Houston Methodist

Legal name: Methodist Primary Care Group

Nonprofit profile at a glance

EIN
760556120
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Houston, TX, USA
Phone
8326676160
Rating
66
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Single Organization Support
Affiliation
Christianity

Official website

Reported finances

Revenue
$144,241,299
Expenses
$205,233,254
Assets
$51,502,157
Liabilities
$442,300,586

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • JULIA ANDRIENI MD (VICE PRESIDENT, PART YR)
  • MARGARET HEAD (VICE PRESIDENT)
  • STEPHEN E SPIELMAN (PRESIDENT/CEO)

Highest reported compensation

  • KEVIN J BURNS (ASST SECRETARY, PART YR): $3,228,085 total reported compensation
  • JULIA ANDRIENI MD (VICE PRESIDENT, PART YR): $1,139,558 total reported compensation
  • STEPHEN E SPIELMAN (PRESIDENT/CEO): $1,115,379 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Our Values: What We Believe Our mission is to **provide high quality, cost-effective health care** that delivers the **best value** to the people we serve in a **spiritual environment of caring** in association with internationally recognized **teaching and research**. Our **I CARE** values are at the heart of our mission and are what sets Houston Methodist apart from other health care systems. Houston Methodist’s mission is to provide high quality, cost-effective health care that delivers the best value to the people we serve in a spiritual environment of caring in association with internationally recognized teaching and research. 5,000+.

What it reported doing in 2024

See schedule o.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 67
  • Accountability: 28
  • Sustainability: 5
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 97.3%; rating input score 97
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -42.3%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0.25; rating input score 8; 8th percentile among comparable filings
  • Liabilities to assets ratio: 8.59; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 4.5%; rating input score 21; 21st percentile among comparable filings

Growth

  • Program expense growth: 18.4% per year; rating input score 100; 91st percentile among comparable filings
  • Revenue growth: 19.5% per year; rating input score 100; 93rd percentile among comparable filings
  • Asset growth: 17.6% per year; rating input score 100; 90th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 100% of revenue deployed · 97.3% of spending went to programs
  • Governance: 0 of 10 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $199.7M in reported program spending
  • Leadership: top reported pay $3.2M · 24 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $6.1M reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 5 filed schedules · includes executive pay and related organizations
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 16 filed money-flow records
  • Related organizations: 17 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Sustainability: Total-asset coverage ratio scored 8/100.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 21/100.