Civic Intelligence

Christus Pediatric Physician Group

990 • Fiscal year 2021 • EIN 46-5203505

Jul 01, 2020 to Jun 30, 2021 • Filed on May 02, 2022

919 Hidden Ridge DriveIrving, TX 75038

(469) 282-2525

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

1.81x

Higher debt load relative to assets than 99% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Liabilities / Revenue

54th percentile

0.26x

Higher debt load relative to revenue than 54% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Net Margin

4th percentile

-63%

Higher net margin than 4% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Top Officer Pay

96th percentile

$834,828

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 7.6% of source-year revenue.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Asset Growth

6th percentile

-11%

Faster asset growth than 6% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2020 to 2021

Revenue Growth

31st percentile

1.0%

Faster revenue growth than 31% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2020 to 2021

Assets

Down

$1,557,571

Down $188,196 (-11%) from 2020

Net Assets

Up

-$1,264,973

Up $10,767,810 (+89%) from 2020

Liabilities

Down

$2,822,544

Down $10,956,006 (-80%) from 2020

Revenue

Up

$11,008,801

Up $106,177 (+1.0%) from 2020

Expenses

Down

$17,987,587

Down $938,575 (-5.0%) from 2020

Net Income

Up

-$6,978,786

Up $1,044,752 (+13%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$20M$10M$0-$10M-$20MAssets 2014: $1Liabilities 2014: $02014Assets 2015: $855,756Liabilities 2015: $4,225,253Net Assets 2015: -$3,369,4972015Assets 2016: $1,052,391Liabilities 2016: $7,400,946Net Assets 2016: -$6,348,5552016Assets 2017: $1,552,722Liabilities 2017: $12,129,377Net Assets 2017: -$10,576,6552017Assets 2018: $1,642,024Liabilities 2018: $2,723,920Net Assets 2018: -$1,081,8962018Assets 2019: $1,189,348Liabilities 2019: $1,726,322Net Assets 2019: -$536,9742019Assets 2020: $1,745,767Liabilities 2020: $13,778,550Net Assets 2020: -$12,032,7832020Assets 2021: $1,557,571Liabilities 2021: $2,822,544Net Assets 2021: -$1,264,9732021Assets 2022: $2,182,525Liabilities 2022: $4,105,197Net Assets 2022: -$1,922,6722022Assets 2023: $298,797Liabilities 2023: $1,790,431Net Assets 2023: -$1,491,6342023Assets 2024: $300,787Liabilities 2024: $18,291Net Assets 2024: $282,4962024

Highlighted filing

2021

Assets$1,557,571
Liabilities$2,822,544
Net Assets-$1,264,973

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$10M$0-$10MRevenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $6,266,422Expenses 2015: $9,635,919Net Income 2015: -$3,369,4972015Revenue 2016: $6,982,691Expenses 2016: $9,961,750Net Income 2016: -$2,979,0592016Revenue 2017: $7,451,897Expenses 2017: $11,679,997Net Income 2017: -$4,228,1002017Revenue 2018: $9,949,520Expenses 2018: $14,295,041Net Income 2018: -$4,345,5212018Revenue 2019: $10,988,341Expenses 2019: $16,048,944Net Income 2019: -$5,060,6032019Revenue 2020: $10,902,624Expenses 2020: $18,926,162Net Income 2020: -$8,023,5382020Revenue 2021: $11,008,801Expenses 2021: $17,987,587Net Income 2021: -$6,978,7862021Revenue 2022: $12,758,827Expenses 2022: $17,058,255Net Income 2022: -$4,299,4282022Revenue 2023: $788,062Expenses 2023: $461,384Net Income 2023: $326,6782023Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2021

Revenue$11,008,801
Expenses$17,987,587
Net Income-$6,978,786
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 2, 2022
Return Version
2020v4.1
Gross Receipts
$11,008,801
Mission and Program 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.

