Christus Santa Rosa Health Care Corporation

Christus Santa Rosa Health Care Corporation, doing business as Children's Hospital of San Antonio, is a San Antonio-based non-profit healthcare provider that delivers ambulatory surgical services, outpatient clinic services, and specialized child abuse victim support to the Department of Veterans Affairs as a prime contractor and to state and federal health agencies as a grant sub-recipient. The organization holds no SBA set-aside designations and competes exclusively in full-and-open procurements. Christus Santa Rosa operates as a subsidiary of Christus Health, a larger regional non-profit healthcare system headquartered in Irving, Texas, and maintains a named sub-entity, Christus Santa Rosa Home Care.

The organization's federal footprint is almost entirely concentrated with the VA. The Department of Veterans Affairs Veterans Integrated Service Network 17 (VISN 17) accounts for 33 awards with $138 million in combined potential value — 100% of the organization's dollar-based customer concentration. This relationship spans multiple delivery orders under VA single-award indefinite delivery vehicles for off-site gastroenterology ambulatory surgery center services, ambulatory surgical procedures, and outpatient clinic services supporting veterans in the San Antonio region. Recent prime contract work includes a $6.8 million option-year delivery order (awarded June 2025) for ambulatory surgical and outpatient clinic services under contract 671-C50173, a $3.7 million base-year delivery order (August 2025) for off-site gastroenterology services under a newly awarded single-award IDC 36C25721D0040 with a $37.2 million ceiling running through September 2035, and a $3.4 million six-month extension (June 2026) to contract 671-C60161. These contracts use fixed-price with economic price adjustment pricing and no set-aside designation.

Beyond VA work, Christus Santa Rosa holds a federal grant prime award from the Department of Health and Human Services Office of Planning Research and Evaluation for a project grant to increase capacity for child abuse and neglect victim services (awarded August 2023, completion August 2025). The organization also serves as a sub-recipient on multiple federal grant programs. Grant sub-work includes Women, Infants, and Children (WIC) Local Agency Services awarded through the Department of Agriculture Food and Nutrition Service via the Health and Human Services Commission of Texas; Child Abuse Services and Advocacy (CFM/SANE) projects through the Texas Office of the Governor; an Advanced Nurse Education Sexual Assault Examiner Program service agreement through Texas A&M University System Health Science Center; a Violence Against Women Victims Assistance Coordinator project through the Texas Office of the Governor; and research infrastructure support through Fred Hutchinson Cancer Center and Oregon Health & Science University under National Institutes of Health National Cancer Institute grants. The Department of Justice Office of Justice Programs Victims of Crime and the Department of Health and Human Services Health Resources and Services Administration account for smaller award volumes (6 awards each).

Activity has remained modest and episodic over the past five years (1 award in 2022, 6 in 2023, 6 in 2024, 7 in 2025, 2 in 2026 year-to-date), with a combined potential value of $138.1 million across 67 total awards (prime and sub). Only 2 awards with combined potential value of $7.1 million face completion in the next twenty-four months, indicating minimal near-term recompete exposure for the VA contract portfolio. Christus Santa Rosa appears as a sub-recipient or sub-contractor on work performed for other prime grantees (Texas state agencies, academic medical centers, and cancer research consortia) rather than as a primary federal prime or sub beyond its VA relationship. The organization's NAICS concentration skews toward medical service delivery (General Medical and Surgical Hospitals, Offices of Physicians) with notable coding under Colleges, Universities, and Professional Schools, reflecting grant work in research infrastructure and professional nurse education. PSC coding centers on Medical-Surgery (25 awards) and Cardiology (8 awards), consistent with the VA's ambulatory surgical service procurement stream.