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Nonprofiteer
← CHRISTUS SANTA ROSA FAMILY HEALTH CENTER

Form 990 for tax year 2024

Filed by CHRISTUS SANTA ROSA FAMILY HEALTH CENTER.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$0

Listed in Part VII

  • Dominic J Dominguez

    SVP STX Region

    Total calculated
    $1,422,069
    From this org
    $0
    From related orgs
    $1,396,207
    Other
    $25,862
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $794,703 related
    Bonus
    not reported + $423,801 related
    Other
    not reported + $177,703 related
    Deferred
    not reported + $15,678 related
    Nontaxable benefits
    not reported + $10,184 related
    Filer's total
    not reported + $1,422,069 related

  • GRANT WICKLUND

    CSR CEO

    Total calculated
    $964,624
    From this org
    $0
    From related orgs
    $913,448
    Other
    $51,176
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $574,486 related
    Bonus
    not reported + $253,087 related
    Other
    not reported + $85,875 related
    Deferred
    not reported + $44,603 related
    Nontaxable benefits
    not reported + $6,573 related
    Filer's total
    not reported + $964,624 related

  • STEPHANIE PARKER

    PRES/CEO CSRHS (THRU 08/2023)

    Total calculated
    $848,262
    From this org
    $0
    From related orgs
    $798,890
    Other
    $49,372
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $103,462 related
    Bonus
    not reported
    Other
    not reported + $695,428 related
    Deferred
    not reported + $13,801 related
    Nontaxable benefits
    not reported + $35,571 related
    Filer's total
    not reported + $848,262 related

  • CHARLES HANKINS MD

    DIRECTOR/CHAIR (THRU 12/22)

    Total calculated
    $626,808
    From this org
    $0
    From related orgs
    $626,808
    Other
    $0
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported
    Bonus
    not reported
    Other
    not reported + $626,808 related
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $626,808 related

  • DERRICK CUENCA

    CSR PRES

    Total calculated
    $538,722
    From this org
    $0
    From related orgs
    $518,006
    Other
    $20,716
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $394,643 related
    Bonus
    not reported + $50,000 related
    Other
    not reported + $73,363 related
    Deferred
    not reported + $15,885 related
    Nontaxable benefits
    not reported + $4,831 related
    Filer's total
    not reported + $538,722 related

  • MANICA ISIGUZO MD

    CSR CMO (AS OF 07/2024)

    Total calculated
    $448,943
    From this org
    $0
    From related orgs
    $413,520
    Other
    $35,423
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $311,461 related
    Bonus
    not reported + $101,609 related
    Other
    not reported + $450 related
    Deferred
    not reported + $23,627 related
    Nontaxable benefits
    not reported + $11,796 related
    Filer's total
    not reported + $448,943 related

  • JAMES HENDERSON MD

    President/CEO

    Total calculated
    $393,678
    From this org
    $0
    From related orgs
    $343,003
    Other
    $50,675
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $328,624 related
    Bonus
    not reported + $2,510 related
    Other
    not reported + $11,869 related
    Deferred
    not reported + $38,662 related
    Nontaxable benefits
    not reported + $12,013 related
    Filer's total
    not reported + $393,678 related

  • JOSE HINOJOSA MD

    Secretary (THRU 06/2021)

    Total calculated
    $390,732
    From this org
    $0
    From related orgs
    $340,162
    Other
    $50,570
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $242,122 related
    Bonus
    not reported + $10,082 related
    Other
    not reported + $87,958 related
    Deferred
    not reported + $38,969 related
    Nontaxable benefits
    not reported + $11,601 related
    Filer's total
    not reported + $390,732 related

  • CHRISTINE CRISCUOLO-HIGGINS MD

    DIRECTOR

    Total calculated
    $347,607
    From this org
    $0
    From related orgs
    $295,699
    Other
    $51,908
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $257,719 related
    Bonus
    not reported + $12,971 related
    Other
    not reported + $25,009 related
    Deferred
    not reported + $24,799 related
    Nontaxable benefits
    not reported + $27,109 related
    Filer's total
    not reported + $347,607 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Supplemental Compensation Information
FORM 990, SCHEDULE J DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. OFFICERS AND HIGHEST PAID EMPLOYEES ARE FULL-TIME EMPLOYEES. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. JAMES HENDERSON, MD, JOSE HINOJOSA, MD, AND CHRISTINE CRISCUOLO-HIGGINS, MD RECEIVE NO COMPENSATION AS DIRECTORS. THEY ARE EMPLOYED BY RELATED ORGANIZATIONS AND ANY COMPENSATION REPORTED IS FOR THEIR WORK IN CLINICS OWNED AND/OR OPERATED BY SANTA ROSA FAMILY HEALTH CENTER. TIME SERVED AS DIRECTORS AVERAGES ONE HOUR OR LESS PER WEEK.
SUPPLEMENTAL COMPENSATION INFORMATION
FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING CEO/EXECUTIVE DIRECTOR COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS A BI-ANNUAL COMPENSATION SURVEY.
SUPPLEMENTAL COMPENSATION INFORMATION
FORM 990, SCHEDULE J, PART I, QUESTION 4B AND PART II,COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETENTION AND RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
FORM 990, SCHEDULE J, PART I, QUESTION 4B 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.
FORM 990, SCHEDULE J, PART II
W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
SCHEDULE J, PART II, COLUMN B(II)
BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2024. NONE
FORM 990, SCHEDULE J, PART I, LINE 4A
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: CHARLES HANKINS: $612,482 STEPHANIE PARKER: $404,069

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
15 May 2026
IRS schema version
2024v5.2
Source object
202601269349303185

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