Christus Health is a 501(c)(3) organization based in Irving, Texas, registered in 1946, with $1,242,166,704 in FY2023 revenue. CharityIndex grades it C+, and it directs about 80% of spending to programs.
Revenue (FY2023)
$1.2B
▲ 20.8% vs prior year
Health median: $840K
Expenses (FY2023)
$1.4B
Net assets
-$252.5M
Employees
4,575
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Christus Health: 80% to programs · $91 to raise $100 earns a C+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Christus Health: 0 mo reserves · -15% margin earns a D on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Christus Health: 5 of 6 checks met earns a A on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Christus Health: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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Supporting the health care ministries of the sponsoring congregations in extending the healing ministry of jesus christ in conformity with the roman catholic church.
Community services for the broader community the greatest share of these expenses is for educating health professionals. helping to prepare future health care professionals is a distinguishing characteristic of not-for-profit health care and constitutes a significant community benefit. christus health also used cash donations as a vehicle to help our communities. we made cash donations in addition to grants awarded through the christus fund to support causes like the fight against cancer, provision of a continuum of care for the elderly and those with hiv/aids, federally qualified health centers, rural health providers across east and northeast texas and for many other equally worthy purposes. during fy 2021, christus health advocated for improving public policies, working to establish, and in some instances augment, grassroots advocacy and greater access to health care services for the constituents we serve.
Revenue grew from $673.4M (FY2013) to $1.2B (FY2023) across 11 reported years.
Financial snapshot
Operating margin
-15.4%
Spent more than it raised in the latest fiscal year.
Total assets
$3.5B
Total liabilities
$3.7B
Net assets
-$252.5M
Salaries & benefits
$581.2M
41% of expenses
Board members
14
4 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $1,242,166,704▲20.8% | $1,433,932,010▲25.2% | -$252,469,518▼140% | $3,458,173,956▼5.9% | 990 |
| 2022 | $1,028,398,550▼1.4% | $1,145,415,070▲30.7% | $630,418,185▲44.4% | $3,676,525,161▲30.4% | 990 |
| 2021 | $1,043,073,265▲8.9% | $876,203,453▲2.8% | $436,568,509▼17.7% | $2,819,510,612▼6.9% | 990 |
| 2020 | $957,896,167▼5.4% | $852,058,632▼4.8% | $530,562,980▲137% | $3,027,757,179▲10.9% | 990 |
| 2019 | $1,012,200,002▲37.4% | $894,558,346▲15.0% | $224,102,481▼65.1% | $2,730,342,875▼4.3% | 990 |
| 2018 | $736,526,976▼25.4% | $777,601,145▼22.7% | $642,327,576▼41.9% | $2,854,146,211▲7.9% | 990 |
| 2017 | $987,517,536▲52.7% | $1,006,365,086▲39.7% | $1,105,291,023▼30.2% | $2,644,038,414▼14.1% | 990 |
| 2016 | $646,797,844▲9.9% | $720,580,418▲0.7% | $1,583,242,095▲4251% | $3,079,152,064▲34.7% | 990 |
| 2015 | $588,715,105▼10.6% | $715,815,714▲1.8% | -$38,138,881▲67.5% | $2,286,041,835▲9.7% | 990 |
| 2014 | $658,811,535▼2.2% | $703,132,956▲8.5% | -$117,350,523▼237% | $2,083,545,771▼9.9% | 990 |
| 2013 | $673,409,902 | $648,044,345▲24.1% | $85,687,303▼52.7% | $2,312,245,452▼14.2% | 990 |
| 2012 | — | $522,325,479▼1.6% | $181,276,341▲142% | $2,696,321,439▼5.1% | 990 |
| 2011 | — | $530,960,534▲7.2% | $74,983,629▼76.7% | $2,840,593,115▼4.2% | 990 |
| 2010 | — | $495,295,676▲4.2% | $321,789,360▲131% | $2,964,448,887▲6.5% | 990 |
| 2009 | — | $475,392,533 | $139,152,379 | $2,784,239,800 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Ernie Sadau — $17,888,183 (1.25% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Ernie Sadau | President & Ceo | 39 | $17,888,183 |
| Jeffrey M Puckett | Evp/coo | 39 | $8,785,568 |
| Randy Safady | Evp/chief Financial Officer | 39 | $7,181,461 |
| Paul D Generale | Evp/chief Strategy Officer | 39 | $6,220,463 |
| Marty Margetts | Evp/cao | 39 | $6,172,499 |
| Sam Bagchi Md | Evp/cmo | 39 | $4,781,092 |
| Gerard F Heeley | Sr Vp Mission and Ethics (term 6/24) | 39 | $2,919,003 |
| Jon Manis | Svp Cio | 40 | $2,347,221 |
| Jeannie Frey | Svp Chief Legal Officer | 39 | $1,505,851 |
| J Chris Glenney | Svp Group Operations Netx | 39 | $1,499,959 |
| Dominic Dominguez | Svp-group Operations So Tx | 39 | $1,469,771 |
| Fadi Nasrallah Md | Svp Cmo Trinity Clinic | 39 | $1,419,838 |
| Christopher Karam | Sr Vp & Reg Ceo | 39 | $1,383,146 |
| Kim Reynolds | Svp Finance | 40 | $1,294,258 |
| Steven Keuer Md | Tmf Chief Financial Officer | 39 | $1,281,567 |
