2026-08-14T16:05:35+00:00 2025-09-30 415375658 CROWE ADVISORY LLC 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2024-10-01 760461578 TEXAS CHILDREN'S TEXA 8328242918 6330 WEST LOOP SOUTH 1300 BELLAIRE TX 77401 WELDON GAGE EXECUTIVE VICE PRESIDENT & CFO 2026-08-14 true RACHEL SPURLOCK P00520729 5023263996 2026-08-14 2024 2025-03-06 01:10:19Z WELDON GAGE 6330 WEST LOOP SOUTH 1300 BELLAIRE TX 77401 0 false X WWW.TEXASCHILDRENS.ORG X 1994 TX TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. 35 34 0 34 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 TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION, AND RESEARCH. false false 0 0 0 TEXAS CHILDREN'S IS A PARENT ORGANIZATION THAT IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF TEXAS CHILDREN'S HOSPITAL AND ITS RELATED ENTITIES. THE TEXAS CHILDREN'S ENTITY ITSELF CURRENTLY HAS NO OPERATIONS. TEXAS CHILDREN'S PRIMARILY INCLUDES: TEXAS CHILDREN'S HOSPITAL, A MULTI-CAMPUS HOSPITAL PROVIDING DIRECT PATIENT CARE AND CONDUCTING EDUCATIONAL AND RESEARCH ACTIVITIES WITHIN HOUSTON AND ITS SURROUNDING COMMUNITIES; TEXAS CHILDREN'S PEDIATRICS, A PEDIATRIC PRIMARY CARE NETWORK WITH OVER 65 LOCATIONS IN THE HOUSTON, AUSTIN, AND COLLEGE STATION AREAS; TEXAS CHILDREN'S URGENT CARE, A GROUP OF CLINICS PROVIDING AFTER-HOURS AND WEEKEND PEDIATRIC CARE WITH 13 LOCATIONS IN THE HOUSTON AND AUSTIN AREAS; TEXAS CHILDREN'S HEALTH PLAN, INC., THE NATION'S FIRST HMO FOR CHILDREN. TEXAS CHILDREN'S IS ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE PEDIATRIC AND WOMEN'S HEALTH CARE ORGANIZATIONS. TEXAS CHILDREN'S IS INTERNATIONALLY RECOGNIZED AND HAS GARNERED WIDESPREAD RECOGNITION FOR ITS EXPERTISE AND BREAKTHROUGHS IN PEDIATRIC AND WOMEN'S HEALTH. 0 true false false false false false false false false false false false false false false true false true false false true false false false false false false false false true false false false false false false false false false false false false false false false true true true false false true X 0 0 0 false true CJ false false false false false false false false false false X 35 34 false false false false false false false true false false false false true true true true true true false false false false X SCOTT ELLIOTT 8328242951 6330 WEST LOOP SOUTH STE 1300 BELLAIRE TX 77401 C PARK SHAPER BOARD MEMBER & CHAIR 1.0 3.0 X X 0 0 0 DEBRA F SUKIN PHD BOARD MEMBER & CEO AS OF 10/4/24 / PRESIDENT 1.0 39.0 X X 0 2142794 353453 MARK A WALLACE BOARD MEMBER & CEO THROUGH 10/4/24 1.0 39.0 X X 0 13249302 88717 TYM TOMBAR BOARD MEMBER & VICE CHAIR 1.0 3.0 X X 0 0 0 ANN LENTS BOARD MEMBER 1.0 0 X 0 0 0 ANTHONY F DELUCA BOARD MEMBER 1.0 1.0 X 0 0 0 ANTHONY G PETRELLO BOARD MEMBER 1.0 1.0 X 0 0 0 ANTONIO R SANCHEZ III BOARD MEMBER 1.0 1.0 X 0 0 0 ARSHAD MATIN BOARD MEMBER 1.0 0 X 0 0 0 ASHA J VIRANI BOARD MEMBER AS OF 11/7/24 1.0 0 X 0 0 0 BRAD TUCKER BOARD MEMBER 1.0 0 X 0 0 0 CAROLYN C SABAT BOARD MEMBER 1.0 1.0 X 0 0 0 CAROLYN W DORROS BOARD MEMBER 1.0 0 X 0 0 0 CINDY B TAYLOR BOARD MEMBER 1.0 0 X 0 0 0 DANIEL PICKERING BOARD MEMBER 1.0 1.0 X 0 0 0 DARRYL L WILSON BOARD MEMBER 1.0 0 X 0 0 0 EARL M CUMMINGS BOARD MEMBER 1.0 0 X 0 0 0 GARY L ROSENTHAL BOARD MEMBER 1.0 3.0 X 0 0 0 GLEN GONZALEZ BOARD MEMBER 1.0 0 X 0 0 0 JACK HOWELL BOARD MEMBER AS OF 11/7/24 1.0 0 X 0 0 0 JENNY ELKINS BOARD MEMBER 1.0 0 X 0 0 0 LE SIMMONS BOARD MEMBER 1.0 2.0 X 0 0 0 MANOLO SANCHEZ BOARD MEMBER 1.0 0 X 0 0 0 MANU ASTHANA BOARD MEMBER 1.0 0 X 0 0 0 MARK DEWALCH BOARD MEMBER 1.0 0 X 0 0 0 MARTHA Z CARNES BOARD MEMBER 1.0 0 X 0 0 0 MICHAEL C LINN BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL D FERTITTA BOARD MEMBER 1.0 0 X 0 0 0 NICOLE S KATZ BOARD MEMBER AS OF 11/7/24 1.0 0 X 0 0 0 RAFAEL ALVAREZ BOARD MEMBER 1.0 0 X 0 0 0 RONALD C HULME BOARD MEMBER 1.0 1.0 X 0 0 0 SCOTT N WULFE BOARD MEMBER 1.0 0 X 0 0 0 SUSAN B BOYKIN BOARD MEMBER 1.0 0 X 0 0 0 SUZANNE NIMOCKS BOARD MEMBER 1.0 0 X 0 0 0 VANESSA D GILMORE BOARD MEMBER 1.0 0 X 0 0 0 Y PING SUN BOARD MEMBER 1.0 0 X 0 0 0 AFSHEEN S DAVIS BOARD SECRETARY AS OF 10/12/24 / SVP & GENERAL COUNSEL 1.0 40.0 X 0 872460 121339 AISHA JAMAL BOARD SECRETARY THROUGH 10/11/24 1.0 39.0 X 0 880644 158509 AMANDA R WILLIAMS ASSISTANT SECRETARY AS OF 11/7/24 1.0 40.0 X 0 281370 57487 BRADLEY S MORRILL ASSISTANT SECRETARY THROUGH 11/6/24 1.0 39.0 X 0 139183 28839 JESSICA V FLEISCHER FORMER OFFICER 0.0 0.0 X 0 107395 23996 LANCE A LIGHTFOOT FORMER OFFICER & SENIOR VICE PRESIDENT 0.0 1.0 X 0 1926445 63113 0 19599593 895453 0 true true false 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 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 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 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 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 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 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X false true true false X X X 1 TEXAS CHILDREN'S HOSPITAL 741100555 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION C, LINE 1 MAJORITY DIRECTOR DETAIL THE PRESIDENT AND CEO OF TEXAS CHILDREN'S (TC) IS THE SAME INDIVIDUAL AS THE PRESIDENT AND CEO OF TEXAS CHILDREN'S HOSPITAL (TCH), AS REQUIRED BY THE TC BYLAWS. TC AND TCH HAVE OTHER SENIOR EXECUTIVES IN COMMON, AS WELL. TC IS A PARENT ORGANIZATION THAT IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF TCH AND ITS RELATED ENTITIES. TC IS THE SOLE CORPORATE MEMBER OF TCH AND AS SUCH HAS EXTENSIVE RIGHTS AND POWERS OVER TCH (INCLUDING THE AUTHORITY TO APPOINT AND REMOVE BOARD MEMBERS) AS REFLECTED IN THE BYLAWS. THIS COMMON MANAGEMENT AND CONTROL ALLOWS THE ENTITIES TO FUNCTION COLLECTIVELY AS A HEALTH SYSTEM. 0 X 0 0 0 0 0 0 0 0 0 0 0 0 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, 2025 OR 2024. CENTRAL AMERICA AND THE CARIBBEAN SELF-INSURANCE INVESTMENT 3215100 0 0 0 0 0 0 3215100 0 3215100 true false true false false false SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL true true false false false false false false false DEBRA F SUKIN PHD BOARD MEMBER & CEO AS OF 10/4/24 / PRESIDENT 0 1540861 0 530000 0 71933 0 305850 0 47603 0 2496247 0 0 MARK A WALLACE BOARD MEMBER & CEO THROUGH 10/4/24 0 2097370 0 1630000 0 9521932 0 62169 0 26548 0 13338019 0 800000 JESSICA V FLEISCHER FORMER OFFICER 0 83577 0 0 0 23818 0 12724 0 11272 0 131391 0 0 LANCE A LIGHTFOOT FORMER OFFICER & SENIOR VICE PRESIDENT 0 483102 0 0 0 1443343 0 39266 0 23847 0 1989558 0 93952 AFSHEEN S DAVIS BOARD SECRETARY AS OF 10/12/24 / SVP & GENERAL COUNSEL 0 434080 0 353500 0 84880 0 74643 0 46696 0 993799 0 0 AISHA JAMAL BOARD SECRETARY THROUGH 10/11/24 0 263251 0 222768 0 394625 0 142948 0 15561 0 1039153 0 16125 AMANDA R WILLIAMS ASSISTANT SECRETARY AS OF 11/7/24 0 259233 0 500 0 21637 0 21760 0 35727 0 338857 0 0 BRADLEY S MORRILL ASSISTANT SECRETARY THROUGH 11/6/24 0 126224 0 500 0 12459 0 11425 0 17414 0 168022 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT DURING CALENDAR YEAR 2024, A RELATED ORGANIZATION MADE SEVERANCE PAYMENTS TO THE FOLLOWING INDIVIDUALS, WHICH WAS TREATED AS TAXABLE AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): AISHA JAMAL $72,800 LANCE A. LIGHTFOOT $317,990 MARK A. WALLACE $7,008,300 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 4B 457(F) PLAN 457(F) PLAN: PAID/DEFERRED AFSHEEN S. DAVIS $31,504 / $46,620 AISHA JAMAL $213,514 / $0 DEBRA F. SUKIN $0 / $295,500 LANCE A. LIGHTFOOT $905,895 / $0 MARK A. WALLACE $566,100 / $0 457(F): THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS 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 WITH 3 OR MORE YEARS OF SERVICE. 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 PAID BY TEXAS CHILDREN'S HOSPITAL 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 MARK A. WALLACE. AMOUNTS FOR THE SURRENDERED CASH VALUE AND/OR EARNINGS ON THE CASH VALUE WERE CONSIDERED TAXABLE TO THE FOLLOWING INDIVIDUALS: LANCE A. LIGHTFOOT $96,024 MARK A. WALLACE $1,120,905 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 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 BOARD OF TRUSTEES, THE SUPPORTED ORGANIZATION'S AUDIT, COMPLIANCE, & RISK COMMITTEE HAS BEEN 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 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 VI, LINE 15A PROCESS FOR 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 HEALTH PLAN 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760486264 HEALTH CARE TX 501(C)(3) 10 TEXAS CHILDREN'S true TEXAS CHILDREN'S GLOBAL 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 261482195 HEALTH CARE TX 501(C)(3) TYPE II TEXAS CHILDREN'S true TEXAS CHILDREN'S HOSPITAL 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 741100555 HOSPITAL TX 501(C)(3) 3 TEXAS CHILDREN'S true TEXAS CHILDREN'S HOSPITAL FOUNDATION 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 202380599 SUPPORTING ORG TX 501(C)(3) TYPE II TEXAS CHILDREN'S true TCH PEDIATRIC ASSOCIATES INC 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760460242 HEALTH CARE TX 501(C)(3) 10 TEXAS CHILDREN'S PHYSICIAN ORGANIZATION false TEXAS CHILDREN'S PHYSICIAN GROUP 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 260834681 HEALTH CARE TX 501(C)(3) 10 TEXAS CHILDREN'S PHYSICIAN ORGANIZATION false MAIN STREET COMMUNITY INITIATIVES 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 461392824 HEALTH CARE TX 501(C)(3) TYPE I TEXAS CHILDREN'S true TEXAS CHILDREN'S URGENT CARE 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 472029489 HEALTH CARE TX 501(C)(3) 10 TCH PEDIATRIC ASSOCIATES INC 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 true TEXAS CHILDREN'S PHYSICIAN ORGANIZATION 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 333549710 SUPPORTING ORG TX 501(C)(3) TYPE II TEXAS CHILDREN'S true TCH INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ KY11102 980176652 INSURANCE CJ TEXAS CHILDREN'S C CORPORATION 17817753 117042156 1 true TEXAS CHILDREN'S CLINICALLY INTEGRATED NETWORK 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 333557179 HEALTH CARE TX NA C CORPORATION false false false false false false false false false false false false false false false false false false true false TCH INSURANCE COMPANY LTD R 13992833 CASH