The purpose of writing Pastoral Health and Burnout: Spiritual Maturity, Emotional Health, and Physical Environment is to integrate biblical and psychological insights to test three suspected factors of burnout among senior pastors. This is accomplished through the creation of the Ream Pastoral Health Scale (RPHS), a 60-question Likert scale survey designed to assess the health of a senior pastor according to spiritual maturity, emotional health, and physical environment. The RPHS was validated using the Maslach Burnout Inventory (MBI). The MBI is a nationally recognized assessment tool for measuring burnout in the secular word. Eighty-three Christian and Missionary Alliance senior pastors from various districts in the United States were surveyed with the Ream Pastoral Health Scale and the Maslach Burnout Inventory. Strong correlations were found between the RPHS and the MBI.