Christus Spohn Health System Corpo… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1965

Legal Domicile

Phone

3618813000

Tax Period

2024-07-01 to 2025-06-30

Christus Spohn Health System Corporation, founded in 1965, is a major nonprofit in the Health Care sector that reported $959.8M in total revenue in fiscal year 2024. Expenses of $911.4M left a modest 5% surplus.

Mission

CHRISTUS HEALTH FOLLOWS IN PRINCIPLE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THE SYSTEM HAS ADOPTED AN UNCOMPENSATED CARE POLICY WHERE REVENUE FROM SERVICES PROVIDED TO THE UNINSURED IS RECOGNIZED AT THE TIME OF PAYMENT, RATHER THAN AT THE TIME OF SERVICE. THIS POLICY IS THE RESULT OF A LACK OF REASONABLE ASSURANCE OF COLLECTION FOR SERVICES PROVIDED TO THE UNINSURED DUE TO THE SYSTEM'S HISTORICALLY LOW COLLECTION RATE. MANAGEMENT HAS ESTIMATED THAT THE DIFFERENCE BETWEEN RECORDING REVENUE FROM THE UNINSURED ON A CASH BASIS, RATHER THAN THE ACCRUAL BASIS, IS IMMATERIAL. ACCORDINGLY, ALL ACCOUNTS RECEIVABLE FROM THE UNINSURED HAVE BEEN FULLY RESERVED IN THE ALLOWANCE FOR UNCOMPENSATED CARE.

Program Service Accomplishments

Program 1

Expenses: $176,287,914 Revenue: $395,929,966

STEVEN DANIEL RECEIVED $123,604 IN SEVERANCE IN CALENDAR YEAR 2024. CRAIG DESMOND RECEIVED $222,862 IN SEVERANCE IN CALENDAR YEAR 2024. THOMAS SCHOENIG RECEIVED $48,450 IN SEVERANCE IN CALENDAR YEAR...

Program 2

Expenses: $430,648,547 Revenue: $353,458,867

DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS UNDER A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR 2024: JEFFREY PUCKETT - $2,234,450 DOMINIC DOMINGUEZ - $176,628 CRAIG DESMOND - $46,183 RICHARD MORIN - $43,887 REBECCA RIOS - $40,756 MARGOT RIOS - $40,347 STEPHEN KAZANJIAN - $37,905 OREL EVERETT - $16,080

Program 3

Expenses: $125,706,407 Revenue: $201,766,182

Charity Care and Community Benefit Activity In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS SPOHN Health System Corporation provides charity care services in a manner...

Charity Care and Community Benefit Activity In keeping with the mission, values, and vision of CHRISTUS Health, CHRISTUS SPOHN Health System Corporation provides charity care services in a manner that respects the dignity of the patients and their families. CHRISTUS SPOHN Health System Corporation provides charity care to individuals who are unable to pay for medically necessary services. Charity care includes free or discounted healthcare provided according to the organization's financial assistance policy, which is based on federal poverty guidelines. In FY2025, 32,287 uninsured patients at or below 300% of the Federal Poverty Level (FPL) received care at no cost, while 102 patients between 301% and 400% FPL were charged on a sliding scale and adjusted in compliance with the AGB rates as listed on the entity's financial assistance policy. No patient was refused necessary medical care due to inability to pay. CHRISTUS SPOHN Health System Corporation actively participates in Texas Medicaid programs, which are designed to provide payment for health care services to individuals who meet specific financial and eligibility criteria. These requirements include an evaluation of both assets and income to determine program qualification. CHRISTUS SPOHN Health System Corporation also conducts a variety of community benefit activities to improve health and well-being in the communities it serves. These activities include health education, screenings, subsidized clinical services, research, cash and in-kind donations, and community building. In FY2025, CHRISTUS SPOHN Health System Corporation invested $6,042,203 in community benefit programs, impacting 66,776 individuals.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $2,698,514

Program Service Revenue $951,155,015

Investment Income $-135,586

Other Revenue $6,088,585

TOTAL REVENUE $959,806,528

Expense Breakdown

Grants Paid $423,521

Salaries & Benefits $269,301,357

Fundraising Expenses $726,560

Program Expenses $738,493,550

Other Expenses $641,667,709

TOTAL EXPENSES $911,392,587

Year-over-Year Comparison

	2024	2023	Change
Revenue	$959,806,528	$954,023,323	+0.0%
Expenses	$911,392,587	$969,592,098	-0.1%
Net Income	$48,413,941	$-15,568,775	-4.1%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

