Saint Thomas Health

Also known as See Sch O

St Louis, MO · EIN 58-1716804 · 501(c)(3) · Supporting organization (509(a)(3))
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Saint Thomas Health reported $109.7 million in revenue and $112.1 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $46.82 went to program services, $53.18 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 94.1% of the total. The highest compensation it reported for one person was $3,550,839 (FORMER OFFICER (END 1/2023)). 96 people received more than $100,000 in reportable compensation. Revenue fell 51% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $112M

Program services$46.82 $52M
Management & general$53.18 $60M
Fundraising$0.00 $0

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $110M

Contributions & grants (non-government)$0.30 $328K
Government grants$0.66 $727K
Program service revenue$94.13 $103M
Other revenue$4.91 $5.4M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
Measure	FY2025	Median
Program services Part IX 25(B) ÷ 25(A)	46.8%	85.6%
Management & general Part IX 25(C) ÷ 25(A)	53.2%	13.7%
Fundraising Part IX 25(D) ÷ 25(A)	0.0%	0.0%
Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h	$0.00	$0.00
Contributions & grants share of revenue Part VIII 1h ÷ 12	1.0%	1.3%
Government grants share of revenue Part VIII 1e ÷ 12	0.7%	0.1%
Program service revenue share Part VIII 2g ÷ 12	94.1%	93.7%
Highest reported compensation Part VII-A, columns D–F	$3,550,839	$975,831
Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A)	3.17%	1.34%
People paid over $100,000 Part VII, line 2	96	27
Net assets, in months of expenses Part X 33(B) ÷ monthly expenses	4.0	6.6
Independent voting board members Part VI 1a–1b	11 of 14	88.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense

$52M expenses · 100.0% of program spending · grants $2.1M · revenue $106M

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…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here

Role	From this org	From related orgs	Other	Total
FORMER OFFICER (END 1/2023) Former, 0.0 hrs/week	$0	$3,481,746	$69,093	$3,550,839
PRESIDENT/CEO, MINISTRY MARKET Director/trustee, officer, 0.0 hrs/week	$0	$1,935,347	$63,504	$1,998,851
FORMER OFFICER (END 11/2022) Former, 0.0 hrs/week	$0	$1,516,312	$40,937	$1,557,249
FORMER OFFICER (END 12/2020) Former, 0.0 hrs/week	$0	$1,262,616	$51,565	$1,314,181
PRESIDENT, WEST Highest compensated employee, 50.0 hrs/week	$1,015,789	$0	$30,392	$1,046,181
CFO, MINISTRY MARKET Officer, 0.0 hrs/week	$0	$962,523	$58,336	$1,020,859
PRESIDENT, RUTHERFORD Highest compensated employee, 50.0 hrs/week	$906,570	$0	$42,921	$949,491
PRESIDENT, RIVER PARK Highest compensated employee, 50.0 hrs/week	$559,423	$0	$55,236	$614,659

96 people received more than $100,000 in reportable compensation from Saint Thomas Health (Part VII, line 2). Compensation of current officers, directors and key employees totaled $618K (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked

RevenueExpenses

Filing	Revenue	Expenses	Programs	Net assets	Top pay
FY2025 ⓘ	$110M	$112M	46.8%	$37M	$3,550,839
FY2024 ⓘ	$118M	$120M	45.5%	$42M	$3,067,923
FY2023 ⓘ	$194M	$173M	41.6%	$72M	$3,921,283
FY2022 ⓘ	$241M	$264M	63.5%	$47M	$4,697,662
FY2021 ⓘ	$234M	$229M	65.8%	$51M	$4,300,164
FY2020 ⓘ	$222M	$225M	67.4%	$2.5M	$3,327,545

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means

Voting board members, and how many are independent Part VI, lines 1a–1b14 · 11 independent
Audited financial statements Part XII 2bYes
Conflict-of-interest policy Part VI 12aYes
Whistleblower policy Part VI 13Yes
Document retention policy Part VI 14Yes
Independent process for top executive pay Part VI 15aNo
Board given the 990 before filing Part VI 11aNo
Family or business ties among insiders Part VI 2No
Aware of a significant diversion of assets Part VI 5No
Excess benefit transaction with an insider Part IV 25aNo
Loans to or from insiders outstanding Part IV 26No
Lobbying, or a 501(h) election in effect Part IV 4Yes
Over $15,000 of professional fundraising services Part IV 18No
Over $10,000 of activity outside the U.S. Part IV 14bNo
Employees Part I, line 51,102
Volunteers Part I, line 611

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only

MIDDLE TN EMERGENCY PHYSICIANS PC Physician services	$1,104,347
MEDSPEED LLC Courier service	$745,232
EMPACTFUL ADVISORS LLC Consulting services	$476,583
THE SURGICAL CLINIC PLLC Physician services	$390,560
EXECUTIVE CONSULTING GROUP LLC Consulting services	$300,000

Individuals listed as contractors are left out. 9 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from Saint Thomas Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Saint Thomas Health, you can publish a response that is linked from this page.

Report a correction Respond as Saint Thomas Health How this works

Similar-sized charities in this cause

Endeavor Health
Arlington Heights, IL · revenue $110M · programs 91.9% · 2024
Conway Community Services
Little Rock, AR · revenue $110M · programs 91.4% · 2024
Great Lakes Bay Health Centers
Saginaw, MI · revenue $109M · programs 84.2% · FY2025
Benefis Medical Group
Great Falls, MT · revenue $110M · programs 100.0% · 2024
Garnet Health Medical Center - Catskills
Harris, NY · revenue $109M · programs 86.1% · 2024

All health care charities · Largest charities in Missouri

Questions people ask

How much of Saint Thomas Health's spending goes to programs?

In the fiscal year ending June 30, 2025, Saint Thomas Health reported that 46.8% of its $112.1 million in expenses went to program services, 53.2% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Saint Thomas Health pay its top executive?

The largest total compensation Saint Thomas Health reported for one person in the fiscal year ending June 30, 2025 was $3,550,839, for the role of FORMER OFFICER (END 1/2023) (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Saint Thomas Health get its money?

Of $109.7 million in revenue in the fiscal year ending June 30, 2025, 1.0% came from contributions and grants (including 0.7% from government grants) and 94.1% from program service revenue (Form 990, Part VIII).

Is Saint Thomas Health a registered charity?

The IRS lists EIN 58-1716804 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202641329349307429 · read the filing
FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202531339349304843 · read the filing
FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411359349308496 · read the filing
FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202331359349310493 · read the filing
FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201349349301605 · read the filing
FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202111329349304546 · read the filing

All filings for EIN 58-1716804: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.