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Nonprofiteer
← TEXAS CHILDRENS URGENT CARE

Form 990 for tax year 2022

Filed by TEXAS CHILDRENS URGENT CARE.

Totals

Total revenue
$32,639,831
Total expenses
$41,712,058
Contributions and grants received
$37,720
Grants paid
$0
Program service revenue
$32,585,208
Investment income
$11,903
Other revenue
$5,000
Total assets, end of year
$33,673,082
Total liabilities, end of year
$61,435,076
Net assets or fund balances, end of year
-$27,761,994
Program services expenses (Part IX)
$41,712,058
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$41,712,058

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Jeffrey S Shilt MD

    BOARD MEMBER / CHAIR / PHYSICIAN / IN-CHIEF

    Total calculated
    $155,700
    From this org
    $0
    From related orgs
    $155,700
    Other
    $0
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $155,700 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $155,700 related

  • STANLEY W SPINNER MD

    BOARD MEMBER / VICE CHAIR / VP / CHIEF MEDICAL OFFICER / PHYSICIAN

    Total calculated
    $829,193
    From this org
    $0
    From related orgs
    $675,162
    Other
    $154,031
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $469,388 related
    Bonus
    $0 + $91,500 related
    Other
    $0 + $114,274 related
    Deferred
    $0 + $115,125 related
    Nontaxable benefits
    $0 + $38,906 related
    Filer's total
    $0 + $829,193 related

  • AUTUMN L PRUETTE MD

    BOARD MEMBER / PHYSICIAN

    Total calculated
    $188,394
    From this org
    $0
    From related orgs
    $161,369
    Other
    $27,025
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $84,552 related
    Bonus
    $0 + $52,048 related
    Other
    $0 + $24,769 related
    Deferred
    $0 + $9,320 related
    Nontaxable benefits
    $0 + $17,705 related
    Filer's total
    $0 + $188,394 related

  • GORDON SCHUTZE MD

    BOARD MEMBER / PHYSICIAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jean Raphael MD

    BOARD MEMBER / PHYSICIAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOAN E SHOOK MD

    BOARD MEMBER / PHYSICIAN

    Total calculated
    $300
    From this org
    $0
    From related orgs
    $300
    Other
    $0
    Hours/week
    1 + 1 related

  • MATTHEW A WILBER MD

    BOARD MEMBER / PHYSICIAN

    Total calculated
    $476,230
    From this org
    $0
    From related orgs
    $407,046
    Other
    $69,184
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,137 related
    Bonus
    $0 + $75,841 related
    Other
    $0 + $20,068 related
    Deferred
    $0 + $31,979 related
    Nontaxable benefits
    $0 + $37,205 related
    Filer's total
    $0 + $476,230 related

  • AISHA JAMAL

    BOARD SECRETARY AS OF 3/9/23 / VICE PRESIDENT ALL YEAR

    Total calculated
    $524,776
    From this org
    $0
    From related orgs
    $399,578
    Other
    $125,198
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,836 related
    Bonus
    $0 + $64,100 related
    Other
    $0 + $22,642 related
    Deferred
    $0 + $106,973 related
    Nontaxable benefits
    $0 + $18,225 related
    Filer's total
    $0 + $524,776 related

  • DANIEL G GOLLINS

    PRESIDENT TCP & TCUC / VICE PRESIDENT

    Total calculated
    $623,852
    From this org
    $0
    From related orgs
    $475,752
    Other
    $148,100
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $378,929 related
    Bonus
    $0 + $73,200 related
    Other
    $0 + $23,623 related
    Deferred
    $0 + $132,038 related
    Nontaxable benefits
    $0 + $16,062 related
    Filer's total
    $0 + $623,852 related

  • LANCE A LIGHTFOOT

    BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR

    Total calculated
    $1,964,896
    From this org
    $0
    From related orgs
    $1,653,642
    Other
    $311,254
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $753,414 related
    Bonus
    $0 + $737,560 related
    Other
    $0 + $162,668 related
    Deferred
    $0 + $275,313 related
    Nontaxable benefits
    $0 + $35,941 related
    Filer's total
    $0 + $1,964,896 related

  • DANIEL R DIPRISCO

    EXECUTIVE VICE PRESIDENT

    Total calculated
    $1,723,678
    From this org
    $0
    From related orgs
    $1,415,226
    Other
    $308,452
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $651,466 related
    Bonus
    $0 + $660,600 related
    Other
    $0 + $103,160 related
    Deferred
    $0 + $282,615 related
    Nontaxable benefits
    $0 + $25,837 related
    Filer's total
    $0 + $1,723,678 related

  • MICHELLE M RILEY-BROWN

    EXECUTIVE VICE PRESIDENT THROUGH 4/15/23

    Total calculated
    $2,241,677
    From this org
    $0
    From related orgs
    $1,820,170
    Other
    $421,507
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $862,094 related
    Bonus
    $0 + $866,350 related
    Other
    $0 + $91,726 related
    Deferred
    $0 + $370,278 related
    Nontaxable benefits
    $0 + $51,229 related
    Filer's total
    $0 + $2,241,677 related

  • CYNTHIA OYUBU MD

    PHYSICIAN

    Total calculated
    $289,078
    From this org
    $246,488
    From related orgs
    $0
    Other
    $42,590
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,647
    Bonus
    $17,869
    Other
    $13,972
    Deferred
    $8,419
    Nontaxable benefits
    $34,171
    Filer's total
    $289,078

  • KIM T CHAU MD

    PHYSICIAN

    Total calculated
    $244,330
    From this org
    $222,995
    From related orgs
    $0
    Other
    $21,335
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $178,865
    Bonus
    $15,245
    Other
    $28,885
    Deferred
    $9,805
    Nontaxable benefits
    $11,530
    Filer's total
    $244,330

  • LINDA M CAO MD

    PHYSICIAN

    Total calculated
    $264,027
    From this org
    $231,201
    From related orgs
    $0
    Other
    $32,826
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,915
    Bonus
    $18,123
    Other
    $6,163
    Deferred
    $13,246
    Nontaxable benefits
    $19,580
    Filer's total
    $264,027

  • LISA W GAW MD

    PHYSICIAN

    Total calculated
    $305,229
    From this org
    $251,045
    From related orgs
    $0
    Other
    $54,184
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $224,786
    Bonus
    $14,354
    Other
    $11,905
    Deferred
    $15,776
    Nontaxable benefits
    $38,408
    Filer's total
    $305,229

  • TERRY YEN

    MEDICAL DIRECTOR

    Total calculated
    $414,071
    From this org
    $353,708
    From related orgs
    $0
    Other
    $60,363
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $316,530
    Bonus
    $30,400
    Other
    $6,778
    Deferred
    $20,100
    Nontaxable benefits
    $40,263
    Filer's total
    $414,071

  • Ann Buell MD

    FORMER KEY EMPLOYEE / PHYSICIAN

    Total calculated
    $221,700
    From this org
    $205,824
    From related orgs
    $0
    Other
    $15,876
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,200
    Bonus
    $15,384
    Other
    $5,240
    Deferred
    $10,575
    Nontaxable benefits
    $5,301
    Filer's total
    $221,700

  • GARY N MACLEOD

    FORMER KEY EMPLOYEE / DIRECTOR THROUGH 3/1/23

    Total calculated
    $240,647
    From this org
    $184,363
    From related orgs
    $0
    Other
    $56,284
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $162,329
    Bonus
    $15,700
    Other
    $6,334
    Deferred
    $15,327
    Nontaxable benefits
    $40,957
    Filer's total
    $240,647

  • MELISSA B FISCHER

    FORMER KEY EMPLOYEE / DIRECTOR THROUGH 1/28/23

    Total calculated
    $334,486
    From this org
    $0
    From related orgs
    $279,644
    Other
    $54,842
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $248,606 related
    Bonus
    $0 + $23,400 related
    Other
    $0 + $7,638 related
    Deferred
    $0 + $30,386 related
    Nontaxable benefits
    $0 + $24,456 related
    Filer's total
    $0 + $334,486 related

  • Sara F Montenegro

    FORMER KEY EMPLOYEE / ASSISTANT VICE PRESIDENT THROUGH 4/28/22

    Total calculated
    $411,446
    From this org
    $0
    From related orgs
    $382,538
    Other
    $28,908
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $71,348 related
    Bonus
    $0
    Other
    $0 + $311,190 related
    Deferred
    $0 + $14,074 related
    Nontaxable benefits
    $0 + $14,834 related
    Filer's total
    $0 + $411,446 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202432279349302763

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