3765

Volunteers

275

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,006,650

Total Directors

$8,915,045

Key Employees

$5,027,101

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DOMINIC DOMINGUEZ	Chief Executive Officer	20.0	Officer Director	$0	$25,862	$1,422,069
GABE GUERRA	Director/interim chair/vice chair	16.0	Officer Director	$0	$0	$0
BILL COLSTON JR	DIRECTOR	16.0	Director	$0	$0	$0
DR OREL EVERETT	Chief Medical Officer/Director	40.0	Director	$0	$57,370	$612,921
DR SHAH ISLAM	NCHD Director	16.0	Director	$0	$0	$0
GOVIND NADKARNI	DIRECTOR	16.0	Director	$0	$0	$0
JEFFREY PUCKETT	DIRECTOR	16.0	Director	$0	$56,703	$6,880,055
KIRBY TOWNSEND	DIRECTOR	16.0	Director	$0	$0	$0
SISTER MARY C HENRY	DIRECTOR	16.0	Director	$0	$0	$0
YVONNE HINOJOSA MD	DIRECTOR	16.0	Director	$0	$0	$0
AUDREY WEBBER	SECRETARY	40.0	Officer	$0	$5,717	$62,114
REBECCA B RIOS	Chief Financial Officer	40.0	Officer	$0	$33,268	$522,467
CRAIG DESMOND	President Spohn Hospital Shoreline & Memorial	40.0	Key Emp	$0	$36,224	$377,901
Jeannie Berry	Chief Networking Officer Shoreline	40.0	Key Emp	$0	$2,058	$359,849
KATHY ACUNA	Vice President HUMAN RESOURCES	40.0	Key Emp	$0	$46,950	$361,258
LANELL SCOTT	President Spohn South	40.0	Key Emp	$0	$65,874	$491,347
LAURA GARCIA	Spohn South Chief Networking Officer	40.0	Key Emp	$0	$47,758	$365,931
MARGOT RIOS	Chief Networking Officer Spohn Alice	40.0	Key Emp	$0	$53,664	$337,448
Melinda Soliz	Vice President Human Resources	40.0	Key Emp	$0	$25,221	$180,636
PATRICIA CANO	Vice President PHILANTHROPY	40.0	Key Emp	$0	$36,102	$228,163
RAYMON ACEBO	Chief Marketing Officer SHORELINE	40.0	Key Emp	$0	$53,084	$523,815
Reyaan Ali	Shoreline Vice President Operations	40.0	Key Emp	$0	$26,356	$307,537
Richard Morin	President Alice & Kleberg Hospitals	40.0	Key Emp	$0	$59,268	$468,657
STEPHEN C KAZANJIAN	Vice President MISSION INTEGRATION	40.0	Key Emp	$0	$37,582	$650,748
Steven Daniel	President Surgical Hospital	40.0	Key Emp	$0	$3,623	$220,756
Thomas Schoenig	Associate Chief Information Officer shoreline	40.0	Key Emp	$0	$691	$153,055
CHAD WRIGHT	Director Pharmacy	40.0	Highest	$212,221	$41,869	$254,090
JENNIFER S LINDOG	RN	40.0	Highest	$202,714	$33,537	$236,251
JODEE M KERESTES	Director Strategy	40.0	Highest	$233,295	$18,378	$251,673
MICHELLE REESE	RN	40.0	Highest	$229,327	$5,080	$234,407
MUDER ALKRISAT	PATIENT CARE	40.0	Highest	$231,491	$30,603	$262,094
Cynthia YBANEZ	FORMER SECRETARY (term 12/23)	40.0		$0	$23,839	$94,881
Genifer Rucker	Former President Spohn Beeville (Term 5/22)	0.0		$0	$41,060	$472,660
OSBERT BLOW MD PHD FACS	MD, PHD, FACS/FORMER PRESIDENT/Chief Executive Officer (TERM 12/22)	40.0		$0	$0	$607,681

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$959,806,528	$911,392,587	$817,094,569	$48,413,941
2024	$954,023,323	$969,592,098	$850,014,106	$-15,568,775
2023	$915,432,911	$893,214,241	$830,584,869	$22,218,670
2022	$798,302,750	$817,009,274	$766,801,147	$-18,706,524
2021	$851,584,983	$857,388,398	$744,284,396	$-5,803,415
2020	$811,978,988	$818,299,815	$773,059,009	$-6,320,827
2019	$828,465,280	$819,625,227	$907,784,600	$8,840,053
2018	$826,844,750	$803,942,343	$947,434,923	$22,902,407

Christus Spohn Health System Corporation