2026-05-05T14:21:58-05:00 2025-06-30 990 2024-07-01 208814408 SPECIALTY PHYSICIANS OF CENTRAL TEXAS INC % LEE SONNE SPEC 5127533657 1301 WONDER WORLD DRIVE SAN MARCOS TX 78666 BOB KARL CFO 2149698000 2026-05-15 true 2024 2025-03-06 01:10:19Z SEE SCHEDULE O BOB KARL 1301 WONDER WORLD DRIVE SAN MARCOS TX 78666 0 false 0928 X N/A X 2006 TX SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH. 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1184851 1168404 2341528 2341528 -1156677 -1173124 X SPECIALTY PHYSICIANS OF CENTRAL TEXAS, INC 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. false false 0 0 0 CHRISTUS acquired Specialty Physicians of Central Texas currently dba Live Oak Health Partners on April 1, 2020. The clinic has been operating as a non-profit 501c3 entity under CHRISTUS at which point the group and its providers became CHRISTUS Trinity Clinic. CHRISTUS Trinity Clinic is a full-service practice for women's health in Central The most important goals are a healthy mom and a healthy baby. For convenience the community clinic is located within the same building as the Hays County Local Health Department. Their physicians are board certified and trained in complicated obstetrical management, advanced gynecologic treatments and surgeries. Family-centered care is available for Hays County residents in a hometown atmosphere. Special focus on the needs of the under-insured and non-insured of the community. The clinic accepts Medicaid (BCBS and Chip Perinate), Medicare and offers a sliding scale for medical services based upon income. The following are Medical & Social Services Provided: . Routine Medical Visits . Well-Adult and Well-Child Exams . Prenatal Care . Sports Physicals . Monitor chronic illnesses such as diabetes, cholesterol, and high blood pressure . Tuberculosis skin tests . Walk-in Visits . Pediatric Visits . Texas Health Steps exams . Immunizations for adults and children . Sexually transmitted infection screening and treatment . Eligibility Services . 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(SPCT) IDENTIFIED ITSELF AS A HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION UNDER SECTION 170(B)(A)(III) IN SCHEDULE A. HOWEVER, SPCT IS NOT REQUIRED TO COMPLETE SCHEDULE H BECAUSE IT IS NOT LICENSED AS A HOSPITAL. ROU ASSET - OPERATING LEASE 521711 521711 0 OPERATING LEASE LIABILITY 498720 498720 X UNCERTAIN TAX POSITIONS UNDER ASC 740 FORM 990, SCHEDULE D, PART X, LINE 2 PER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2024 AND 2025. false true false false false false false false false ROBERT DURAN MD DIRECTOR 307151 0 34643 0 9844 351638 0 AMY HERNANDEZ MD DIRECTOR 220649 43368 53204 35401 23327 375949 0 STEPHEN RICHARDSON MD DIRECTOR 236844 5163 12430 20512 19170 294119 0 BOB KARL TREASURER 376649 175216 60846 36979 45335 695025 0 STEVEN KEUER MD PRESIDENT 712901 429357 241068 51823 11767 1446916 240068 GABRIELA SAENZ CORP SECRETARY 612998 680044 195029 56933 10135 1555139 194379 SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II 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 FILING ORGANIZATION OR A RELATED ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS. EXPLANATION OF RELATED ORGANIZATION DETERMINING EXECUTIVE DIRECTOR COMPENS FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S PRESIDENT/CEO 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 THE PRESIDENT/CEO 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 BI-ANNUAL COMPENSATION SURVEY. THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION, CHRISTUS HEALTH, THAT USED THE FOLLOWING METHOD TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT AND EXTERNAL CONSULTANT. THE FILING ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DETERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION. ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DERTERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F) COMPENSATION REPORTED AS DEFERRED IN A PRIOR FORM 990 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. DEFERRED COMPENSATION FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION 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 COMPENSATION INFORMATION 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. BONUS AND INCENTIVE COMPENSATION FORM 990, 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. SEVERANCE PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS: NONE DOING BUSINESS AS FORM 990, PAGE 1, ITEM C CENTRAL TEXAS HEALTHCARE COLLABORATIVE OPERATES UNDER THE FOLLOWING NAMES: Central Texas Orthopaedic Specialists NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT FORM 990, PART VI, LINE 1B MEMBERS OF TEXAS 501(A) ORGANIZATIONS MUST BE EMPLOYED PHYSICIANS. AS A 501(A) ORGANIZATION, CHRISTUS TRINITY CLINIC MUST EMPLOY THE PHYSICIANS WHO ARE VOTING MEMBERS OF THE GOVERNING BODY. THESE VOTING MEMBERS OF THE GOVERNING BODY DO NOT MEET THE DEFINITION OF "INDEPENDENT" PER THE IRS FORM 990 INSTRUCTIONS BECAUSE THEY RECEIVE COMPENSATION FROM THE FILING ORGANIZATION. THEREFORE, THERE ARE ZERO VOTING MEMBERS THAT ARE INDEPENDENT. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 CHRISTUS TRINITY CLINIC IS THE SOLE MEMBER OF THE SPECIALTY PHYSICIANS OF CENTRAL TEXAS. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A CHRISTUS TRINITY CLINIC, THE SOLE MEMBER, HAS THE POWER TO APPOINT AND REMOVE DIRECTORS AND OFFICERS. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B THE FOLLOWING MATTERS ARE RESERVED SOLELY TO THE MEMBER, CHRISTUS TRINITY CLINIC, AND, AFTER ONLY A CONSULTATION WITH THE BOARD OF DIRECTORS, SHALL REQUIRE ONLY THE AFFIRMATIVE ACTION OF THE MEMBER TO BE EFFECTIVE: APPROVAL AND ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF SPECIALTY PHYSICIANS OF CENTRAL TEXAS (THE "CORPORATION"); ANY FINANCIAL EXPENDITURE WHICH DEVIATES FROM THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS IF THE SUM OF SUCH FINANCIAL EXPENDITURE AND THE SUM OF ALL PRIOR FINANCIAL EXPENDITURES WHICH THEMSELVES DEVIATE FROM THE CORPORATION'S ANNUAL AND CAPITAL BUDGETS, PER FISCAL YEAR, EXCEED $5,000.00; THE SALE, LEASE, MORTGAGE, OR OTHER TRANSFER OR ENCUMBRANCE OF THE REAL PROPERTY OF THE CORPORATION; ANY SALE, LEASE, MORTGAGE, OR OTHER TRANSFER OR ENCUMBRANCE OF THE PERSONAL PROPERTY AND ASSETS OF THE CORPORATION IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED $5,000.00; ANY MERGER, ACQUISITION OR CONSOLIDATION OF THE CORPORATION; BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; GIVING OR SEEKING OF GRANTS; SETTLEMENT OF CLAIMS OR LITIGATION; APPOINTMENT AND REMOVAL OF DIRECTORS; APPOINTMENT AND REMOVAL OF OFFICERS; CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION; APPROVAL OF ANY STRATEGIC PLAN, BUSINESS PLAN, OR MISSION PLAN OF THE CORPORATION; CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, EMPLOYMENT CONTRACTS, AND PHYSICIAN PRACTICE ACQUISITION CONTRACTS; AND APPROVAL AND ADOPTION OF THE SALARIES, COMPENSATION AND OTHER BENEFITS TO BE PAID TO PHYSICIANS EMPLOYED BY THE CORPORATION AND MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. REVIEW PROCESS OF FORM 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY THE CHRISTUS HEALTH TAX DEPARTMENT. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH THE TAX DEPARTMENT IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS WAS REVIEWED PRIOR TO FILING WITH THE IRS IN THE SPRING 2026 BY THE ORGANIZATION'S PRESIDENT AND SECRETARY, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. AT A BOARD MEETING SUBSEQUENT TO FILING WITH THE IRS, THE PRESIDENT AND SECRETARY WILL REPORT TO THE FULL BOARD ON THE FORM 990. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR THE ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION. COMPENSATION DETERMINATION PROCESS FORM 990, PART VI, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE PRESIDENT OF SPECIALTY PHYSICIANS OF CENTRAL TEXAS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE CHRISTUS HEALTH SYSTEM. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD. SALARY INFORMATION FOR THE OTHER OFFICER OF THE ORGANIZATION IS GATHERED USING SEVERAL SOURCES: 1. THE ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS SURVEY OF FACULTY AND PROGRAM DIRECTOR SALARIES. 2. THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) SURVEY OF PHYSICIAN SALARIES IS USED AS WELL, THOUGH THIS IS LESS REPRESENTATIVE OF TEACHING FACULTY SALARIES. 3. WATSON WYATT HEALTH CARE CLINICAL AND PROFESSIONAL SALARY SURVEY IS USED. SALARY INFORMATION IS REVIEWED APPROXIMATELY EVERY 2-3 YEARS AND ADJUSTMENTS ARE MADE BASED ON CURRENT SURVEY DATA. BASED ON SURVEY INFORMATION, A FACULTY SALARY GRID WAS STRUCTURED TO INCLUDE YEARS OF EXPERIENCE, LONGEVITY WITH THE FAMILY HEALTH CENTER, AND SPECIALTY. WITHIN THE GRID, A FACULTY MEMBER CAN RECEIVE EQUITY AND MERIT RAISES UP TO THE POINT OF MAXIMUM SALARY FOR LEVEL OF SERVICE. PUBLIC DISCLOSURE OF 1023 AND FORMS 990 & 990-T FORM 990, PART VI, LINE 18 FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STATEMENTS TO PUBLIC FORM 990, PART VI, LINE 19 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSTS OR FUND BALANCES FORM 990, PART XI, LINE 9 INTERCOMPANY ($16,447) ------------ TOTAL ($16,447) CHRISTUS HEALTH 919 HIDDEN RIDGE DRIVE IRVING TX 75038 760590551 SUPT HLTH SVC TX 501(C)(3) 10 NA false REGIONAL MEDICAL SERVICES ASSOCIATION 919 HIDDEN RIDGE IRVING TX 75038 752511459 HLTHCARE SVCS TX 501(C)(3) 3 CTC true CHRISTUS TRINITY CLINIC 1315 DOCTORS DRIVE TYLER TX 75701 752616977 HEALTHCARE TX 501(C)(3) 3 CH false false false false false false false false false false false false false false false false false false false