2024-08-14T14:50:49+00:00 2023-09-30 350921680 CROWE LLP 9 Greenway Plaza Suite 1700 Houston TX 770460946 990 2022-10-01 472029489 TEXAS CHILDREN'S URGENT CARE TEXA 8328242918 6330 WEST LOOP SOUTH 1300 BELLAIRE TX 77401 WELDON GAGE Executive Vice President & CFO 8328242982 2024-08-14 false Rachel Spurlock P00520729 7136679147 2022 2024-08-08 14:25:15Z X WELDON GAGE 6330 WEST LOOP SOUTH 1300 BELLAIRE TX 77401 32639831 false X https://www.texaschildrensurgentcare.org/ X 2014 TX TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. 7 2 448 2 0 0 37720 34678077 32585208 215187 11903 5000 34893264 32639831 0 0 30065411 33556871 0 0 7670634 8155187 37736045 41712058 -2842781 -9072227 27082115 33673082 45771882 61435076 -18689767 -27761994 TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. false false 41712058 0 32590208 TEXAS 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. 41712058 true true false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 0 0 448 true false false false false false false false false false false false false X 7 2 false false false false true true true true false false false true true true true true true false false false X Scott Elliott 8328242951 6330 WEST LOOP SOUTH STE 1300 BELLAIRE TX 77401 Jeffrey S Shilt MD BOARD MEMBER / CHAIR / PHYSICIAN / IN-CHIEF 1.0 39.0 X X 0 155700 0 STANLEY W SPINNER MD BOARD MEMBER / VICE CHAIR / VP / CHIEF MEDICAL OFFICER / PHYSICIAN 1.0 39.0 X X 0 675162 154031 AUTUMN L PRUETTE MD BOARD MEMBER / PHYSICIAN 1.0 39.0 X 0 161369 27025 GORDON SCHUTZE MD BOARD MEMBER / PHYSICIAN 1.0 1.0 X 0 0 0 Jean Raphael MD BOARD MEMBER / PHYSICIAN 1.0 1.0 X 0 0 0 JOAN E SHOOK MD BOARD MEMBER / PHYSICIAN 1.0 1.0 X 0 300 0 MATTHEW A WILBER MD BOARD MEMBER / PHYSICIAN 1.0 39.0 X 0 407046 69184 AISHA JAMAL BOARD SECRETARY AS OF 3/9/23 / VICE PRESIDENT ALL YEAR 1.0 39.0 X 0 399578 125198 DANIEL G GOLLINS PRESIDENT TCP & TCUC / VICE PRESIDENT 1.0 39.0 X 0 475752 148100 LANCE A LIGHTFOOT BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR 1.0 39.0 X 0 1653642 311254 DANIEL R DIPRISCO EXECUTIVE VICE PRESIDENT 1.0 39.0 X 0 1415226 308452 MICHELLE M RILEY-BROWN EXECUTIVE VICE PRESIDENT THROUGH 4/15/23 1.0 39.0 X 0 1820170 421507 CYNTHIA OYUBU MD PHYSICIAN 40.0 0 X 246488 0 42590 KIM T CHAU MD PHYSICIAN 40.0 0 X 222995 0 21335 LINDA M CAO MD PHYSICIAN 40.0 0 X 231201 0 32826 LISA W GAW MD PHYSICIAN 40.0 0 X 251045 0 54184 TERRY YEN MEDICAL DIRECTOR 40.0 0 X 353708 0 60363 Ann Buell MD FORMER KEY EMPLOYEE / PHYSICIAN 40.0 0 X 205824 0 15876 GARY N MACLEOD FORMER KEY EMPLOYEE / DIRECTOR THROUGH 3/1/23 0.0 0 X 184363 0 56284 MELISSA B FISCHER FORMER KEY EMPLOYEE / DIRECTOR THROUGH 1/28/23 0.0 0.0 X 0 279644 54842 Sara F Montenegro FORMER KEY EMPLOYEE / ASSISTANT VICE PRESIDENT THROUGH 4/28/22 0.0 0.0 X 0 382538 28908 1695624 7826127 1931959 68 true true false MCKESSON MEDICAL SURGICAL INC PO Box 933027 Atlanta GA 31193 HEALTH SOLUTIONS 1372762 TRUSTED HEALTH INC 604 MISSION ST STE 500 San Francisco CA 94105 EMPLOYMENT AGENCY 236741 KPG Healthcare LLC PO BOX 840202 LOS ANGELES CA 90084 EMPLOYMENT AGENCY 108711 3 0 0 0 37720 0 0 0 37720 OUTPATIENT REVENUE 621400 32585208 32585208 