Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Texas · Ranked 289 of 1033 by CEO pay.

Christus Spohn Health System

Dominic Dominguez, Chief Executive Officer. Fiscal year ending 2025-06.

$1.4M
CEO total compensation
Form 990 Part VII, columns D+E+F
14.31%
of expenses spent on charity care
Schedule H Part I line 7a
1.1%
CEO pay as a share of all charity care

Most of the reported compensation ($1,396,207 of $1,422,069) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$959,806,528
Total expenses
$911,392,587
Net assets
$714,733,978
Employees
3,765
Hospitals covered
7 facilities across 1 filing
Charity care, net
$130,417,452
Bad debt
$21,494,439
Medicare surplus (shortfall), as filed
$240,922
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,396,207
Other compensation, including deferred pay and nontaxable benefits (col. F)
$25,862
CEO total compensation (D+E+F)
$1,422,069 to Dominic Dominguez

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Christus Spohn Health System, EIN 74-1109836, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$136.3M Of which charity care to patients who could not pay (line 7a)$130.4M (96%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($21.5M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Christus Spohn Health System: CEO pay $1.4M, charity care 14.31% of expenses