Saint Thomas Health

Nonprofit profile at a glance

EIN
581716804
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
St Louis, MO, USA
Phone
3147338000
Rating
56
Verdict
MIXED
Rating confidence
Moderate
Sector
Community Health Systems

Reported finances

Revenue
$109,680,912
Expenses
$112,054,952
Assets
$72,683,987
Liabilities
$35,283,940

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

26 people listed

Executive titles in this filing

  • FAHAD TAHIR (PRESIDENT/CEO, MINISTRY MARKET)
  • GORDON B FERGUSON (PRESIDENT, RUTHERFORD)
  • PATRICK NEAL KELLEY MD (PRESIDENT, RIVER PARK)
  • SHUBHADA JAGASIA (PRESIDENT, WEST)

Highest reported compensation

  • TIMOTHY PAUL ADAMS (FORMER OFFICER (END 1/2023)): $3,550,839 total reported compensation
  • FAHAD TAHIR (PRESIDENT/CEO, MINISTRY MARKET): $1,998,851 total reported compensation
  • LISA RENEE DAVIS (FORMER OFFICER (END 11/2022)): $1,557,249 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2024

The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. SAINT THOMAS HEALTH IS THE PARENT OF A twelve HOSPITAL HEALTH SYSTEM (including consolidated joint venture hospitals) 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.

Operating model

Revenue model
Other-operating. 97% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 96% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

MIXED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 42
  • Transparency & Controls: 76
  • Accountability: 74
  • Sustainability: 23
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 47.8%; rating input score 48
  • Program expense ratio: 46.8%; rating input score 47
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 99.6%; rating input score 100; 42nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 78.6%; rating input score 79; 27th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -2.2%; rating input score 18; 18th percentile among comparable filings
  • Total-asset coverage ratio: 0.65; rating input score 25; 25th percentile among comparable filings
  • Liabilities to assets ratio: 0.49; rating input score 37; 37th percentile among comparable filings
  • Officer compensation ratio: 3.9%; rating input score 26; 26th percentile among comparable filings

Growth

  • Program expense growth: -11.7% per year; rating input score 0; 1st percentile among comparable filings
  • Revenue growth: -2.9% per year; rating input score 0; 2nd percentile among comparable filings
  • Asset growth: -16.1% per year; rating input score 0; 1st percentile among comparable filings

Details

  • Where the money goes: 47.8% of revenue deployed · 46.8% of spending went to programs
  • Governance: 11 of 14 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $52.5M in reported program spending
  • Leadership: top reported pay $3.6M · 26 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3M reported
  • Consistency: 37 of 37 current checks pass
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • Related organizations: 382 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Financial Efficiency: Mission deployment rate scored 48/100.
  • Moderate — Financial Efficiency: Program expense ratio scored 47/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 18/100.
  • High — Sustainability: Total-asset coverage ratio scored 25/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 26/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 37/100.