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32585208 11903 0 0 11903 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other non-operating income 900099 5000 5000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5000 32639831 32590208 0 11903 505005 505005 26868875 26868875 972461 972461 3298010 3298010 1912520 1912520 794058 794058 0 0 102816 102816 291475 291475 167079 167079 2069447 2069447 22118 22118 47347 47347 1356771 1356771 139270 139270 MEDICAL AND SURGICAL SUPPLIES 2346316 2346316 PHARMACEUTICAL SUPPLIES 376518 376518 RADIOLOGY OVERREADS 194160 194160 PATIENT DIETARY SUPPLIES 52398 52398 195414 195414 0 0 41712058 41712058 0 0 0 0 215904 130914 0 0 2186724 1845552 0 0 0 0 155947 163133 4937088 5716285 11515734 7059866 5006853 4455868 0 0 0 0 1470613 1260526 13108986 20100804 27082115 33673082 4269079 5262975 0 0 5299403 5978687 0 0 0 0 0 0 0 0 36203400 50193414 45771882 61435076 X -18689767 -27761994 0 0 0 0 0 0 0 0 -18689767 -27761994 27082115 33673082 -9072227 0 X false true X true false X 37720 37720 22627383 18844100 26228045 34678077 32585208 134962813 0 0 0 22627383 18844100 26228045 34678077 32622928 135000533 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135000533 11903 11903 0 0 0 0 0 11903 11903 0 0 0 0 0 5000 5000 22627383 18844100 26228045 34678077 32639831 135017436 0.9999 1.0 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS NON-OPERATING INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 5000.0, COLUMN F - 5000.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8212845 4866652 3346193 3048968 2120275 928693 253921 72939 180982 4455868 DUE FROM AFFILIATES 20082670 MISC RECEIVABLES 18134 20100804 DUE TO AFFILIATES 50118867 DEFERRED COMPENSATION 74547 50193414 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT 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. true true false false false false false false false Jeffrey S Shilt MD BOARD MEMBER / CHAIR / PHYSICIAN / IN-CHIEF 0 0 0 155700 0 0 0 0 0 0 0 155700 0 0 STANLEY W SPINNER MD BOARD MEMBER / VICE CHAIR / VP / CHIEF MEDICAL OFFICER / PHYSICIAN 0 469388 0 91500 0 114274 0 115125 0 38906 0 829193 0 0 AUTUMN L PRUETTE MD BOARD MEMBER / PHYSICIAN 0 84552 0 52048 0 24769 0 9320 0 17705 0 188394 0 0 MATTHEW A WILBER MD BOARD MEMBER / PHYSICIAN 0 311137 0 75841 0 20068 0 31979 0 37205 0 476230 0 0 LANCE A LIGHTFOOT BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR 0 753414 0 737560 0 162668 0 275313 0 35941 0 1964896 0 627694 AISHA JAMAL BOARD SECRETARY AS OF 3/9/23 / VICE PRESIDENT ALL YEAR 0 312836 0 64100 0 22642 0 106973 0 18225 0 524776 0 0 DANIEL G GOLLINS PRESIDENT TCP & TCUC / VICE PRESIDENT 0 378929 0 73200 0 23623 0 132038 0 16062 0 623852 0 0 MELISSA B FISCHER FORMER KEY EMPLOYEE / DIRECTOR THROUGH 1/28/23 0 248606 0 23400 0 7638 0 30386 0 24456 0 334486 0 0 Sara F Montenegro FORMER KEY EMPLOYEE / ASSISTANT VICE PRESIDENT THROUGH 4/28/22 0 71348 0 0 0 311190 0 14074 0 14834 0 411446 0 111892 GARY N MACLEOD FORMER KEY EMPLOYEE / DIRECTOR THROUGH 3/1/23 162329 0 15700 0 6334 0 15327 0 40957 0 240647 0 0 0 Ann Buell MD FORMER KEY EMPLOYEE / PHYSICIAN 185200 0 15384 0 5240 0 10575 0 5301 0 221700 0 0 0 DANIEL R DIPRISCO EXECUTIVE VICE