Charitable, scientific, educational & religious purposes of advancing, promoting & supporting the health care ministries of the sponsoring congregations.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$604,372$433,886▼ $170,486
Accounts Receivable$279,312$342,699▲ $63,387
Cash and Non-Interest-Bearing Accounts$308,049$307,349▼ $700
Prepaid Expenses and Deferred Charges$12,690$18,532▲ $5,842
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,745,767$1,557,571▼ $188,196
Other Assets Total$541,344$455,105▼ $86,239
Liabilities
Accounts Payable and Accrued Expenses$12,879,818$2,215,041▼ $10,664,777
Other Liabilities$885,927$594,698▼ $291,229
Deferred Revenue$12,805$12,805→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$13,778,550$2,822,544▼ $10,956,006
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-12,032,783$-1,264,973▲ $10,767,810
Total Net Assets Fund Balance$-12,032,783$-1,264,973▲ $10,767,810
Total Liabilities and Net Assets / Fund Balance$1,745,767$1,557,571▼ $188,196

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$355,478$1,125,314$1,480,792
Equipment$69,964$82,403$152,367
Other Land Buildings$8,444$52,698$61,142
Other Assets Org$10,625--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Miriam C Bauer MdPhysicianFT$350,759$27,280$378,039
Robert KarlTreasurer-$238,724$131,279$370,003
Jose M Farina MdPhysicianFT$326,362$42,941$369,303
Juan Ferreris MdVice ChairFT$311,653$30,507$342,160
Christine KeatingVPFT$298,752$29,208$327,960
Christina Gutierrez MdPhysicianFT$286,314$25,622$311,936
Penny Fishercorp. secretary(As of 07/2020)PT$107,388$12,039$119,427
Sarah AfnaniSecretary(thru 06/2020)PT$18,239$702$18,941

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Ackerman And CoManagement Service10 GLENLAKE PKWY NE, Atlanta, GA 30328$283,342
Teamhealth Medical Call CenterMedical Call CenterPO BOX 635013, Cincinnati, OH 45263$117,376
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$10,813,940
Investment Income
$0
Other Revenue
$194,861
Change in Net Assets
$-6,978,786
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$9,695,623
Other Expenses$8,291,964
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,686,921$166,431-$7,853,352
Occupancy$1,284,204--$1,284,204
Other Employee Benefits$916,644$29,939-$946,583
Fees for Services Other$355,683$533,525-$889,208
Office Expenses$510,439$1,577-$512,016
Current Officers, Directors, Trustees, and Key Employees$497,597$10,774-$508,371
Payroll Taxes$373,595$13,722-$387,317
Depreciation Depletion$238,815$30,163-$268,978
Insurance$98,898$11,271-$110,169
Interest-$36,736-$36,736
Other Expenses$18,783$1,483-$18,783
Conferences and Meetings$4,860--$4,860
Travel-$785-$785
Total Functional Expenses$17,005,334$982,253$0$17,987,587
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability Operating Lt P$446,948
Cp Operating Lease Liability$147,750
Due to Related Organizations$0
Deferred Lease Incentive$0
Long Term Rent Liabilities$0
Other Long Term Liabilities$0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Christus Pediatric Physician Group
EIN
46-5203505
In Care Of
% LEE SONNE
Phone
4692822525
Address
919 Hidden Ridge Drive, Irving, TX 75038
Doing Business As
See Schedule O

Signing Officer

Name
bob KARL
Title
CFO
Phone
4692822000
Signed
2022-05-02

Organization Details

Principal Officer
Bob Karl
Formed
2014
Legal Domicile
TX
Voting Board Members
3
Independent Board Members
2
Employees
718
Volunteers
2
Supplemental Narrative

Additional Explanations

Doing Business as

Form 990, page 1, item c christus pediatric physician group operates under the following names: children's hospital of san antonio physician group christus women's health-alamo heights the children's hospital of san antonio primary care

Description of Classes of Members or Stockholders

Form 990, part vi, line 6 christus health and christus health santa rosa health care corporation are the equal corporate members of the filing organization.

Description of Classes of Persons and the Nature of Their Rights

Form 990, part vi, line 7a the corporate members of the filing organization have the power to appoint all members of the filing organization's governing body.

Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Right

Form 990, part vi, line 7b christus health's board of directors has the following powers: approve, change and/or interpret the filing organization's philosophy, mission and vision; approve the adoption or amendment of the filing organization's articles of incorporation and bylaws; appoint and remove members of the filing organization's board of directors; appoint and remove the filing organization's chair of the board of directors and vice chairperson of board of directors; approve incurrence of debt that exceeds $5 million per incurrence or $25 million annually; approve any merger, consolidation, acquisition, dissolution or liquidation by the filing organization; approve the implementation of system-wide policies for filing organization: approve system-wide consolidated budget and performance indicators for the filing organization; approve the independent audit reports of the filing organization; approve capital projects greater thatn $10 million for the filing organization; approve any transaction by the filing organization the effect of which is to create a new legal entity or joint venture, any transaction involving a system participant or local entity which creates a new legal entity or joint venture; or changes in business purpose or relationship of any local entity; and approve and authorize actions reserved in organization documents or similar governance documents. The christus health ceo has the following powers: power to appoint and remove the president of the filing organization; approve the sale, lease, mortgage, transfer, easement or encumbrance of the filing organization's real property designated as non-designated ministry property under $5 million but more than $1 million; approve the incurrence of debt up to a $5 million cap or 25 million annually by the filing organization; approve strategic plans of the filing organization; approve the filing organization's budgget; set the threshold of capital projects less than $10 million by the filing organization; and approve management directives for the filing organization. The christus health members are the congregation of sisters of charity of the incarnate word, houston, texas and the congregation of sisters of charity of the incarnate word (of san antonio). The christus health members have the folloeing powers: approve the adoption and amendment of articles of incorporation and bylaws of the filing organization if the change is related to reserved powers of members: approve the sale, lease, mortgage, transfer, easement or encumbrance of real property in excess of a $5 million threshold dollar amount required by canon law for the filing organization; approve the sale, lease, mortgage, transfer, easement, or encumbrance of real property designated as designated ministry property by the filing organization, but not in excess of $5 million; approve the change of ownership, management or control, (except in the ordinary course of business office and space leases) the fundamental use by change in license that would significantly change a facility, or the elimination of ob, ped, psych or emergency services on real property provided in connection with designated ministry property owned by the filing organization; and approve the merger, consolidation, acquisition, dissolution or liquidation of the filing organization if it owns designated ministry property.

Describe the Process Used by Management &/or Governing Body to Review 990

Form 990, part vi, line 11b the form 990 is prepared and reviewed by the christus health tax department. The christus health accounting department works with the tax department in preparation and review of the form 990. The filing organization's cfo, or other designee, reviews the form 990. The final form 990 that will be filed with the irs is posted to a secure internet portal for all members of the board of directors to view. Review of the final form 990 occurs prior to filing with the irs in the spring of 2022 via either meeting, conference call, or web portal polling tool by the respective christus organization's board, based on a set of suggested review processes developed by christus health.

Description of Process to Monitor Transactions for Conflicts of Interest

Form 990, part vi, section b, line 12c at the end of each calendar year, the christus health corporate secretary distributes a conflict of interest questionnaire to all of the organization's board and committee members for completion prior to the 1st of january in the next year. The corporate secretary thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. The organization's board of directors is responsible for enforcement of the conflict of interest policy of the organization.

Compensation Determination Process

Form 990, part vi, lines 15a & 15b the executive compensation committee of christus health determines the compensation of the ceo (or executive director, as applicable), officers and key employees of christus health and certain other officers and key employees of related organizations, including christus pediatric pfysician group. The executive compensation committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The executive compensation committee of the christus health board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. Develops the merit increase recommendations for all designated system executives based on market comparability. 2. Recommends the changes in the compensation structure (grades) based on the market changes. 3. Completes a review and evaluation of newly created positions to recommend a grade placement to the committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other designated system executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the executive compensation committee makes final compensation decisions. Additionally, the executive compensation committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the committee are documented and formalized in the committee minutes and maintained on record. The filing organization determines the compensation of the secretary by use of an independent and external consultant. The consultant helps determine pay rates for the associates of the filing organization, taking into account market data and shift differential. The compensation rates are approved by the filing organization. Based the aforementioned procedure, the secretary's compensation is not reviewed by a compensation committee.

Public Disclosure of 1023 and Form 990 & 990-T

Form 990, part vi, line 18 christus health and most of its affiliated entities do not have forms 1023 because of their inclusion in the irs group ruling with the united states conference of catholic bishops, which covers the organizations listed in the annual official catholic directory. Christus health's website displays the irs group ruling and relevant annual official catholic directory pages for the organizations related to christus health. Forms 990 and 990-t are made available upon request.

Avail of Governing Docs, Conflict of Interest Policy and Fin Stmt

Form 990, part vi, line 19 the consolidated audited financial statements of christus health are made available to the public via the christus health website. The organization's governing documents and conflict of interest policy are not made available to the public.

Other Changes in Net Assets

Form 990, part xi, line 9 intercompany 17,734,905 prior period adjustments 11,632 ------------ total $17,746,597 ============

Financial Statement Notes

Uncertain Tax Position Under Asc 740

Schedule d, part x, line 2 per footnote 3 in the consolidated financial statements, there are no material unrecorded tax liabilities as of june 30, 2021 and 2020.

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IRS990/MissionDesc0THE 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.
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