Texas Children's Hospital

Nonprofit profile at a glance

EIN
741100555
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Bellaire, TX, USA
Phone
8328242918
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, Specialty

Official website

Reported finances

Revenue
$4,436,955,658
Expenses
$4,105,997,047
Assets
$9,178,782,905
Liabilities
$2,849,643,614

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

29 people listed

Executive titles in this filing

  • DEBRA F SUKIN PHD (BOARD MEMBER & CEO AS OF 10/4/24 / PRESIDENT)
  • MARK A WALLACE (BOARD MEMBER, CHAIR & CEO THROUGH 10/4/24)
  • DANIEL R DIPRISCO (BOARD MEMBER / EXECUTIVE VICE PRESIDENT)
  • MATTHEW T GIROTTO (BOARD MEMBER / EXECUTIVE VICE PRESIDENT)
  • BERT M GUMERINGER (SENIOR VICE PRESIDENT)
  • CRAIG J MILLS (SENIOR VICE PRESIDENT)

Highest reported compensation

  • MARK A WALLACE (BOARD MEMBER, CHAIR & CEO THROUGH 10/4/24): $13,338,019 total reported compensation
  • WELDON W GAGE (BOARD MEMBER / EVP / CFO): $3,118,613 total reported compensation
  • MYRA L DAVIS (BOARD MEMBER / EVP / CHIEF INFORMATION & INNOVATION OFFICER): $3,060,669 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The mission of Texas Children’s Hospital is to create a healthier future for children and women throughout our global community by leading in patient care, education and research. Founded in 1954 and located in Houston, Texas, Texas Children’s Hospital is a charitable, not-for-profit, 501(c)(3) organization. All surplus funds generated are reinvested to promote the hospital’s mission through improving facilities, equipment and patient care and advancing medical training, education and research. The vision of the hospital’s founders was to provide the highest quality care to every child, regardless of their family’s ability to pay. More than 65 years later, we have not wavered from that commi.

What it reported doing in 2024

Education: the hospital serves as the primary pediatric teaching facility for baylor college of medicine (their long-term academic partner). In addition, the Texas children's pavilion for women is one of the premier private training hospitals for baylor college of medicine's department of obstectrics and gynecology. The close affiliation between the institutions extends through Texas children's operations, baylor faculty including service chiefs, medical directors and staff physicians across the hospital's 55 sub-specialty care offerings. During the fiscal year ended september 30, 2025, the hospital invested more than $52 million in the training of over 1,300 trainees in approximately 80 training programs rotating at Texas children's. Baylor and Texas children's have a proven track record recruiting transformative physician-scientists and one of the strongest pediatric residency programs in the country. Baylor's pediatric residency program is the largest training ground for pediatrics and one of the most competitive in the country.

Operating model

Revenue model
Other-operating. 95% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and the filing reports few safeguards for money sent abroad.

Rating breakdown

  • Financial Efficiency: 84
  • Transparency & Controls: 74
  • Accountability: 42
  • Sustainability: 66
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.6%; rating input score 89
  • Program expense ratio: 95.7%; rating input score 96
  • Fundraising efficiency: $5.24 raised per $1 spent on fundraising; rating input score 22; 22nd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 94.1%; rating input score 94; 28th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 97.4%; rating input score 97; 32nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 7.5%; rating input score 66; 66th percentile among comparable filings
  • Total-asset coverage ratio: 2.24; rating input score 67; 67th percentile among comparable filings
  • Liabilities to assets ratio: 0.31; rating input score 54; 54th percentile among comparable filings
  • Officer compensation ratio: 1.1%; rating input score 73; 73rd percentile among comparable filings

Growth

  • Program expense growth: 9.2% per year; rating input score 100; 71st percentile among comparable filings
  • Revenue growth: 8.9% per year; rating input score 100; 72nd percentile among comparable filings
  • Asset growth: 6.8% per year; rating input score 100; 50th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site
  • Where the money goes: 88.6% of revenue deployed · 95.7% of spending went to programs
  • Governance: 0 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $3.9B in reported program spending
  • Leadership: top reported pay $13.3M · 29 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $270.4M reported
  • Consistency: 42 of 43 current checks pass · 1 finding to review
  • Schedules: 14 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 76 filed money-flow records
  • Related organizations: 63 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 22/100.
  • Review — Sustainability: Liabilities to assets ratio scored 54/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.