PRESIDENT 0 651466 0 660600 0 103160 0 282615 0 25837 0 1723678 0 527400 MICHELLE M RILEY-BROWN EXECUTIVE VICE PRESIDENT THROUGH 4/15/23 0 862094 0 866350 0 91726 0 370278 0 51229 0 2241677 0 728394 TERRY YEN MEDICAL DIRECTOR 316530 0 30400 0 6778 0 20100 0 40263 0 414071 0 0 0 LISA W GAW MD PHYSICIAN 224786 0 14354 0 11905 0 15776 0 38408 0 305229 0 0 0 CYNTHIA OYUBU MD PHYSICIAN 214647 0 17869 0 13972 0 8419 0 34171 0 289078 0 0 0 LINDA M CAO MD PHYSICIAN 206915 0 18123 0 6163 0 13246 0 19580 0 264027 0 0 0 KIM T CHAU MD PHYSICIAN 178865 0 15245 0 28885 0 9805 0 11530 0 244330 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Compensation 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 payment DURING 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 PLAN Certain 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) PLANS 457(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. Form 990, Part V, Line 1a NON-EMPLOYEE COMPENSATION TEXAS 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 stockholders TCH 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 body TCH 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 stockholders PER 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 body NO SUCH COMMITTEES EXIST. Form 990, Part VI, Line 11b Review of form 990 by governing body Per 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 policy THE 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 public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VII, Section A INCENTIVE COMPENSATION DR. 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 OFFICIAL COMPENSATION 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 OFFICERS COMPENSATION 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. TEXAS CHILDREN'S 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760461578 PARENT TX 501(c)(3) Type II NA false TEXAS CHILDREN'S HEALTH PLAN 6330 WEST LOOP SOUTH SUITE 800 BELLAIRE TX 77401 760486264 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S GLOBAL PO BOX 300630 HOUSTON TX 77230 261482195 HEALTH CARE TX 501(c)(3) Type II TEXAS CHILDREN'S false TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET HOUSTON TX 77030 741100555 HOSPITAL TX 501(c)(3) 3 TEXAS CHILDREN'S false TEXAS CHILDREN'S HOSPITAL FOUNDATION 6621 FANNIN STREET HOUSTON TX 77030 202380599 SUPPORTING ORG TX 501(c)(3) Type II TEXAS CHILDREN'S false TCH PEDIATRIC ASSOCIATES Inc PO BOX 300630 HOUSTON TX 77230 760460242 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S PHYSICIAN GROUP 6621 FANNIN STREET HOUSTON TX 77030 260834681 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S HEALTH PLAN - THE CENTER 6330 WEST LOOP SOUTH SUITE 800 BELLAIRE TX 77401 461392824 HEALTH CARE TX 501(c)(3) Type I TEXAS CHILDREN'S HEALTH PLAN false THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760246858 SUPPORTING ORG TX 501(c)(3) Type I TEXAS CHILDREN'S false TCH INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ KY11102 980176652 INSURANCE CJ NA C Corporation false CVI GVF HOLDINGS 3 LTD 981078282 INVESTMENT CJ NA C Corporation false false false true false false false false false false false true true true true true false false false false