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Texas · Nonprofit

Christus Health

Christus Health (Texas) receives grants from 7 organizations whose IRS filings report $4,380,380 to it, the largest being Texas Essential Healthcare Partnerships Foundation ($4,141,555). 1 of them have funded it in more than one year.

Revenue FY2025
$1.3B
Funders on record
7
Grants received
$4.4M
Net assets
$-19279899
1/7 repeat funderspeak grant-dependency 0%
01What it does

What Christus Health does

Mission

Supporting the health care ministries of the sponsoring congregations in extending the healing ministry of jesus christ in conformity with the roman catholic church.

As stated on its FY2025 Form 990.

Programs

  1. Commitment to benefiting our communities Christus Health was formed in 1999 when the sisters of charity health system, sponsored by the sisters of charity of the incarnate word of houston, and the incarnate word health care system, sponsored by the sisters of charity of the incarnate word of san antonio, brought their health ministries together. The 2016 affiliation with trinity mother frances health system resulted in a third sponsoring congregation of Christus Health, the sisters of the holy family of nazareth. The vision of Christus Health as a catholic, faith-based ministry, is to be a leader, a partner and advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience god's healing presence and love. Christus Health responds to health care needs through services provided in 350 facilities, including 60 hospitals and long-term care facilities, 175 clinics and outpatient centers and dozens of other health ministries and ventures. Christus services are found in 60 cities in texas, arkansas, louisiana and new mexico in the u.s., chihuahua, coahuila, nuevo leon, puebla, san luis, potosi and…

    $1,029,317,999 spent$1,030,181,792 earned by the program
    87% of program spending
  2. Other government services in addition to the provision of charity care and other community services, Christus Health provides services to persons covered under government-sponsored programs including medicare, department of defense (dod) and tricare. The unreimbursed costs of these services are reported to the state of texas but are not included in reports prepared following catholic health association guidelines. Christus Health provides services to persons covered under the federal medicare program, and in fact, this is the largest single payor classification of patients served by this health system. The payment rate for inpatient services is on a per-case rate, calculated based on the diagnostic-related group (drg) into which the patient is categorized. Outpatient services are reimbursed by medicare based on their fee schedule. Christus Health dba us family health plan also provides the uniform medical benefit for approximately 15,000 military family members under contract with the dod. Under this program, comprehensive medical services are provided to families of active duty military personnel and to retirees and their families in all age categories including those over age…

    $149,432,273 spent$169,402,292 earned by the program
    13% of program spending
  3. Community services - poor and underserved rooted in our mission and tradition, the founders and sponsors of Christus Health and those who co-minister with them seek new and innovative ways of delivering quality health care that is both affordable and accessible to all. Today, more than ever, we must aim to improve the total health status of the community through programs that place our services where they are needed most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. Community services for the poor and underserved represent the unpaid cost of services provided for which a patient is not billed, or for which a fee has been assessed that recovers only a portion of the cost of the rendered service. This category includes initiatives that reach out to those in need through community health and social programs. These programs seek justice for the vulnerable and work to bring about changes in our political and economic systems. The programs cover a broad spectrum of services from community clinics to immunizations for children and seniors, meals on wheels, transportation services, home repair projects…

    $1,862,887 spent
    0% of program spending
  4. 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 fy23, 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.

    $4,481,679 spentof which $4,481,679 as grants
    0% of program spending

The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $1,185,094,838.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($647M) Expenses 100 ($721M) Net assets 100 ($1.6B)2018 Revenue 153 ($988M) Expenses 140 ($1.0B) Net assets 70 ($1.1B)2019 Revenue 114 ($737M) Expenses 108 ($778M) Net assets 41 ($642M)2020 Revenue 156 ($1.0B) Expenses 124 ($895M) Net assets 14 ($224M)2021 Revenue 148 ($958M) Expenses 118 ($852M) Net assets 34 ($531M)2022 Revenue 161 ($1.0B) Expenses 122 ($876M) Net assets 28 ($437M)2023 Revenue 159 ($1.0B) Expenses 159 ($1.1B) Net assets 40 ($630M)2024 Revenue 192 ($1.2B) Expenses 199 ($1.4B) Net assets -16 ($-252469518)2025 Revenue 195 ($1.3B) Expenses 237 ($1.7B) Net assets -1 ($-19279899)
'17'18'19'20'21'22'23'24'25
Revenue (195)Expenses (237)Net assets (-1)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2022 to 2023, from $2.8B to $3.7B (+30%).

