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← CHRISTUS SANTA ROSA FAMILY HEALTH CENTER

Form 990 for tax year 2023

Filed by CHRISTUS SANTA ROSA FAMILY HEALTH CENTER.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$20,516,667
Total liabilities, end of year
-$16,563
Net assets or fund balances, end of year
$20,533,230
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$0

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year -$1,147 · end of year -$1,147

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $20,517,814 · end of year $20,517,814

  • 17 · Accounts payable and accrued expenses

    beginning of year -$16,563 · end of year -$16,563

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $20,533,230 · end of year $20,533,230

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

SANTA ROSA FAMILY HEALTH CENTER IS ORGANIZED TO EXCLUSIVELY CARRY OUT ONE OR MORE OF THE FOLLOWING PURPOSES: DELIVERING HEALTH CARE TO THE PUBLIC; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF MEDICAL SCIENCE, PUBLIC HEALTH, AND HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; CONDUCTING SCIENTIFIC RESEARCH AND RESEARCH PROJECTS IN THE PUBLIC INTEREST IN THE FIELDS OF MEDICAL SCIENCES, MEDICAL ECONOMIES, PUBLIC HEALTH, SOCIOLOGY, AND RELATED AREAS; SUPPORTING MEDICAL EDUCATION IN THE MEDICAL SCHOOLS THROUGH GRANTS AND SCHOLARSHIPS; IMPROVING AND DEVELOPING THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS STUDYING, TEACHING AND PRACTICING MEDICINE AND THE INSTITUTIONS THEY SERVE; AND CONDUCTING OTHER ACTIVITIES USEFUL OR APPROPRIATE TO THE ACCOMPLISHMENT OF THE FOREGOING PURPOSES.

Activities or mission (Part I)

SANTA ROSA FAMILY HEALTH CENTER SPONSORS THE FAMILY PRACTICE RESIDENCY PROGRAM. THE PROGRAM TRAINS RESIDENTS TO WORK IN FAMILY PRACTICE IN UNDERSERVED, RURAL AREAS.

  • SANTA ROSA FAMILY HEALTH CENTER IS A NONPROFIT CORPORATION WHOSE SOLE CORPORATE MEMBER IS CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. SANTA ROSA FAMILY HEALTH CENTER SPONSORS THE FAMILY PRACTICE RESIDENCY PROGRAM THAT IS A COMMUNITY BASED INDEPENDENT PROGRAM SPONSORED BY CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. THIS PROGRAM TRAINS RESIDENTS TO WORK IN FAMILY PRACTICE IN UNDERSERVED, RURAL AREAS. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS PART OF CHRISTUS HEALTH, WHICH WAS FORMED IN 1999 TO STRENGTHEN THE 153 YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. THE VISION OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION, AS A CATHOLIC, FAITH-BASED MINISTRY, IS TO BE A LEADER AND ADVOCATE IN CREATING EXEMPLARY HEALTH CARE SERVICES, PROCESSES AND STRUCTURES THAT IMPROVE THE HEALTH OF INDIVIDUALS AND OF LOCAL AND GLOBAL COMMUNITIES SO THAT ALL MAY EXPERIENCE GOD'S HEALING PRESENCE AND LOVE. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT FIVE FULL-SERVICE HOSPITALS AND A NUMBER OF SPECIALTY CENTERS. EACH OF THE FACILITIES OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION SHARES ONE OBJECTIVE -- WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS LOCATED IN SAN ANTONIO, TEXAS. IT IS IN THE SOUTH CENTRAL AREA OF THE STATE, AND IT SERVES THE SOUTHERN BORDER AND WESTERN BORDERS OF TEXAS AND INTO THE CENTRAL TEXAS HILL COUNTRY AREA WHICH HAS A POPULATION OF MORE THAN 2.6 MILLION INDIVIDUALS. THE POPULATION CONSISTS OF 55% HISPANIC AND 36% CAUCASIAN. THE MEDIAN INCOME FOR THE CITY OF SAN ANTONIO IS $60,799, AND HIGH SCHOOL GRADUATES REPRESENT 26% OF THE POPULATION.

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dominic J Dominguez

    SVP STX Region

    Total calculated
    $1,733,303
    From this org
    $0
    From related orgs
    $1,469,771
    Other
    $263,532
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $777,464 related
    Bonus
    not reported + $525,911 related
    Other
    not reported + $166,396 related
    Deferred
    not reported + $254,594 related
    Nontaxable benefits
    not reported + $8,938 related
    Filer's total
    not reported + $1,733,303 related

  • Charles Hankins MD

    DIRECTOR/CHAIR (THRU 12/22)

    Total calculated
    $1,038,518
    From this org
    $0
    From related orgs
    $761,816
    Other
    $276,702
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported
    Bonus
    not reported
    Other
    not reported + $761,816 related
    Deferred
    not reported + $22,426 related
    Nontaxable benefits
    not reported + $254,276 related
    Filer's total
    not reported + $1,038,518 related

