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TEXAS CHILDRENS URGENT CARE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TEXAS CHILDRENS URGENT CARE (EIN 47-2029489)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-14
IRS object ID
202432279349302763
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-14T14:50:49+00:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19 Greenway Plaza Suite 1700AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP770460946ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472029489EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEXAS CHILDREN'S URGENT CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTEXABusinessNameControlTxt
Phone8328242918PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16330 WEST LOOP SOUTH 1300AddressLine1Txt
CityBELLAIRECityNm
State AbbreviationTXStateAbbreviationCd
ZIP77401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWELDON GAGEPersonNm
Person TitleExecutive Vice President & CFOPersonTitleTxt
Phone8328242982PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel SpurlockPreparerPersonNm
PTINP00520729PTIN
Phone7136679147PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1WELDON GAGEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16330 WEST LOOP SOUTH 1300AddressLine1Txt
CityBELLAIRECityNm
State AbbreviationTXStateAbbreviationCd
ZIP77401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$32,639,831GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.texaschildrensurgentcare.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee448TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$37,720CYContributionsGrantsAmt
PY Program Service Revenue$34,678,077PYProgramServiceRevenueAmt
CY Program Service Revenue$32,585,208CYProgramServiceRevenueAmt
PY Investment Income$215,187PYInvestmentIncomeAmt
CY Investment Income$11,903CYInvestmentIncomeAmt
CY Other Revenue$5,000CYOtherRevenueAmt
PY Total Revenue$34,893,264PYTotalRevenueAmt
CY Total Revenue$32,639,831CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,065,411PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$33,556,871CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,670,634PYOtherExpensesAmt
CY Other Expenses$8,155,187CYOtherExpensesAmt
PY Total Expenses$37,736,045PYTotalExpensesAmt
CY Total Expenses$41,712,058CYTotalExpensesAmt
PY Revenues Less Expenses-$2,842,781PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,072,227CYRevenuesLessExpensesAmt
Total Assets BOY$27,082,115TotalAssetsBOYAmt
Total Assets EOY$33,673,082TotalAssetsEOYAmt
Total Liabilities BOY$45,771,882TotalLiabilitiesBOYAmt
Total Liabilities EOY$61,435,076TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$18,689,767NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$27,761,994NetAssetsOrFundBalancesEOYAmt
MissionTO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$41,712,058ExpenseAmt
Grant$0GrantAmt
Revenue$32,590,208RevenueAmt
DescTEXAS CHILDREN'S URGENT CARE PROVIDES A CONCENTRATION OF SKILLS AND RESOURCES NECESSARY FOR THE URGENT DIAGNOSIS AND TREATMENT OF ILL CHILDREN FROM BIRTH THROUGH EARLY ADULTHOOD. TOTAL PATIENT ENCOUNTERS FOR THE YEAR ENDED 09/30/2023 WERE 229,204. APPROXIMATELY 41.3% OF PATIENTS SEEN WERE FROM A PCP OUTSIDE OF TEXAS CHILDREN'S.Desc
Total Program Service Expenses$41,712,058TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee448EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott ElliottBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8328242951PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16330 WEST LOOP SOUTH STE 1300AddressLine1Txt
CityBELLAIRECityNm
State AbbreviationTXStateAbbreviationCd
ZIP77401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jeffrey S Shilt MD
BOARD MEMBER / CHAIR / PHYSICIAN / IN-CHIEF1.039.0Yes (X)Yes (X)$0$155,700$0
STANLEY W SPINNER MD
BOARD MEMBER / VICE CHAIR / VP / CHIEF MEDICAL OFFICER / PHYSICIAN1.039.0Yes (X)Yes (X)$0$675,162$154,031
AUTUMN L PRUETTE MD
BOARD MEMBER / PHYSICIAN1.039.0Yes (X)$0$161,369$27,025
GORDON SCHUTZE MD
BOARD MEMBER / PHYSICIAN1.01.0Yes (X)$0$0$0
Jean Raphael MD
BOARD MEMBER / PHYSICIAN1.01.0Yes (X)$0$0$0
JOAN E SHOOK MD
BOARD MEMBER / PHYSICIAN1.01.0Yes (X)$0$300$0
MATTHEW A WILBER MD
BOARD MEMBER / PHYSICIAN1.039.0Yes (X)$0$407,046$69,184
AISHA JAMAL
BOARD SECRETARY AS OF 3/9/23 / VICE PRESIDENT ALL YEAR1.039.0Yes (X)$0$399,578$125,198
DANIEL G GOLLINS
PRESIDENT TCP & TCUC / VICE PRESIDENT1.039.0Yes (X)$0$475,752$148,100
LANCE A LIGHTFOOT
BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR1.039.0Yes (X)$0$1,653,642$311,254
DANIEL R DIPRISCO
EXECUTIVE VICE PRESIDENT1.039.0$0$1,415,226$308,452Yes (X)
MICHELLE M RILEY-BROWN
EXECUTIVE VICE PRESIDENT THROUGH 4/15/231.039.0$0$1,820,170$421,507Yes (X)
CYNTHIA OYUBU MD
PHYSICIAN40.00$246,488$0$42,590Yes (X)
KIM T CHAU MD
PHYSICIAN40.00$222,995$0$21,335Yes (X)
LINDA M CAO MD
PHYSICIAN40.00$231,201$0$32,826Yes (X)
LISA W GAW MD
PHYSICIAN40.00$251,045$0$54,184Yes (X)
TERRY YEN
MEDICAL DIRECTOR40.00$353,708$0$60,363Yes (X)
Ann Buell MD
FORMER KEY EMPLOYEE / PHYSICIAN40.00$205,824$0$15,876Yes (X)
GARY N MACLEOD
FORMER KEY EMPLOYEE / DIRECTOR THROUGH 3/1/230.00$184,363$0$56,284Yes (X)
MELISSA B FISCHER
FORMER KEY EMPLOYEE / DIRECTOR THROUGH 1/28/230.00.0$0$279,644$54,842Yes (X)
Sara F Montenegro
FORMER KEY EMPLOYEE / ASSISTANT VICE PRESIDENT THROUGH 4/28/220.00.0$0$382,538$28,908Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,695,624TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,826,127TotReportableCompRltdOrgAmt
Total Other Compensation$1,931,959TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K68IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
MCKESSON MEDICAL SURGICAL INC
PO Box 933027AtlantaGA31193HEALTH SOLUTIONS$1,372,762
TRUSTED HEALTH INC
604 MISSION STSan FranciscoCA94105EMPLOYMENT AGENCY$236,741STE 500
KPG Healthcare LLC
PO BOX 840202LOS ANGELESCA90084EMPLOYMENT AGENCY$108,711
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$37,720RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$37,720TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
OUTPATIENT REVENUE621400$32,585,208$32,585,208$0$0
$0$0$0$0
$0$0$0$0
$0$0$0$0
$0$0$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$32,585,208TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,903TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,903ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Other non-operating income900099$5,000$5,000$0$0
$0$0$0$0
$0$0$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,639,831TotalRevenueColumnAmt
Related Or Exempt Func Income$32,590,208RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,903ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$505,005TotalAmt
Program Services$505,005ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,868,875TotalAmt
Program Services$26,868,875ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$972,461TotalAmt
Program Services$972,461ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,298,010TotalAmt
Program Services$3,298,010ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,912,520TotalAmt
Program Services$1,912,520ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$794,058TotalAmt
Program Services$794,058ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$102,816TotalAmt
Program Services$102,816ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$291,475TotalAmt
Program Services$291,475ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$167,079TotalAmt
Program Services$167,079ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,069,447TotalAmt
Program Services$2,069,447ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,118TotalAmt
Program Services$22,118ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$47,347TotalAmt
Program Services$47,347ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,356,771TotalAmt
Program Services$1,356,771ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$139,270TotalAmt
Program Services$139,270ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL AND SURGICAL SUPPLIES$2,346,316$2,346,316
PHARMACEUTICAL SUPPLIES$376,518$376,518
RADIOLOGY OVERREADS$194,160$194,160
PATIENT DIETARY SUPPLIES$52,398$52,398

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$195,414TotalAmt
Program Services$195,414ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$41,712,058TotalAmt
Program Services$41,712,058ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$215,904BOYAmt
EOY$130,914EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,186,724BOYAmt
EOY$1,845,552EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$155,947BOYAmt
EOY$163,133EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,937,088BOYAmt
EOY$5,716,285EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,515,734LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,059,866LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,006,853BOYAmt
EOY$4,455,868EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,470,613BOYAmt
EOY$1,260,526EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,108,986BOYAmt
EOY$20,100,804EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,082,115BOYAmt
EOY$33,673,082EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,269,079BOYAmt
EOY$5,262,975EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,299,403BOYAmt
EOY$5,978,687EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,203,400BOYAmt
EOY$50,193,414EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,771,882BOYAmt
EOY$61,435,076EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$18,689,767BOYAmt
EOY-$27,761,994EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$18,689,767BOYAmt
EOY-$27,761,994EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,082,115BOYAmt
EOY$33,673,082EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$9,072,227ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$37,720CurrentTaxYearAmt
Total$37,720TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,627,383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,844,100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,228,045CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,678,077CurrentTaxYearMinus1YearAmt
Current Tax Year$32,585,208CurrentTaxYearAmt
Total$134,962,813TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,627,383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,844,100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,228,045CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,678,077CurrentTaxYearMinus1YearAmt
Current Tax Year$32,622,928CurrentTaxYearAmt
Total$135,000,533TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$135,000,533PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$11,903CurrentTaxYearAmt
Total$11,903TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$11,903CurrentTaxYearAmt
Total$11,903TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$5,000CurrentTaxYearAmt
Total$5,000TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,627,383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,844,100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,228,045CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,678,077CurrentTaxYearMinus1YearAmt
Current Tax Year$32,639,831CurrentTaxYearAmt
Total$135,017,436TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9999PublicSupportCY509Pct
Public Support PY5091.0PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - MISCELLANEOUS NON-OPERATING INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 5000.0, COLUMN F - 5000.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,212,845OtherCostOrOtherBasisAmt
Depreciation$4,866,652DepreciationAmt
Book Value$3,346,193BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,048,968OtherCostOrOtherBasisAmt
Depreciation$2,120,275DepreciationAmt
Book Value$928,693BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$253,921OtherCostOrOtherBasisAmt
Depreciation$72,939DepreciationAmt
Book Value$180,982BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,455,868TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$20,082,670
MISC RECEIVABLES$18,134
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,100,804TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$50,118,867
DEFERRED COMPENSATION$74,547
FieldValueIRS element (for citing)
Total Liability$50,193,414TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationMANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS AS OF SEPTEMBER 30, 2023 OR 2022.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jeffrey S Shilt MD
BOARD MEMBER / CHAIR / PHYSICIAN / IN-CHIEF$0$0$0$155,700$0$0$0$0$0$0$0$155,700$0$0
STANLEY W SPINNER MD
BOARD MEMBER / VICE CHAIR / VP / CHIEF MEDICAL OFFICER / PHYSICIAN$0$469,388$0$91,500$0$114,274$0$115,125$0$38,906$0$829,193$0$0
AUTUMN L PRUETTE MD
BOARD MEMBER / PHYSICIAN$0$84,552$0$52,048$0$24,769$0$9,320$0$17,705$0$188,394$0$0
MATTHEW A WILBER MD
BOARD MEMBER / PHYSICIAN$0$311,137$0$75,841$0$20,068$0$31,979$0$37,205$0$476,230$0$0
LANCE A LIGHTFOOT
BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR$0$753,414$0$737,560$0$162,668$0$275,313$0$35,941$0$1,964,896$0$627,694
AISHA JAMAL
BOARD SECRETARY AS OF 3/9/23 / VICE PRESIDENT ALL YEAR$0$312,836$0$64,100$0$22,642$0$106,973$0$18,225$0$524,776$0$0
DANIEL G GOLLINS
PRESIDENT TCP & TCUC / VICE PRESIDENT$0$378,929$0$73,200$0$23,623$0$132,038$0$16,062$0$623,852$0$0
MELISSA B FISCHER
FORMER KEY EMPLOYEE / DIRECTOR THROUGH 1/28/23$0$248,606$0$23,400$0$7,638$0$30,386$0$24,456$0$334,486$0$0
Sara F Montenegro
FORMER KEY EMPLOYEE / ASSISTANT VICE PRESIDENT THROUGH 4/28/22$0$71,348$0$0$0$311,190$0$14,074$0$14,834$0$411,446$0$111,892
GARY N MACLEOD
FORMER KEY EMPLOYEE / DIRECTOR THROUGH 3/1/23$162,329$0$15,700$0$6,334$0$15,327$0$40,957$0$240,647$0$0$0
Ann Buell MD
FORMER KEY EMPLOYEE / PHYSICIAN$185,200$0$15,384$0$5,240$0$10,575$0$5,301$0$221,700$0$0$0
DANIEL R DIPRISCO
EXECUTIVE VICE PRESIDENT$0$651,466$0$660,600$0$103,160$0$282,615$0$25,837$0$1,723,678$0$527,400
MICHELLE M RILEY-BROWN
EXECUTIVE VICE PRESIDENT THROUGH 4/15/23$0$862,094$0$866,350$0$91,726$0$370,278$0$51,229$0$2,241,677$0$728,394
TERRY YEN
MEDICAL DIRECTOR$316,530$0$30,400$0$6,778$0$20,100$0$40,263$0$414,071$0$0$0
LISA W GAW MD
PHYSICIAN$224,786$0$14,354$0$11,905$0$15,776$0$38,408$0$305,229$0$0$0
CYNTHIA OYUBU MD
PHYSICIAN$214,647$0$17,869$0$13,972$0$8,419$0$34,171$0$289,078$0$0$0
LINDA M CAO MD
PHYSICIAN$206,915$0$18,123$0$6,163$0$13,246$0$19,580$0$264,027$0$0$0
KIM T CHAU MD
PHYSICIAN$178,865$0$15,245$0$28,885$0$9,805$0$11,530$0$244,330$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCompensation for the organization's top management official is established by Texas Children's and Texas Children's Hospital, using the following methods: * Compensation Committee * Independent Compensation Consultant * Compensation Survey or Study * Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4a Severance or change-of-control paymentDURING CALENDAR YEAR 2022, A RELATED ORGANIZATION MADE A SEVERANCE PAYMENT TO SARA F. MONTENEGRO IN THE AMOUNT OF $125,597 THAT WAS TREATED AS TAXABLE AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III).
Schedule J, Part I, Line 4b SPLIT-DOLLAR LIFE INSURANCE PLANCertain individuals listed at Form 990, Part VII have split-dollar life insurance policies. The premiums were paid by Texas Children's prior to calendar year 2022 and will be recovered partially or fully when the policy is terminated or transferred to the executive. Participants include the following executives: Lance A. Lightfoot and Michelle M. Riley-Brown.
Schedule J, Part I, Line 4b 457(F) PLANS457(F) PLANS: PAID/DEFERRED AISHA JAMAL 0 / 30,000 DANIEL G. GOLLINS 0 / 49,500 DANIEL R. DIPRISCO 79,145 / 118,000 LANCE A. LIGHTFOOT 132,705 / 125,500 MICHELLE M. RILEY-BROWN 80,768 / 162,000 SARA F. MONTENEGRO 154,773 / 0 STANLEY W. SPINNER 69,500 / 0 457(F): THE 457(F) PLANS ARE NON-QUALIFIED DEFERRED COMPENSATION PLANS THAT ALLOW EXECUTIVES AND ELIGIBLE PHYSICIANS TO RECEIVE SUPPLEMENTAL RETIREMENT INCOME. FUNDS MAY BE CREDITED INTO THIS ACCOUNT FROM AN EMPLOYER CONTRIBUTION, CALCULATED BASED ON AN INDIVIDUAL'S TITLE AND BASE SALARY AS OF JANUARY 1. THESE EMPLOYER FUNDED CONTRIBUTIONS VEST AFTER THE EARLIER OF 5 YEARS IN THE PLAN, THE ATTAINMENT OF AGE 60 WITH 75 POINTS DETERMINED AS THE SUM OF AGE AND YEARS OF SERVICE, OR AT AGE 65. THE 475(F) PLAN ALSO CONTAINS RESIDUAL CAPITAL APPRECIATION CONTRIBUTIONS FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THESE CONTRIBUTIONS VEST AFTER A MINIMUM OF 5 YEARS IN THE PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a NON-EMPLOYEE COMPENSATIONTEXAS CHILDREN'S HOSPITAL (74-1100555) IS RESPONSIBLE FOR ALL FORM 1096 AND FORM 1099 FILINGS. AS SUCH, THIS INFORMATION IS REPORTED ON THE TEXAS CHILDREN'S HOSPITAL FORM 990.
Form 990, Part VI, Line 6 Classes of members or stockholdersTCH PEDIATRIC ASSOCIATES IS THE SOLE CORPORATE MEMBER OF TEXAS CHILDREN'S URGENT CARE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTCH PEDIATRIC ASSOCIATES AS THE SOLE MEMBER CORPORATION, HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS OF THE ORGANIZATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersPER THE ORGANIZATION'S BYLAWS, THE MEMBER HAS CERTAIN RESERVED POWERS: - Approve, interpret, or change the purpose of the Corporation. - Fix the number, appoint, or remove, with or without cause, any Director of the Corporation. - Fix the number, appoint, or remove, with or without cause, any Officer of the Corporation. - Approve the merger, dissolution, or consolidation, or reorganization of the Corporation. - Approve the acquisition, sale, lease, transfer, or other alienation of property of the Corporation, other than in the usual and regular course of the Corporation's business, when such acquisition, sale, lease, transfer, or other alienation is above specified financial levels set in accordance with policies established from time to time by the Member. - Approve capital and operating budgets of the Corporation. - Adopt or amend salaries or other compensation (including the awarding of any incentive compensation) of the Officers, physician employees of the Corporation, if any, and physicians who are independent contractors to the Corporation, if any. - Approve debt incurred by the Corporation that is in excess of such limits as are established by the Member. - Approve the disposition of assets of the Corporation at the time of its dissolution. - Approve any long-range financial and strategic plans for the Corporation. - Select the Corporation's auditors and legal counsel. - Create or sell any subsidiaries of the Corporation. - Approve any arrangement under which the Corporation shares financial risk, ownership, governance or co-branding with another entity, including, but not limited to, an insurer, health maintenance organization or preferred provider organization, and any agreement with a medical school, hospital, clinic, pharmacy, physician, Hospital affiliate, or other provider of health or related services, including, without limitation, all service terms and compensation arrangements therein. For the sake of clarity, an arrangement in which an entity has permission to list the Corporation as a client or an in-network participant does not constitute co-branding for purposes of these Bylaws. - Establish any training or residency program by the Corporation. - Adopt or amend any indemnification rights as outlined in Article IX hereof. - Approve any external funding to support the Corporation's activities, if the funding requires the Corporation to meet certain performance measures or outcomes, adhere to a budget, identify specific individuals to manage the activities being funded, or commit to any other similar programmatic obligations or restrictions. For the sake of clarity, this provision does not apply to gifts and contributions. - Purchase, adopt, amend, cancel, or replace any insurance coverage for the Corporation or its Directors, Officers and agents, as well as copies of any notices of cancellation received by the Corporation. - Approve the commencement or settlement of litigation or other claims, if such decision is outside management's authority as outlined in the Levels of Authority. - Approve the adoption or amendment of fee schedules relating to patient services. - Designate additional or successor Member(s). - Any other matters with respect to which exclusive authority is granted to the Member by law, the Certificate of Formation, or these Bylaws.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyNO SUCH COMMITTEES EXIST.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyPer a resolution approved by the member's board of trustees, the member board's audit, compliance, & risk committee has delegated authority to review the organization's completed Form 990 prior to filing. Following the audit, compliance, & risk Committee's review and approval, the completed Form 990 is shared with the members of the organization's board of directors and board of trustees prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT, COMPLIANCE, & RISK COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS.
Form 990, Part VI, Line 19 Required documents available to the publicTHE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A INCENTIVE COMPENSATIONDR. SHILT, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVED AS IN-CHIEF DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO HIS SENIOR LEADERSHIP ROLE, HE IS ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON HIS CONTRIBUTIONS TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN HIS CAPACITY AS A PHYSICIAN LEADER.
FORM 990, PART VI, LINE 15A DETERMINING COMPENSATION FOR TOP MANAGEMENT OFFICIALCOMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS PAID BY TEXAS CHILDREN'S HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION. BECAUSE THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS NOT PAID BY THE FILING ORGANIZATION, QUESTION 15A HAS BEEN ANSWERED NO.
FORM 990, PART VI, LINE 15B PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERSCOMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS IS PAID BY TEXAS CHILDREN'S HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION. BECAUSE THE ORGANIZATION'S OTHER OFFICERS ARE NOT PAID BY THE FILING ORGANIZATION, QUESTION 15B HAS BEEN ANSWERED NO.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
TEXAS CHILDREN'S
6330 WEST LOOP SOUTHSUITE 1300BELLAIRETX77401760461578PARENTTX501(c)(3)Type IINAfalse
TEXAS CHILDREN'S HEALTH PLAN
6330 WEST LOOP SOUTHSUITE 800BELLAIRETX77401760486264HEALTH CARETX501(c)(3)10TEXAS CHILDREN'Sfalse
TEXAS CHILDREN'S GLOBAL
PO BOX 300630HOUSTONTX77230261482195HEALTH CARETX501(c)(3)Type IITEXAS CHILDREN'Sfalse
TEXAS CHILDREN'S HOSPITAL
6621 FANNIN STREETHOUSTONTX77030741100555HOSPITALTX501(c)(3)3TEXAS CHILDREN'Sfalse
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STREETHOUSTONTX77030202380599SUPPORTING ORGTX501(c)(3)Type IITEXAS CHILDREN'Sfalse
TCH PEDIATRIC ASSOCIATES Inc
PO BOX 300630HOUSTONTX77230760460242HEALTH CARETX501(c)(3)10TEXAS CHILDREN'Sfalse
TEXAS CHILDREN'S PHYSICIAN GROUP
6621 FANNIN STREETHOUSTONTX77030260834681HEALTH CARETX501(c)(3)10TEXAS CHILDREN'Sfalse
TEXAS CHILDREN'S HEALTH PLAN - THE CENTER
6330 WEST LOOP SOUTHSUITE 800BELLAIRETX77401461392824HEALTH CARETX501(c)(3)Type ITEXAS CHILDREN'S HEALTH PLANfalse
THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION
6330 WEST LOOP SOUTHSUITE 1300BELLAIRETX77401760246858SUPPORTING ORGTX501(c)(3)Type ITEXAS CHILDREN'Sfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
TCH INSURANCE COMPANY LTD
PO BOX 1051GRAND CAYMANCJKY11102980176652INSURANCECJNAC Corporationfalse
CVI GVF HOLDINGS 3 LTD
981078282INVESTMENTCJNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd