CHRISTUS Ochsner Southwest Louisiana

Legal name: Christus Health Southwestern Louisiana

Nonprofit profile at a glance

EIN
720411322
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Irving, TX, US
Phone
(469) 282-2000
Rating
71
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Hospital, General
Affiliation
Christianity

Official website

Reported finances

Revenue
$303,494,087
Expenses
$309,066,809
Assets
$193,180,556
Liabilities
$90,909,019

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

Leadership & pay

21 people listed

Executive titles in this filing

  • Christopher Karam (BOARD CHAIR/DIRECTOR/CHIEF EXECUTIVE OFFICER (EFF 1/25))
  • Paul Trevino (SWLA CHIEF EXECUTIVE OFFICER/DIRECTOR (TERM 12/24))
  • JAMES DAVIDSON (PRESIDENT/CHIEF OPERATING OFFICER)

Highest reported compensation

  • Randy Safady (Former Director (Term 2/24)): $6,484,036 total reported compensation
  • Paul Generale (Former Director (TERM 6/24)): $5,266,238 total reported compensation
  • Fadi Nasrallah MD (Director (EFF 1/25)): $1,578,299 total reported compensation

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

Overview

Mission

The corporation is organized and shall be operated exclusively for charitable, scientific, educational and religious purposes of advancing, promoting and supporting the health care ministries of the sponsoring congregations which operate and are controlled in conformity with the ethical and moral teachings of the roman catholic church, and promoting efficient governance and management, cooperative planning and the sharing of resources among such health care ministries. Without limiting the generality of the foregoing, the corporation's mission shall be to extend the healing ministry of jesus christ, and consistent therewith, shall operate according to the doctrines, resolutions, decrees and ethical principles of the sponsoring congregations, and the ethical and religious directors for catholic health care services as promulgated or amended from time to time by the united states conference of catholic bishops.

What it reported doing in 2024

CHRISTUS Health Southwestern Louisiana also undertook additional activities of comparable importance, including those conducted with volunteer labor or smaller in terms of expenses related to the poor & underserved and broader community. POOR & UNDERSERVED: EXPENSES OF $1,593,841; GRANTS OF $6,775,539 BROADER COMMUNITY: EXPENSE OF $996,026; GRANTS OF $6,363 OTHER: Expenses of $4,192,035

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 97% 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 most filed governance safeguards are in place. A relatively small share of voting board members are independent and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 58
  • Accountability: 71
  • Sustainability: 30
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 84.2%; rating input score 84
  • Program expense ratio: 83.2%; rating input score 83
  • Fundraising efficiency: $37.25 raised per $1 spent on fundraising; rating input score 70; 70th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 1.4%; rating input score 1; 6th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 50%; rating input score 50; 13th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -1.8%; rating input score 19; 19th percentile among comparable filings
  • Total-asset coverage ratio: 0.63; rating input score 24; 24th percentile among comparable filings
  • Liabilities to assets ratio: 0.47; rating input score 38; 38th percentile among comparable filings
  • Officer compensation ratio: 0.6%; rating input score 82; 82nd percentile among comparable filings

Growth

  • Program expense growth: 7.3% per year; rating input score 100; 59th percentile among comparable filings
  • Revenue growth: 7.3% per year; rating input score 100; 62nd percentile among comparable filings
  • Asset growth: 3.9% per year; rating input score 100; 27th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 9 operating locations identified
  • Where the money goes: 84.2% of revenue deployed · 83.2% of spending went to programs
  • Governance: 2 of 4 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $257.2M in reported program spending
  • Leadership: top reported pay $6.5M · 21 people listed · 1 of 6 pay-setting controls reported
  • Consistency: 32 of 33 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 118 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.

  • Review — Accountability: Independent voting board scored 50/100.
  • High — Transparency & Controls: Grant itemization coverage scored 1/100.
  • High — Sustainability: Operating margin scored 19/100.
  • High — Sustainability: Total-asset coverage ratio scored 24/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 38/100.