Texas Medical Center

Nonprofit profile at a glance

EIN
741030788
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Houston, TX, US
Phone
713-791-8800
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$141,502,264
Expenses
$114,143,820
Assets
$903,057,976
Liabilities
$310,017,390

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

Leadership & pay

29 people listed

Executive titles in this filing

  • WILLIAM MCKEON (PRESIDENT)

Highest reported compensation

  • WILLIAM MCKEON (PRESIDENT): $3,184,810 total reported compensation
  • DENISE CASTILLO-RHODES (CFO): $905,048 total reported compensation
  • ISAAC MIDDLETON (CHIEF OPERATING OFFICER): $887,499 total reported compensation

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

Overview

Mission

To further accelerate the pace of healing by harnessing our collective expertise in innovation, research, development, production, and patient care within a single, centralized medical ecosystem.

What it reported doing in 2024

Campus development of our land and campus for institutional plans and urban planning to promote and provide support and police security for our member institutes, patients and visitors. Maintains the infrastructure for the shared, centrally managed campus, providing maintenance for its streets, sidewalks, green space, and shared commons space.

Operating model

Revenue model
Earned-program. 89% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 98% 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.

The verdict

STRONG - The filed numbers largely add up and a large share of available resources goes toward mission work. Reported officer compensation is a large share of total spending, which may reflect staffing concentration and some filed totals do not add up.

Rating breakdown

  • Financial Efficiency: 61
  • Transparency & Controls: 92
  • Accountability: 96
  • Sustainability: 73
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 63.7%; rating input score 64
  • Program expense ratio: 77.1%; rating input score 77
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 98.8%; rating input score 99; 36th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 92.9%; rating input score 93; 42nd 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: 19.3%; rating input score 87; 87th percentile among comparable filings
  • Total-asset coverage ratio: 7.91; rating input score 89; 89th percentile among comparable filings
  • Liabilities to assets ratio: 0.34; rating input score 51; 51st percentile among comparable filings
  • Officer compensation ratio: 9.6%; rating input score 3; 3rd percentile among comparable filings

Growth

  • Program expense growth: 5.2% per year; rating input score 100; 43rd percentile among comparable filings
  • Revenue growth: 3% per year; rating input score 100; 23rd percentile among comparable filings
  • Asset growth: 7.4% per year; rating input score 100; 55th percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 63.7% of revenue deployed · 77.1% of spending went to programs
  • Governance: 13 of 14 board members independent · 9 of 9 filing controls reported
  • Programs: 6 filed program accomplishments · $88.1M in reported program spending
  • Leadership: top reported pay $3.2M · 29 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $62.2M reported
  • Consistency: 42 of 43 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 18 filed money-flow records
  • Related organizations: 7 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 — Sustainability: Officer compensation ratio scored 3/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 51/100.