Civic Intelligence

Saint Thomas Midtown Hospital

990 • Fiscal year 2014 • EIN 62-1869474

Jul 01, 2013 to Jun 30, 2014 • Filed on May 13, 2015

4220 Harding RoadSaint Louis, MO 37205

(615) 284-5555

Siviq Scores

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

Liabilities / Assets

99th percentile

1.59x

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

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

62nd percentile

0.72x

Higher debt load relative to revenue than 62% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

63rd percentile

9.7%

Higher net margin than 63% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

86th percentile

$1,928,480

Higher top officer pay than 86% of similar nonprofits.

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

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Asset Growth

1st percentile

-52%

Faster asset growth than 1% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

19th percentile

-3.2%

Faster revenue growth than 19% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Assets

Down

$184,862,653

Down $199,708,283 (-52%) from 2013

Net Assets

Down

-$109,080,980

Down $215,476,374 (-203%) from 2013

Liabilities

Up

$293,943,633

Up $15,768,091 (+5.7%) from 2013

Revenue

Down

$407,812,862

Down $13,366,007 (-3.2%) from 2013

Expenses

Down

$368,138,507

Down $14,512,526 (-3.8%) from 2013

Net Income

Up

$39,674,355

Up $1,146,519 (+3.0%) from 2013

Historical Trend

Balance Sheet Trend

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

$400M$200M$0-$200MAssets 2010: $318,197,361Liabilities 2010: $301,321,648Net Assets 2010: $16,875,7132010Assets 2011: $326,411,562Liabilities 2011: $295,646,669Net Assets 2011: $30,764,8932011Assets 2012: $354,479,489Liabilities 2012: $287,495,518Net Assets 2012: $66,983,9712012Assets 2013: $384,570,936Liabilities 2013: $278,175,542Net Assets 2013: $106,395,3942013Assets 2014: $184,862,653Liabilities 2014: $293,943,633Net Assets 2014: -$109,080,9802014Assets 2015: $186,905,260Liabilities 2015: $300,549,057Net Assets 2015: -$113,643,7972015Assets 2016: $195,899,818Liabilities 2016: $292,532,580Net Assets 2016: -$96,632,7622016Assets 2017: $196,211,575Liabilities 2017: $349,406,253Net Assets 2017: -$153,194,6782017Assets 2018: $201,854,304Liabilities 2018: $342,147,117Net Assets 2018: -$140,292,8132018Assets 2019: $235,161,863Liabilities 2019: $337,568,356Net Assets 2019: -$102,406,4932019Assets 2020: $238,882,515Liabilities 2020: $379,302,036Net Assets 2020: -$140,419,5212020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2014

Assets$184,862,653
Liabilities$293,943,633
Net Assets-$109,080,980

Operations Trend

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

$600M$400M$200M$0Expenses 2010: $360,174,7122010Revenue 2011: $399,249,239Expenses 2011: $381,037,607Net Income 2011: $18,211,6322011Expenses 2012: $396,370,8252012Revenue 2013: $421,178,869Expenses 2013: $382,651,033Net Income 2013: $38,527,8362013Revenue 2014: $407,812,862Expenses 2014: $368,138,507Net Income 2014: $39,674,3552014Revenue 2015: $439,008,603Expenses 2015: $390,825,095Net Income 2015: $48,183,5082015Revenue 2016: $453,192,409Expenses 2016: $399,840,918Net Income 2016: $53,351,4912016Revenue 2017: $467,638,373Expenses 2017: $412,933,676Net Income 2017: $54,704,6972017Revenue 2018: $462,072,232Expenses 2018: $424,958,936Net Income 2018: $37,113,2962018Revenue 2019: $477,088,362Expenses 2019: $422,524,863Net Income 2019: $54,563,4992019Revenue 2020: $473,119,164Expenses 2020: $430,473,448Net Income 2020: $42,645,7162020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021

Highlighted filing

2014

Revenue$407,812,862
Expenses$368,138,507
Net Income$39,674,355
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 13, 2015
Return Version
2013v4.0
Gross Receipts
$420,476,803
Mission and Program Overview

Mission

Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.

