C H Wilkinson Physician Network

“During the taxable year C. H. Wilkinson Physician Network (the "Organization") became aware of two unauthorized contractual arrangements entered into with different parties by an Organization employee in prior years. After lengthy review the Organization has been unable to verify receipt of value corresponding to the amounts paid. The Organization paid a total of $1,771,473 under the first contract and $535,000 under the second contract, over a period of several years. The responsible employee was placed on leave immediately after these facts were discovered and the employee was terminated shortly thereafter. The Organization engaged special counsel, demanded repayment of funds from the parties involved, and agreed upon the terms of a settlement agreement to receive repayment of certain funds while other negotiations continue with respect to repayment. The Organization has also conducted a thorough evaluation of applicable internal controls and appropriate enhancements, to prevent any future recurrence of such an event.”

“FORM 990, PAGE 1, ITEM C DOING BUSINESS AS C.H. WILKINSON PHYSICIAN NETWORK OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Family Medicine-Hope CHRISTUS Medical Group Christus Physician Group CHRISTUS Cabrini Group Practice Christus Cabrini Group Practice Marksville Family Care Center Christus Family Medicine Center-Pineville CHRISTUS Hospice and Palliative Care St. Frances Cabrini CHRISTUS Internal Medicine - North Bossier CHRISTUS Louisiana Athletic Club-Alexandria CHRISTUS Louisiana Athletic Club-Louisiana College Christus Maternal Fetal Medicine Shreveport-Bossier CHRISTUS Medical Group Internal Medicine Associates Christus Physician Network Shreveport-Bossier Christus Primary Care and Multispecialty Group Lake Charles Christus Primary Care-Alexandria CHRISTUS Primary Care-Shreveport Christus Primary Care-South Bossier Christus Primary Care Associates Shreveport Bossier Christus Primary Care Partners Shreveport Bossier Christus Primary Care Specialists-Prescott Road Christus Schumpert Group Practice Pediatric Associates Christus Schumpert Group Practice Primary Care Associates CHRISTUS St. Patrick Medical Group Cardiology Associates CHRISTUS St. Patrick Medical Group Internal Medicine Associates CHRISTUS St. Patrick Medical Group Pediatric and Internal Medicine Clinic CHRISTUS St. Patrick Medical Group Prien Lake Medical Clinic Christus Surgical Group Lakes Charles Central Women's Health Care Christus Beaumont Adult Medicine Christus Cardiovascular and Thoracic Surgery Christus Clinic Management Services Christus Coastal Bend Family Medicine Christus Elite Orthopedics of Corpus Christi Christus Family Health Center-Northside Christus Family Health Center-Robstown Christus Family Health Center-Westside CHRISTUS Family Medicine & Women's Health - Alice CHRISTUS Family Medicine-Alamo Heights Satellite Clinic CHRISTUS Family Medicine-Alice Christus Family Medicine-Babcock Road CHRISTUS Family Medicine-Bayside Christus Family Medicine-Boerne Christus Family Medicine-Bulverde Christus Family Medicine-Groves CHRISTUS Family Medicine-Kingsville Christus Family Medicine-Lumberton Christus Family Medicine-Mid County Christus Family Medicine-New Braunfels CHRISTUS Family Medicine-Oak Run Christus Family Medicine-Port Arthur Christus Family Medicine-Port Neches Christus Family Medicine Academic Center-Central Christus Family Medicine Academic Center-South Christus Family Medicine North New Braunfels Christus Family Medicine Shavano Park Christus George West Family Medical Clinic Christus Gynecology Specialists CHRISTUS Health Clinic - Irving Christus Healthy Living Mobile Clinics CHRISTUS Jasper Memorial Medical Group Surgical Associates Christus Maternal Fetal Medicine Christus New Braunfels Surgical Associates Christus Obstetrics and Gynecology Associates-Alice Christus Obstetrics and Gynecology Associates-Kingsville Christus Orthopedic Trauma Associates Christus Point of Light Clinic Christus Preventative Medicine of Southeast Texas CHRISTUS Provider Network Christus Pulmonary and Sleep Medicine-Texarkana CHRISTUS Quick Care New Boston Christus Radiology Oncology Christus Santa Rosa Emergency Center New Braunfels Christus Santa Rosa Medical Group CHRISTUS Santa Rosa Medical Group Alamo Heights Family Medicine Christus Santa Rosa Medical Group Cardiology Consultants CHRISTUS Santa Rosa Medical Group Cardiovascular Associates Christus Santa Rosa Medical Group Express Care - Alamo Heights Christus Santa Rosa Medical Group Family Medicine - Bulverde Christus Santa Rosa Medical Group Family Medicine - Medical Center Christus Santa Rosa Medical Group Family Medicine - Westover Hills Christus Santa Rosa Medical Group LoneStar Neurosurgery Christus Santa Rosa Medical Group New Braunfels Surgical Associates Christus Santa Rosa Medical Group Pediatric ENT Christus Santa Rosa Medical Group Surgical Associates CHRISTUS Santa Rosa Medical Group Westover Hills Orthopedics Christus Shoreline Orthopedics Christus South Texas ENT & Allergy Christus S”

“Christus health also used cash donations as a vehicle to help our communities. We made cash donations in addition to grants awarded through the christus fund to support causes like the fight against cancer, provision of a continuum of care for our elderly, hiv/aids, and for many other equally worthy purposes. During fy 2021, christus health advocated for improving public policies, working to establish, and in some instances augment, grassroots advocacy and greater access to healthcare services for the constituents we serve. Healthcare services for the constituents we serve.”

“Community services for the poor and underserved rooted in our mission and tradition the founders and sponsors of christus health and those who co-minister with them seek new and innovative ways of delivering quality health care that is both affordable and accessible to all. Today, more than ever, we must aim to improve the total health status of the community through programs that place our services where they are needed most, with special attention and preference given to programs that support and benefit the health and welfare of the poor and underserved. Community services for the poor and underserved represent the unpaid cost of services provided for which a patient is not billed, or for which a fee has been assessed that recovers only a portion of the cost of the rendered service. This category includes initiatives that reach out to those in need through community health and social programs. These programs seek justice for the vulnerable and work to bring about changes in our political and economic systems. The programs cover a broad spectrum of services from charity clinics to immunizations for children and seniors, counseling for mental health and substance abuse, meals for the homeless, transportation services, home repair projects and a variety of other social services. C.h. Wilkinson physician network participates with the christus health hospital facilities throughout the texas, louisiana and arkansas markets to provide support for community benefits programs. C.h. Wilkinson physician network, in conjunction with christus foundation for healthcare and christus gulf coast region, provides health care and medications for indigent patients at the point of light clinic and christus st mary's clinic. The point of light clinic and christus st. Mary's clinic serve predominantly indigent communities that have extensive health, social development, educational and economic needs. Christus point of light had 4,372 encounters including mental health counseling in fiscal year 2021. Most of these visits were uninsured or underinsured. Primary care services provided to the uninsured/underinsured in 2021 was $472,176. Christus st. Mary's clinic had 28,547 office visits in fiscal year 2021. 100% of these visits were uninsured or underinsured. Primary care services provided to uninsured/underinsured in 2021 was $1,427,350 and through the prescription assistance program provides 2,106 patients for 2,452 prescriptions which was $3,962,784. C.h. Wilkinson physician network, in conjunction with christus foundation for healthcare and christus gulf coast region, extends the healing ministry of jesus christ by providing healthcare services to inner city catholic and academy (recovery schools) school settings in the houston/galveston area. The primary goal is to help keep students healthy and in school. Christus school clinics had 12,166 encounters (including mental health counseling & dental health) provided telemedicine/telecounseling and immunizations for students in fiscal year 2021 and these expenses were covered for, even though schools were shut down due to covid-19. Christus healthy living mobile clinic provides community outreach services and hlmc served 39,322 patients in fiscal year 2021 for $450,467 and others together, these programs provided $3,788,328 in health care services, to those that are uninsured or underinsured.”

“Form 990, part vi, question 1b & part 1, question 4 none of the voting members of the governing body meet the definition of "independent" per the irs form 990 instructions because they receive compensation from the filing organization and/or related organizations. Therefore, there are zero voting members that are independent.”

“Form 990, part vi, line 6 christus health is the sole corporate member of c.h. Wilkinson physician network.”

“Form 990, part vi, line 7a the board of directors for c.h. Wilkinson physician network recommends to the sole corporate member, chrsitus health, members for the board ans/or officers. Christus health approves recommendations for appointment.”

“Form 990, part vi, line 7b christus health, as sole member of the corporation, reserves the sole approval for the following actions: to alter, amend or repeal the articles of incorporation and/or bylaws of the corporation; the annual orerating and capital budgets of the corporation; material ($5,000.00) deviations from annual operating and capital budgets; the merger, acquisition, consolidation, liquidation, or dissolution of the corporation; the approintment/removal of directors; the appointment/removal of officers (other than chairman or vice chairperson of the board); and the selection of the corporation's auditors.”

“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.”

“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.”

“Form 990, part vi, lines 15a & 15b the executive compensation committee of christus health determines the compensation of the president (or executive director, as applicable), officers and key employees of christus health and the resident/ceo of c.h. Wilkinson physician network. 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.”

“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.”

“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.”

“Form 990, part xi, line 9 prior period adjustment $(16,427,370) intercompany 119,347,696 rounding 5 -------------- total $102,920,331”