  • Stephanie Parker

    PRES/CEO CSRHS (THRU 08/2023)

    Total calculated
    $947,374
    From this org
    $0
    From related orgs
    $791,295
    Other
    $156,079
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $496,830 related
    Bonus
    not reported + $250,264 related
    Other
    not reported + $44,201 related
    Deferred
    not reported + $141,935 related
    Nontaxable benefits
    not reported + $14,144 related
    Filer's total
    not reported + $947,374 related

  • James Henderson MD

    President/CEO

    Total calculated
    $402,150
    From this org
    $0
    From related orgs
    $352,956
    Other
    $49,194
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $341,033 related
    Bonus
    not reported + $2,334 related
    Other
    not reported + $9,589 related
    Deferred
    not reported + $41,456 related
    Nontaxable benefits
    not reported + $7,738 related
    Filer's total
    not reported + $402,150 related

  • Jose Hinojosa MD

    Secretary (THRU 06/2021)

    Total calculated
    $352,141
    From this org
    $0
    From related orgs
    $305,058
    Other
    $47,083
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $246,952 related
    Bonus
    not reported + $8,760 related
    Other
    not reported + $49,346 related
    Deferred
    not reported + $39,286 related
    Nontaxable benefits
    not reported + $7,797 related
    Filer's total
    not reported + $352,141 related

  • Christine Criscuolo-Higgins MD

    DIRECTOR

    Total calculated
    $343,449
    From this org
    $0
    From related orgs
    $285,452
    Other
    $57,997
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $258,080 related
    Bonus
    not reported + $13,988 related
    Other
    not reported + $13,384 related
    Deferred
    not reported + $39,508 related
    Nontaxable benefits
    not reported + $18,489 related
    Filer's total
    not reported + $343,449 related

  • Dean Alexander

    Pres/CEO CSRHS (THRU 12/2021)

    Total calculated
    $303,674
    From this org
    $0
    From related orgs
    $303,674
    Other
    $0
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported
    Bonus
    not reported
    Other
    not reported + $303,674 related
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $303,674 related

  • Grant Wicklund

    CSR CEO (AS OF 09/2023)

    Total calculated
    $285,589
    From this org
    $0
    From related orgs
    $234,185
    Other
    $51,404
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $164,288 related
    Bonus
    not reported + $50,000 related
    Other
    not reported + $19,897 related
    Deferred
    not reported + $50,460 related
    Nontaxable benefits
    not reported + $944 related
    Filer's total
    not reported + $285,589 related

  • Derrick Cuenca

    CSR PRES (AS OF 01/2024)

    Total calculated
    $0
    Hours/week
    1 + 39 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, and on a Form 990-PF Part VIII's — 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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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 1 IN ACCORDANCE WITH ITS INTERNAL POLICY, SANTA ROSA FAMILY HEALTH CENTER CONTRIBUTED A SET AMOUNT TO PAY FOR SUCH MEMBERSHIPS. THIS BENEFIT IS OFFERED TO ALL ASSOCIATES.
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 2023. NONE
FORM 990, SCHEDULE J, PART I, LINE 4A
BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2023. DEAN ALEXANDER: $291,424 CHARLES HANKINS: $588,925

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • CHRISTUS SANTA ROSA OUTPTNT SRG NB

    HLTHCARE SVC · TX

    Directly controlled by CSRHCC

  • Christus Santa Rosa Surgery Center LLP

    HLTHCARE SVC · TX

    Directly controlled by CSRHCC

  • CHRISTUS SR Ambulatory SURGERY CENTERS

    HLTHCARE SVC · TX

    Directly controlled by CSRHCC

  • ALAMO HTS SUR GP LLC

    HLTHCARE SVC · TX

    Directly controlled by SRHCC

  • ALAMO HTS SUR HOS

    HLTHCARE SVC · TX

    Directly controlled by SRHCC

  • SAN MARCOS MRI LP

    HLTHCARE SVC · TX

    Directly controlled by SRHCC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MCKENNA PROFESSIONAL BLDG OWNER'S ASSOC

    C CORP · BUILDING ASSO · TX · controlled entity

    Directly controlled by CSRHCC

  • SOUTH TEXAS HEALTH ALLIANCE

    C CORP · HLTHCARE SVC · TX · controlled entity

    Directly controlled by CSRHCC

  • Central Texas Providers Network

    C CORP · HLTHCARE SVC · TX · controlled entity

    Directly controlled by CSRHCC

  • San Marcos Regional MRI Inc

    C CORP · HLTHCARE SVC · TX · controlled entity

    Directly controlled by CSRHCC

  • Central Texas Healthcare Collaborative

    C CORP · HLTHCARE SVCS · TX · controlled entity

    Directly controlled by CSRHCC

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202511339349305216

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