Our Catholic Ministry is dedicated to spiritually centered, holistic care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$121,605,415$116,877,207▼ $4,728,208
Accounts Receivable$39,429,571$46,026,800▲ $6,597,229
Intangible Assets$7,302,697$6,497,112▼ $805,585
Inventories for Sale or Use$4,557,436$5,336,567▲ $779,131
Prepaid Expenses and Deferred Charges$351,561$1,402,204▲ $1,050,643
Investments Program Related$980,399$938,221▼ $42,178
Cash and Non-Interest-Bearing Accounts$2,127$2,326▲ $199
Total Assets$384,570,936$184,862,653▼ $199,708,283
Other Assets Total$210,341,730$7,782,216▼ $202,559,514
Liabilities
Other Liabilities$250,229,765$268,870,887▲ $18,641,122
Accounts Payable and Accrued Expenses$26,819,092$22,353,031▼ $4,466,061
Deferred Revenue$1,126,685$2,719,715▲ $1,593,030
Total Liabilities$278,175,542$293,943,633▲ $15,768,091
Net Assets / Fund Balance
Permanently Rstr Net Assets-$0-
Temporarily Rstr Net Assets-$0-
Unrestricted Net Assets$106,395,394$-109,080,980▼ $215,476,374
Total Net Assets Fund Balance$106,395,394$-109,080,980▼ $215,476,374
Total Liabilities and Net Assets / Fund Balance$384,570,936$184,862,653▼ $199,708,283

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$79,803,701$200,351,029$280,154,730
Buildings$20,767,934$50,944,448$71,712,382
Equipment$5,955,532$49,281,228$55,236,760
Land$10,147,749-$10,147,749
Leasehold Improvements$202,291$306,854$509,145

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$457,351$542▲ $94,297$4,642$547,548
2012$258,652$150,943▲ $58,940$11,184$457,351
2011$278,117$260▼ $10,597$9,128$258,652
2010$255,655$275▲ $42,030$19,843$278,117
2009$242,858$1,597▲ $34,124$22,924$255,655
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Retty Thomas-Mattu MDPhysicianFT$377,322$83,596$460,918
Geoffrey Smallwood MDPhysicianFT$347,894$37,417$385,311
Daniel Carmody MDPhysicianFT$339,571$40,882$380,453
Dana Bannerman MDPhysicianFT$339,523$38,091$377,614
Naved Mohyuddin Jr MDPhysicianFT$334,088$42,846$376,934
Renee KesslerCOO (end 6/14)FT$287,397$77,995$365,392
Jennifer ElliotCNO/VP Clinical Opert.(beg 6/14)FT$189,626$21,935$211,561

Board Members and Trustees

NameTitle
James BeardenChairman
Bernard SherryPresident/CEO
Michael Schatzlein MDPresident/CEO STHe
Clark BakerVice-Chairman
Craig PolkowVice-Chairman & CFO STHe
Brian Wilcox MDBoard Member
John Jay Williams MDBoard Member
Lee MossBoard Member
Patrick R ShepherdBoard Member
Randy LaszewskiBoard Member
Robert Dray MDBoard Member
Scott Standard MDBoard Member
Sister Dinah White DCBoard Member
Thom Rainer MDBoard Member
William AndersonBoard Member
Mark Peacock MDBoard Member (beg 1/14)
Mark Peters MDBoard Member (beg 11/13)
Samar AliBoard Member (beg 7/13)
Steve Schwab MDBoard Member (beg 7/13)
Mark Marsden MDBoard Member (end 11/13)
Robert Hutton MDBoard Member (end 12/13)
Mary Falls EsqSecretary STH Board
Anthony HeardTreasurer STH Board
Pam HessCFO (beg 6/14)
Don KingCOO (beg 6/14)
Alan StraussFormer EVP/CFO
Wesley LittrellFormer Sec/Treasurer
Karen SpringerSec/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$868,322
Program Service Revenue
$391,044,216
Investment Income
$-8,938
Other Revenue
$15,909,262
Change in Net Assets
$39,674,355

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$868,322Cost/Selling Price
Total Noncash Contributions1$868,322-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$251,671,854
Salaries, Compensation, and Employee Benefits$115,568,898
Grants and Similar Amounts Paid$897,755
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$82,819,338$9,202,149-$92,021,487
Fees for Services Management$54,787,308$9,668,348-$64,455,656
Fees for Services Other$38,227,176$4,247,464-$42,474,640
Depreciation Depletion$14,929,972$1,658,886-$16,588,858
Other Employee Benefits$12,739,795$1,415,533-$14,155,328
Interest$7,007,870$778,652-$7,786,522
Payroll Taxes$6,072,083$674,676-$6,746,759
All Other Expenses$5,238,357$582,039-$5,820,396
Occupancy$5,048,023$560,892-$5,608,915
Pension Plan Contributions$1,803,202$200,356-$2,003,558
Other Expenses$960,460$106,718$0$1,067,178
Grants to Domestic Orgs$897,755--$897,755
Office Expenses$756,022$84,002-$840,024
Current Officers, Directors, Trustees, and Key Employees$577,589$64,177-$641,766
Insurance$344,383$38,265-$382,648
Information Technology$206,085$22,898-$228,983
Conferences and Meetings$55,108$6,123-$61,231
Travel$50,505$5,612-$56,117
Advertising$25,491$2,832-$28,323
Fees for Services Lobbying$8,444$938-$9,382
Fees for Services Legal-$359-$359
Fees for Services Accounting-$-53,019-$-53,019
Total Functional Expenses$338,736,939$29,401,568$0$368,138,507
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
62-1284994-501(c)(3)Donation to Clinic.$709,655
62-0811413-501(c)(3)Provide funds to support persons experiencing homelessness.$62,500
43-1601329-501(c)(3)Provide funds to help prevent infant mortality, child abuse and neglect.$55,000
26-0829468-501(c)(3)Provide funds for dental care and support for the Medical Missions at Home events in West Nashville.$31,000
62-1567615-501(c)(3)Provide funds for oral health care and oral health education for underprivileged.$21,600
62-1164825-501(c)(3)Provide funds to help women and families make health choices regarding pregnancies.$10,000
35-0867980-501(c)(3)Provide funds to the United Ways' South Nashville Family Resource Center.$8,000
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Debt to Ascension Health$241,719,652
Intercompany Payables$10,837,161
Est Settlements to Third Party Payors$6,591,067
Self-Insurance Liability$4,009,115
Misc. Noncurrent Liabilities$2,386,686
Pension and Other Post Retirement Liab$1,571,837
AH Savings Plan Liablity$1,149,813
Physician Guarantee Liability$591,932
Deferred Rent Liability$13,624
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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, Section A, line 2

Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Saint Thomas Health entity boards.

Form 990, Part VI, Section A, line 6

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

Form 990, Part VI, Section A, line 7A

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

Form 990, Part VI, Section A, line 7B

All decisions that have a material impact to Saint Thomas Midtown Hospital 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 designated 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, Section B, line 11

Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.

Form 990, Part VI, Section B, line 12C

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, 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, Section B, line 15

In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of Saint Thomas Midtown Hospital, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO 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 committee minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers or key employees of the organization, the process, performed by Saint Thomas Health, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.

Form 990, Part VI, Section C, line 19

The organization will provide any documents open to public inspection upon request.

Form 990, Part VII, Section B

Independent Contractor Reporting Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.

Filing and Contact Details

Filer

EIN
62-1869474
Phone
6152845555

Signing Officer

Name
Craig Polkow
Title
CFO-Saint Thomas Health
Phone
6152845555
Signed
2015-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Schatzlein
Formed
1941
Legal Domicile
Tn
Voting Board Members
19
Independent Board Members
18
Employees
2,290
Volunteers
176

Preparer

Preparer
Alicia Janisch
Phone
5137847100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Dietary Purchase Services - Labor, Supplies, Other: Program service expenses 9,357,970. Management and general expenses 1,039,774. Fundraising expenses 0. Total expenses 10,397,744. Laundry Purchase Services - Labor, Supplies, Other: Program service expenses 1,189,740. Management and general expenses 132,193. Fundraising expenses 0. Total expenses 1,321,933. Medical Purchased Services - Labor, Equipment Rent, Other: Program service expenses 12,829,169. Management and general expenses 1,425,463. Fundraising expenses 0. Total expenses 14,254,632. TriMedx Purchased Services - Labor and Other: Program service expenses 6,659,195. Management and general expenses 739,911. Fundraising expenses 0. Total expenses 7,399,106. Other Purchase Services - Accounting/Billing/HR/Info Systems/Printing Copy: Program service expenses 1,125,978. Management and general expenses 125,109. Fundraising expenses 0. Total expenses 1,251,087. Physician Contracted Services: Program service expenses 7,065,124. Management and general expenses 785,014. Fundraising expenses 0. Total expenses 7,850,138.

Form 990, Part XI, line 9:

Deferred Pension Cost -99,313. Transfer to/from Affiliates -255,051,416.

Financial Statement Notes

Part X, Line 2:

From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Saint Thomas Midtown Hospital: 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, 2014.

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