Casa El Buen Samaritano

Nonprofit profile at a glance

EIN
371546805
IRS 990 coverage
2011–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Missouri City, TX, US
Phone
713.721.4101 (Clinic appointments), 713.400.7519 (Admin offices)
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)
Affiliation
Christianity

Official website

Reported finances

Revenue
$1,106,978
Expenses
$1,214,865
Assets
$1,763,460
Liabilities
$148,393

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

Leadership & pay

11 people listed

Executive titles in this filing

  • Orin Lewis (President)
  • Christy Sylvester (Executive Director)

Highest reported compensation

  • Nicole Ellis (Nurse Practitioner): $134,920 total reported compensation
  • Christy Sylvester (Executive Director): $99,964 total reported compensation

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

Overview

Mission

Casa El Buen Samaritano's mission is to share the love of Jesus Christ while providing whole-person — body, soul, spirit — healthcare to the low-income, the uninsured and uninsurable population in our community. Casa collaborates with organizations, churches, and healthcare providers to expand access to care. Explore ways to partner and support the mission. Casa El Buen Samaritano 2106 5th Street | Building B | Missouri City, Texas 77489. Casa provides free medical and dental care for uninsured individuals. Learn how to become a patient and access quality healthcare at no cost. Screenshot 2024-01-23 150713_edited.jpg Partners. Volunteers Make a difference by serving as a medical, dental, ministry, admin, or event volunteer. Casa offers opportunities for everyone. Screenshot 2025-02-05 131728_edited_edit.

What it reported doing in 2024

In 2024, Casa El Buen provided approximately 5,700 patient visits and approximately 2,500 ministry and outreach visits. Clinical care is provided by medical and dental professional or paraprofessional volunteers who graciously donate their time several evenings per month. Casa El Buen provides general outpatient care to patients with a broad range of medical needs including hypertension, diabetes, cholesterol, and women's health. For many patients, Casa El Buen serves as their medical home, and they receive ongoing follow-up care for chronic conditions. All care is provided free of charge, including medical services, laboratory testing, and medications dispensed from the clinic pharmacy.

Operating model

Revenue model
Donor-supported. 94% of the money available for current operations came from contributions and gifts.
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.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 92
  • Accountability: 90
  • Sustainability: 31
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 79%; rating input score 79
  • Program expense ratio: 70.3%; rating input score 70
  • Fundraising efficiency: $6.31 raised per $1 spent on fundraising; rating input score 24; 24th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 6 of 8 controls in place; rating input score 75
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -9.7%; rating input score 17; 17th percentile among comparable filings
  • Total-asset coverage ratio: 1.45; rating input score 55; 55th percentile among comparable filings
  • Liabilities to assets ratio: 0.08; rating input score 45; 45th percentile among comparable filings
  • Officer compensation ratio: 19.3%; rating input score 16; 16th percentile among comparable filings

Growth

  • Program expense growth: 13.8% per year; rating input score 100; 73rd percentile among comparable filings
  • Revenue growth: 11.5% per year; rating input score 100; 71st percentile among comparable filings
  • Asset growth: 8.6% per year; rating input score 100; 54th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site
  • Where the money goes: 79% of revenue deployed · 70.3% of spending went to programs
  • Governance: 9 of 9 board members independent · 6 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $854K in reported program spending
  • Leadership: top reported pay $135K · 11 people listed
  • Consistency: 31 of 31 current checks pass
  • Schedules: 6 filed schedules · includes major donors
  • Filing history: 14 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • 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 — Financial Efficiency: Fundraising efficiency scored 24/100.
  • Review — Accountability: Governance controls: 2 of 8 not reported.
  • High — Sustainability: Operating margin scored 17/100.
  • Review — Sustainability: Total-asset coverage ratio scored 55/100.
  • High — Sustainability: Officer compensation ratio scored 16/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 45/100.