| Kimberly King Webb | Svp Chief Hr Officer | 40 | $1,260,360 |
| Luis Haro | Vp Operations For Emergency Services (term 7/23) | 40 | $1,222,376 |
| Chris C Daskevich | Svp Maternal Svcs & Ceo, Chosa | 39 | $1,107,196 |
| Gabriela Saenz | Svp Corp Services | 40 | $1,028,530 |
| M Shannon Stansbury | Svp Population Health | 39 | $1,002,684 |
| Contractor | Services | Paid |
|---|---|---|
| Hhs Environmental Services LLC | Healthcare Svcs | $82,412,859 |
| Crothall Healthcare | Healthcare Svcs | $66,767,100 |
| Hospitalist Medicine Phys of Tx Pllc | Physicians Svcs | $32,388,562 |
| Avant Healthcare Professionals LLC | Healthcare Svcs | $27,406,555 |
| Emergenchealth Pllc | Medical Svcs | $24,178,875 |
11 grants to Christus Health totaling $5.1M, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Texas Essential Healthcare Partnerships Foundation | — | 2021 | $4,141,555 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2021 | $12,000 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2021 | $12,000 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2020 | $195,307 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2020 | $195,307 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2020 | $195,307 |
| Direct Relief | Support to us clinics & health centers for low-income, uninsured patients | 2020 | $195,307 |
| St Vincent Hospital | Supporting health care | 2020 | $83,332 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2020 | $29,000 |
| American Cancer Society Inc | Transportation assistance | 2020 | $5,000 |
| Mhm Support Services | Support mission | 2017 | $25,000 |
79 grants totaling $4.2M in FY2023 — showing the 15 largest. All grants made by Christus Health →
| Recipient | Purpose | Amount |
|---|---|---|
| Catholic Charities of Dallas Inc | To create a welcoming, safe and supportive environment for the formerly chronically homeless, where they can work towards stabilization and self-sufficiency. 2024 bishop gala, school supplies | $180,000 |
| Central Louisiana Coalition To Prevent Homelessness Inc | To provide case management services to people experiencing homelessness and connect them to community programs and resources. | $145,000 |
| Sisters of Charity of the Incarnate Word | Donation in the name mr don powell and juan maya patino, deceased father of sister tere maya | $120,000 |
| Memory Care Alliance | To support caregiver mental health & wellbeing in culturally appropriate ways. to provide mental health services to pregnant and perinatal women and to work with the family to create a longer-term mental health solution. | $115,000 |
| Crossroads Community Services Inc | To improve and stabilize the nutritional intake of low-income individuals, families, and communities and reduce the frequency and impact of household food crises. | $100,000 |
| Family Service Association | To expand access to mental health services to underserved communities through schoool-based mental health services. | $100,000 |
| Catholic Charities of Southwest Louisiana In the Roman Catholic Di | To provide fresh fruits, vegetables, dairy products and meats to increase the nutritional profile of the foods provided in the food bank. | $100,000 |
| Congregation of the Sisters Aka Ccvi San Antonio | To enhance the level of care & support provided to the sisters of the congregation | $100,000 |
| Community Health Service Agency Inc | To advance the health & wellbeing of hopkins county by supporting the healthcare center's engagement in a value-based healthcare delivery model. | $100,000 |
| Family Services of Southeast Texas Inc | To provide safe counseling, safe shelter, food, clothing and other services to survivors of sexual assualt, rape & domestic violence. | $100,000 |
| Sabine Valley Regional Mhmr Center | To provide an immediate response to individuals that present at the er for behavioral health reasons. | $100,000 |
| Society of St Vincent De Paul Immaculate Conception Conference | To improve food security by being a reliable and sustainable supplemental source of food. | $100,000 |
| Harvest Texarkana | To implement a food box prescription program at christus st. michael for patients who are diabetic and/or hypertensive. | $100,000 |
| Family and Youth Counseling Agency | To improve the immediate and long-term mental health of residents of southwest louisiana. | $100,000 |
| Catholic Charities of Southeast Texas | To improve food security by providing supplemental grocery products to low-income households. | $100,000 |
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Data for Christus Health (EIN 76-0590551) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.