Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Louisiana · Ranked 306 of 1033 by CEO pay.

Christus Health Southwestern Louisiana

Christopher Karam, Board Chair/Director/Chief Executive Officer (Eff 1/25). Fiscal year ending 2025-06.

$1.4M
CEO total compensation
Form 990 Part VII, columns D+E+F
1.90%
of expenses spent on charity care
Schedule H Part I line 7a
23.5%
CEO pay as a share of all charity care
Christopher Karam’s pay of $1,379,979 equals 23.5 percent of the $5,861,221 the system spent on charity care in the same year.

The chief executive's title on the filing indicates a change during the year (BOARD CHAIR/DIRECTOR/CHIEF EXECUTIVE OFFICER (EFF 1/25)); the pay shown is what the filing reports for that person, which may cover part of the year.

Most of the reported compensation ($1,324,227 of $1,379,979) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: Paul Trevino, Swla Chief Executive Officer/Director, $1,038,093. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$303,494,087
Total expenses
$309,066,809
Net assets
$102,271,537
Employees
1,376
Hospitals covered
2 facilities across 1 filing
Charity care, net
$5,861,221
Bad debt
$7,953,316
Medicare surplus (shortfall), as filed
$10,322,532
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,324,227
Other compensation, including deferred pay and nontaxable benefits (col. F)
$55,752
CEO total compensation (D+E+F)
$1,379,979 to Christopher Karam

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Christus Health Southwestern Louisiana, EIN 72-0411322, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$15.2M Of which charity care to patients who could not pay (line 7a)$5.9M (38%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($8.0M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Christus Health Southwestern Louisiana: CEO pay $1.4M, charity care 1.90% of expenses