6
2023Detailed filing. Detailed filing data is available for this year.$728$545$183$1,114$1,053$61.3
2022Detailed filing. Detailed filing data is available for this year.$773$599$173$1,095$1,079$16.3
2021Detailed filing. Detailed filing data is available for this year.$950$1,230$280$1,081$970$111
2020Detailed filing. Detailed filing data is available for this year.$309$241$68.1$483$450$32.4
2019Detailed filing. Detailed filing data is available for this year.$320$171$149$475$428$47.0
2018Detailed filing. Detailed filing data is available for this year.$311$176$135$465$418$46.4
2017Detailed filing. Detailed filing data is available for this year.$315$175$141$443$404$39.6
2016Detailed filing. Detailed filing data is available for this year.$224$144$80.2$427$386$41.4
2015Detailed filing. Detailed filing data is available for this year.$195$139$56.2$431$375$56.2
2014Detailed filing. Detailed filing data is available for this year.$186$145$41.1$434$366$67.8
2013Summary only. Only limited summary data is available for this year.$1,053$419$634$462$406$56.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$940$378$562$411
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$801$259$542$434
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$680$258$422$395