Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $7,000,000

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $252,130,410 · related or exempt $252,130,410

• 2f · All other program service revenue

  total $2,111,714 · related or exempt $2,111,714 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $41,988 · excluded $41,988

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7b · Less cost or other basis and sales expenses

  other assets $114,528

• 7c · Gain or loss

  securities $0 · other assets -$114,528

• 7d · Net gain or loss

  total -$114,528 · excluded -$114,528

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $16,025 · program services $16,025

• 5 · Compensation of officers, directors and key employees

  total $1,094,971 · program services $1,094,971

• 6 · Compensation of disqualified persons

  total $362,019 · program services $362,019

• 7 · Other salaries and wages

  total $154,808,046 · program services $154,808,046

• 8 · Pension plan contributions

  total $5,172,210 · program services $5,172,210

• 9 · Other employee benefits

  total $19,034,583 · program services $19,034,583

• 10 · Payroll taxes

  total $9,573,180 · program services $9,573,180

• 11b · Fees: legal

  total $756 · management and general $756

• 11g · Fees: other

  total $12,112,099 · program services $2,094,151 · management and general $10,017,948 · fundraising $0

• 12 · Advertising and promotion

  total $50,293 · program services $50,293

• 13 · Office expenses

  total $4,772,623 · program services $4,772,623

• 14 · Information technology

  total $1,272,119 · program services $1,272,119

• 16 · Occupancy

  total $19,612,655 · program services $19,612,655

• 17 · Travel

  total $108,422 · program services $108,422

• 19 · Conferences, conventions and meetings

  total $245,433 · program services $245,433

• 22 · Depreciation, depletion and amortization

  total $5,098,839 · program services $5,098,839

• 23 · Insurance

  total $1,888,524 · program services $386,071 · management and general $1,502,453

• 24a · Other expenses: PHARMACEUTICAL SUPPLIES

  total $50,974,291 · program services $50,974,291

• 24b · Other expenses: MEDICAL AND SURGICAL SUPPLIES

  total $5,383,377 · program services $5,383,377

• 24c · Other expenses: PROFESSIONAL DUES, FEES, AND LICENSES

  total $532,092 · program services $532,092

• 24e · All other expenses

  total $643,497 · program services $643,497 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $171 · end of year $0

• 2 · Savings and temporary cash investments

  beginning of year $301,556 · end of year $698,904

• 3 · Pledges and grants receivable

  beginning of year $96,904 · end of year $0

• 4 · Accounts receivable

  beginning of year $11,946,550 · end of year $14,197,974

• 5 · Loans and receivables from officers and key people

  end of year $0

• 6 · Loans and receivables from disqualified persons

  end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $7,520,252 · end of year $9,453,163

• 9 · Prepaid expenses and deferred charges

  beginning of year $36,850,697 · end of year $44,935,097

• 10a · Land, buildings and equipment: cost or other basis

  $83,046,678

• 10b · Land, buildings and equipment: accumulated depreciation

  $65,427,858

• 10c · Land, buildings and equipment, net

  beginning of year $16,717,215 · end of year $17,618,820

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $1,278,327 · end of year $1,278,327

• 14 · Intangible assets

  beginning of year $9,058,900 · end of year $7,934,254

• 15 · Other assets

  beginning of year $4,003,047 · end of year $142,132

• 17 · Accounts payable and accrued expenses

  beginning of year $27,937,725 · end of year $30,290,108

• 18 · Grants payable

  end of year $0

• 19 · Deferred revenue

  beginning of year $37,722,706 · end of year $45,653,078

• 20 · Tax-exempt bond liabilities

  end of year $0

• 21 · Escrow or custodial account liability

  end of year $0

• 22 · Loans and payables to officers and key people

  end of year $0

• 23 · Secured mortgages and notes payable

  end of year $0

• 24 · Unsecured notes and loans payable

  end of year $0

• 25 · Other liabilities

  beginning of year $71,697,561 · end of year $101,486,328

• 27 · Net assets without donor restrictions

  beginning of year -$49,584,373 · end of year -$81,170,843

• 28 · Net assets with donor restrictions

  end of year $0

• 29 · Capital stock, trust principal or current funds

  end of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  end of year $0

• 31 · Retained earnings, endowment or other funds

  end of year $0

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 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 Michelle M. Riley-Brown.

Schedule J, Part I, Line 4b 457(F) PLAN

457(F) PLAN: PAID / DEFERRED AISHA JAMAL 0 / 39,800 DANIEL G. GOLLINS 0 / 50,200 DANIEL R. DIPRISCO 116,056 / 121,440 KARA B. ABRAMEIT 0 / 22,932 LANCE A. LIGHTFOOT 120,014 / 129,240 MICHELLE M. RILEY-BROWN 121,264 / 0 STANLEY W. SPINNER 71,000 / 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. THE 457(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 J, Part II, Column (C) LONG-TERM INCENTIVE PLAN

The Long Term Incentive Plan (LTIP) spans 3 years with the current plan being for fiscal years 2022-2024. Per the terms of the LTIP, participants must generally be actively employed on the payment date to receive a payment. Employment of the individuals listed below terminated in 2024 and the estimated LTIP values, reported as deferred compensation on Schedule J, Part II, Column (C), were forfeited and will not be paid to these individuals: - Lance A. Lightfoot: $108,259 for 2023 and $104,095 for 2022 - Aisha Jamal: $88,015 for 2023 and $84,630 for 2022

Related corporations and trusts

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

• TCH INSURANCE COMPANY LTD

  C Corporation · INSURANCE · CJ

  Directly controlled by NA

• CVI GVF HOLDINGS 3 LTD

  C Corporation · INVESTMENT · CJ

  Directly controlled by NA