Civic Intelligence

Saint Thomas Medical Partners

990 • Fiscal year 2017 • EIN 62-1529858

Jul 01, 2016 to Jun 30, 2017 • Filed on Oct 25, 2017

2000 Church StreetNashville, TN 37236-0001

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

97th percentile

1.36x

Higher debt load relative to assets than 97% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

34th percentile

0.31x

Higher debt load relative to revenue than 34% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

7th percentile

-25%

Higher net margin than 7% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

97th percentile

$3,165,801

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 2.3% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

96th percentile

51%

Faster asset growth than 96% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

95th percentile

117%

Faster revenue growth than 95% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Up

$30,518,427

Up $10,350,898 (+51%) from 2016

Net Assets

Up

-$11,031,647

Up $9,273,317 (+46%) from 2016

Liabilities

Up

$41,550,074

Up $1,077,581 (+2.7%) from 2016

Revenue

Up

$136,019,266

Up $73,338,264 (+117%) from 2016

Expenses

Up

$170,425,709

Up $80,893,507 (+90%) from 2016

Net Income

Down

-$34,406,443

Down $7,555,243 (-28%) from 2016

Historical Trend

Balance Sheet Trend

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

$200M$100M$0-$100MAssets 2010: $19,561,203Liabilities 2010: $45,586,869Net Assets 2010: -$26,025,6662010Assets 2011: $36,970,539Liabilities 2011: $75,540,270Net Assets 2011: -$38,569,7312011Assets 2012: $96,867,893Liabilities 2012: $149,365,876Net Assets 2012: -$52,497,9832012Assets 2013: $115,525,401Liabilities 2013: $194,890,727Net Assets 2013: -$79,365,3262013Assets 2014: $8,309,571Liabilities 2014: $33,826,099Net Assets 2014: -$25,516,5282014Assets 2015: $6,473,197Liabilities 2015: $35,082,186Net Assets 2015: -$28,608,9892015Assets 2016: $20,167,529Liabilities 2016: $40,472,493Net Assets 2016: -$20,304,9642016Assets 2017: $30,518,427Liabilities 2017: $41,550,074Net Assets 2017: -$11,031,6472017Assets 2018: $39,184,799Liabilities 2018: $39,664,640Net Assets 2018: -$479,8412018Assets 2019: $52,726,158Liabilities 2019: $53,687,331Net Assets 2019: -$961,1732019Assets 2020: $98,269,425Liabilities 2020: $97,238,298Net Assets 2020: $1,031,1272020Assets 2021: $114,554,177Liabilities 2021: $114,219,537Net Assets 2021: $334,6402021Assets 2022: $115,794,688Liabilities 2022: $125,029,708Net Assets 2022: -$9,235,0202022Assets 2023: $107,316,147Liabilities 2023: $117,010,075Net Assets 2023: -$9,693,9282023

Highlighted filing

2017

Assets$30,518,427
Liabilities$41,550,074
Net Assets-$11,031,647

Operations Trend

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

$400M$200M$0-$200MExpenses 2010: $38,407,0292010Expenses 2011: $54,996,7062011Expenses 2012: $65,172,5222012Expenses 2013: $74,218,1902013Revenue 2014: $44,896,571Expenses 2014: $62,748,522Net Income 2014: -$17,851,9512014Revenue 2015: $42,818,315Expenses 2015: $60,150,687Net Income 2015: -$17,332,3722015Revenue 2016: $62,681,002Expenses 2016: $89,532,202Net Income 2016: -$26,851,2002016Revenue 2017: $136,019,266Expenses 2017: $170,425,709Net Income 2017: -$34,406,4432017Revenue 2018: $151,779,857Expenses 2018: $168,534,114Net Income 2018: -$16,754,2572018Revenue 2019: $151,067,274Expenses 2019: $198,386,426Net Income 2019: -$47,319,1522019Revenue 2020: $212,450,540Expenses 2020: $319,642,202Net Income 2020: -$107,191,6622020Revenue 2021: $241,664,770Expenses 2021: $347,601,702Net Income 2021: -$105,936,9322021Revenue 2022: $255,107,010Expenses 2022: $358,840,760Net Income 2022: -$103,733,7502022Revenue 2023: $263,422,078Expenses 2023: $374,193,354Net Income 2023: -$110,771,2762023

Highlighted filing

2017

Revenue$136,019,266
Expenses$170,425,709
Net Income-$34,406,443
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Oct 25, 2017
Return Version
2016v3.0
Gross Receipts
$136,019,266
Mission and Program Overview

Mission

Our health ministry is dedicated to spirtually centered, holistic care, which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, Baptist Health Care Group supports the efforts of its hospitals and health facilities providing care to individuals and communities.

Supports the efforts of its health facilities providing care to individuals & communities to improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$9,578,909$10,416,172▲ $837,263
Land, Buildings, and Equipment, Net$3,317,724$9,316,443▲ $5,998,719
Prepaid Expenses and Deferred Charges$3,242,058$3,313,450▲ $71,392
Intangible Assets$649,263$597,799▼ $51,464
Cash and Non-Interest-Bearing Accounts$2,034,946$206,210▼ $1,828,736
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0--
Total Assets$20,167,428$30,518,427▲ $10,350,999
Other Assets Total$1,344,528$6,668,353▲ $5,323,825
Liabilities
Other Liabilities$28,565,765$23,799,944▼ $4,765,821
Accounts Payable and Accrued Expenses$11,812,485$17,268,825▲ $5,456,340
Deferred Revenue$94,143$481,305▲ $387,162
Total Liabilities$40,472,393$41,550,074▲ $1,077,681
Net Assets / Fund Balance
Unrestricted Net Assets$-20,304,965$-11,031,647▲ $9,273,318
Total Net Assets Fund Balance$-20,304,965$-11,031,647▲ $9,273,318
Total Liabilities and Net Assets / Fund Balance$20,167,428$30,518,427▲ $10,350,999

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$4,051,962$887,708$4,939,670
Equipment$2,514,231$1,442,961$3,957,192
Other Land Buildings$2,432,012-$2,432,012
Buildings$318,238$764,147$1,082,385
Other Assets Org$15,342--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-PhysicianFT$688,204$403,505$1,091,709
-Chief Medical OfficerFT$235,661$253,508$489,169
-COOFT$207,213$67,368$274,581
-CFO (end 3/2017)PT$173,922$69,752$243,674

Board Members and Trustees

NameTitle
-Chairman
-Board Member & President/CEO Sthe
-Vice-chairman
-Board Member
-Board Member (end 12/2016)
-CEO
-CFO (end 10/2016)
-CFO (start 5/2017)
-Former Officer (end 3/2016)
-Former Officer (end 4/2012)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Nashville Medical GroupPhysician Services300 20TH AVE NORTH, SUITE 503, Nashville, TN 37203$10,746,469
Sumner Medical Group PllcPhysician Services300 STEAM PLANT ROAD, SUITE 300, Gallatin, TN 37066-3089$2,717,052
The Surgical Clinic PllcPhysician Services356 24TH AVE N, SUITE 300, Nashville, TN 37203-1569$438,488
Whitaker Medical LLCPhysician Recruiting Services10375 RICHMOND AVE, SUITE 1700, Houston, TX 77042$380,743
Cameron Tucker StaffingRecruiting Services401 COMMERCE STREET SUITE 110, Nashville, TN 37219$313,897
Revenue and Support

Revenue Composition

Contributions and Grants
$395,630
Program Service Revenue
$134,000,800
Investment Income
$-11,039
Other Revenue
$1,633,875
Change in Net Assets
$-34,406,443
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$107,104,067
Other Expenses$63,321,642
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$71,404,851$17,851,213-$89,256,064
Fees for Services Other$27,334,755$6,833,689$0$34,168,444
Other Employee Benefits$6,901,443$1,725,361-$8,626,804
Payroll Taxes$3,946,760$986,690-$4,933,450
Occupancy$2,943,613$732,303-$3,675,916
Pension Plan Contributions$2,624,260$656,065-$3,280,325
Insurance$1,992,918$498,230-$2,491,148
Office Expenses$1,323,734$330,933-$1,654,667
All Other Expenses$1,098,893$199,635$0$1,298,528
Information Technology$827,304$206,826-$1,034,130
Current Officers, Directors, Trustees, and Key Employees$805,939$201,485-$1,007,424
Depreciation Depletion$748,498$187,125-$935,623
Other Expenses$468,671$117,168-$585,839
Travel$257,567$64,392-$321,959
Conferences and Meetings$235,226$58,806-$294,032
Advertising$48,893$12,223-$61,116
Fees for Services Management$4,001$1,000-$5,001
Fees for Services Legal$3,532$883-$4,415
Fees for Services Accounting$2,851$713-$3,564
Total Functional Expenses$136,403,517$34,022,192$0$170,425,709
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
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0--
Receivables from Disqualified Persons$0--
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Self Insurance$21,357,849
intra/intercompany accounts payable$1,473,512
Pension and Other Post retirement Liability$968,583
Ascension Health Retirement Plan-
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
Yes
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 was 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 4 Significant changes to organizational documents

The articles of incorporation for saint thomas medical partners were amended, effective january 2017 for a change in corporate membership. The single corporate member changed from saint thomas network to ascension medical group, llc.

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

Saint thomas medical partners has a single corporate member, ascension medical group, llc.

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

Saint thomas medical partners has a single corporate member, ascension medical group, llc, who has the ability to elect members to the governing body of saint thomas medical partners.

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

All decisions that have a material impact to Saint Thomas Medical Partners' financial information or corporation as a whole are subject to approval by its sole corporate member Ascension Medical Group, LLC.

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 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 VIII, Line 2F Other Program Service Revenue

Misc Revenue - Total Revenue: 107615, Related or Exempt Function Revenue: 107615, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Saint Thomas Medical Partners
EIN
62-1529858
Phone
3147338000
Address
2000 Church Street, Nashville, TN 37236-0001

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2017-10-25

Organization Details

Formed
1993
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
12
Employees
797
Volunteers
12
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Professional Fees - Total Expense: 34168444, Program Service Expense: 27334755, Management and General Expenses: 6833689, Fundraising Expenses: ;

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

Net Asset Trans to From Alpha - 44057835; Pension Cost - -378074;

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

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

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

SAINT THOMAS MEDICAL PARTNERS 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.

Schedule A, Part I Reason for Public Charity Status

Saint Thomas Medical Partners is exempt as a Hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however, it is not a hospital as defined by Form 990, Schedule H Instructions.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2017.

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IRS990/Desc0SAINT THOMAS MEDICAL PARTNERS, AN AFFILIATE OF SAINT THOMAS MIDTOWN HOSPITAL, IS A GROUP OF MULTI-SPECIALTY PHYSICIANS DEDICATED TO PROVIDING THE COMMUNITY WITH THE HIGHEST POSSIBLE QUALITY MEDICAL CARE. THE GROUP SPECIALTIES INCLUDE INTERNAL MEDICINE, FAMILY PRACTICE, NEUROLOGY, GASTROENTEROLOGY, PULMONARY DISEASE AND CARDIOLOGY. THROUGHOUT THE HISTORY OF THE PRACTICE, WE HAVE CONTINUED TO OFFER OUR PATIENTS THE LATEST IN MEDICAL TECHNOLOGY; WE HAVE EXPANDED OUR MEDICAL KNOWLEDGE, AND WE HAVE TRAINED IN THE LATEST DIAGNOSTIC AND TREATMENT TECHNIQUES. OUR NUMBER ONE PRIORITY IS TO PROVIDE OUR PATIENTS AND THEIR FAMILIES WITH OUTSTANDING MEDICAL CARE.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$107$117$9.69$263$374$111
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$116$125$9.24$255$359$104
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$115$114$0.33$242$348$106
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$98.3$97.2$1.03$212$320$107
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$52.7$53.7$0.96$151$198$47.3
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$39.2$39.7$0.48$152$169$16.8
2017Detailed filing. Detailed filing data is available for this year.$30.5$41.6$11.0$136$170$34.4
2016Detailed filing. Detailed filing data is available for this year.$20.2$40.5$20.3$62.7$89.5$26.9
2015Detailed filing. Detailed filing data is available for this year.$6.47$35.1$28.6$42.8$60.2$17.3
2014Detailed filing. Detailed filing data is available for this year.$8.31$33.8$25.5$44.9$62.7$17.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$116$195$79.4$74.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$96.9$149$52.5$65.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$37.0$75.5$38.6$55.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.6$45.6$26.0$38.4
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2017 filings • 501(c)3 • $100M-$250M nonprofits