$3.1B
$2.6B
$2.9B
$2.7B
$3.0B
$2.8B
$3.7B
$3.5B
$3.8B
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 11% · 2021 6% · 2022 8% · 2023 6% · 2024 0% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of Christus Health’s revenue is contributions — about as donation-reliant as the typical peer (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 6 of the last 9 reported years ran a deficit.

−$74M
’17
−$19M
’18
−$41M
’19
$118M
’20
$106M
’21
$167M
’22
−$117M
’23
−$192M
’24
−$443M
’25
3.3
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Board chair

Maricela M Breedlove

Director/chair

As listed on its FY2025 Form 990.

2017201820192020202120242025
Listed43444654524343
Joined·+7+10+14+1·+4
No longer listed·6863·4
03Who funds it

Who funds it, year by year

2018 → 2022: the base held at 1 funder, grant income fell $25k → $12k.

1 of 7 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 1% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $12M from 4 payers (the payer shares this organization's board, largest Christus Spohn Health System DEVELOPMENT FND). These are real filings, and they are not money Christus Health raised.

From the IRS filings of Christus Health’s funders (the co-funder graph). Top 6 of 7 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Christus Health leans on a few funders — its largest provides 95% of grant income and the top three 98%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

99% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Christus Health.

95%
largest funder
98%
top three
~1
effective funders

Largest funder’s share by year: 2018 100% · 2020 100% · 2021 97% · 2022 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

95% of Christus Health's grant income comes from Texas funders.

NJ
MO
LA
GA
TX

In-state vs out-of-state, by year

’18
’20
’21
Texas out of state home

Funder states come from each funder’s own filing. $41k arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Christus Health holds deeper cash reserves than three-quarters of the 1,241 health nonprofits its size.

Operating margin−35% · bottom quartile
Months of reserve3.3mo · top quartile
Revenue growth (annualized)9% · above the median

this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025

Government funding Christus Health receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $1.4B on record — $1.4B federal, $5k state.

Federal$1.4B
grants $2.6Mcontracts $1.4B
17
18
19
20
21
22
23
24
25
26
Top agencies
  • Department of Defense$1.4B
  • Corporation for National and Community Service$2.6M
State$5k
Top programs
  • REFUNDS - GENERAL $5k

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like Christus Health

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Texas

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

70% of spending goes to programs.

Program 70%Management 30%Fundraising 0%

Governance

13
board members
23%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

74%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Part of a family of 126 related entities

  • Christus Ark-La-Tex Quality Care Alliance LLC · disregarded
  • Christus Health Quality Care Alliance LLC · disregarded
  • Christus Louisiana Aco LLC · disregarded
  • Christus Networks LLC · disregarded
  • Christus Pho and Affiliated Networks LLC · disregarded

Screen this organization

A dated, signed PDF of the compliance screen for Christus Health: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

A paid feature, included from the $75 plan up. Sign in to download.

Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Christus Health?
Christus Health (Texas) receives grants from 7 organizations whose IRS filings report $4,380,380 to it, the largest being Texas Essential Healthcare Partnerships Foundation ($4,141,555). 1 of them have funded it in more than one year.
How many funders does Christus Health have?
IRS filings report 7 organizations giving $4,380,380 in grants to Christus Health, 1 of which have funded it in more than one year.
Who is the largest funder of Christus Health?
Texas Essential Healthcare Partnerships Foundation is the largest funder on record, with $4,141,555 in grants. The full list of funders is on this page.
How can an organization like Christus Health find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Texas. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 7 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing