2026-08-14T16:04:22+00:00 2025-09-30 415375658 CROWE ADVISORY LLC 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2025-01-01 461392824 MAIN STREET COMMUNITY INITIATIVES MAIN 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 203 false X N/A X 2008 TX TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION, AND RESEARCH. 4 3 0 3 0 0 0 40923297 0 756311 203 0 0 41679608 203 0 0 0 0 4117551 0 0 0 0 37562057 10602 41679608 10602 0 -10399 3243499 16234775 3243499 919752 0 15315023 TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION, AND RESEARCH. false false 10602 0 0 MAIN STREET COMMUNITY INITIATIVES IS OPERATED FOR THE PURPOSES OF SUPPORTING THE PROVISION OF PATIENT CARE, HEALTH EDUCATION AND RESEARCH. THE ORGANIZATION ALSO OWNS LAND LOCATED IN THE TEXAS MEDICAL CENTER FOR THE PURPOSE OF LEASING THE SPACE TO THE KINDER CHILDREN'S CANCER CENTER. 10602 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false true X 0 0 0 false false false false false false false false false false false false X 4 3 false false false false true true true 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 DEBRA F SUKIN PHD BOARD MEMBER / CHAIR / PRESIDENT OF MSCI 1.0 39.0 X X 0 0 0 C PARK SHAPER BOARD MEMBER 1.0 2.0 X 0 0 0 JOSEPH A CLEARY JR BOARD MEMBER 1.0 0 X 0 0 0 TYM TOMBAR BOARD MEMBER 1.0 2.0 X 0 0 0 AFSHEEN S DAVIS SECRETARY 1.0 39.0 X 0 0 0 AMANDA R WILLIAMS BOARD ASSISTANT SECRETARY 1.0 39.0 X 0 0 0 0 0 0 0 false false false WS BELLOWS PO BOX 2132 HOUSTON TX 77252 CONSTRUCTION SERVICES 561096 1 0 0 0 0 0 0 203 203 0 0 0 0 0 0 0 0 0 203 0 0 203 0 0 0 0 0 0 10602 10602 0 0 0 0 10602 10602 0 0 0 0 4687 3701 0 0 1366015 0 0 0 0 0 0 0 0 0 0 0 16229729 0 0 16229729 0 0 0 0 0 0 1872797 1345 3243499 16234775 117092 214260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3126407 705492 3243499 919752 X 0 15325422 0 -10399 0 0 0 0 0 0 0 15315023 3243499 16234775 X -10399 15325422 X false true true false X X 1 TEXAS CHILDREN'S HOSPITAL 741100555 3 true 10602 0 1 10602 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 MAIN STREET COMMUNITY INITIATIVES (MSCI) AND TEXAS CHILDREN'S HOSPITAL (TCH) HAVE NUMEROUS SENIOR EXECUTIVES IN COMMON. BOTH ORGANIZATIONS OPERATE UNDER A PARENT ORGANIZATION - TEXAS CHILDREN'S (TC) - THAT IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF TCH AND ITS RELATED ENTITIES. TC IS THE SOLE CORPORATE MEMBER OF MSCI AND TCH AND AS SUCH HAS EXTENSIVE RIGHTS AND POWERS OVER MSCI AND 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16229729 0 16229729 16229729 FEDERAL INCOME TAXES DUE TO AFFILIATES 705492 705492 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. 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 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. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS TEXAS CHILDREN'S IS THE SOLE CORPORATE MEMBER OF MAIN STREET COMMUNITY INITIATIVES. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY TEXAS CHILDREN'S ANNUALLY APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS PER THE ORGANIZATION'S BYLAWS, THE MEMBER HAS CERTAIN RESERVED POWERS: -APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. -FIX THE NUMBER OF DIRECTORS AND APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. -APPROVE THE MERGER, DISSOLUTION OR CONSOLIDATION, OR REORGANIZATION OF THE CORPORATION. -APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE SPECIFIED FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) OF THE OFFICERS OF THE CORPORATION, PHYSICIAN EMPLOYEES OF THE CORPORATION, IF ANY, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS TO THE CORPORATION, IF ANY. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. -APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. -APPROVE ANY LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE CORPORATION. -SELECTION OF THE CORPORATION'S AUDITORS AND LEGAL COUNSEL. -CREATION OR SALE OF ANY SUBSIDIARIES OF THE CORPORATION. -ANY AFFILIATION, JOINT VENTURE, CONTRACT, EMPLOYMENT, RETENTION, INDEMNIFICATION, OR OTHER ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, HEALTH MAINTENANCE ORGANIZATION, PREFERRED PROVIDER ORGANIZATION, MEDICAL SCHOOL, HOSPITAL, CLINIC, PHARMACY, PHYSICIAN, TEXAS CHILDREN'S HEALTH PLAN AFFILIATE, OR OTHER PROVIDER OF HEALTH OR RELATED SERVICES, INCLUDING, WITHOUT LIMITATION, ALL SERVICE TERMS AND COMPENSATION ARRANGEMENTS. -ESTABLISHMENT BY THE CORPORATION OF ANY TRAINING OR RESIDENCY PROGRAM. -THE GIVING, SEEKING, OR RECEIVING OF GRANTS. -ADOPTION OR AMENDMENT OF ANY INDEMNIFICATION RIGHTS, OBLIGATIONS, OR AGREEMENTS AFFECTING THE CORPORATION. -PURCHASE, ADOPTION, AMENDMENT, CANCELLATION, OR REPLACEMENT OF ANY INSURANCE COVERAGE FOR THE CORPORATION OR ITS DIRECTORS, OFFICERS AND AGENTS, AS WELL AS COPIES OF ANY NOTICES OF CANCELLATION RECEIVED BY THE CORPORATION. -THE COMMENCEMENT OF LITIGATION OR THE SETTLEMENT OF LITIGATION OR OTHER CLAIMS. -APPROVAL OF THE ADOPTION OR AMENDMENT OF FEE SCHEDULES RELATING TO PATIENT SERVICES. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBER(S). -TAKE ANY ACTION WHICH WOULD BE CONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER. 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 MEMBER'S BOARD OF TRUSTEES, THE MEMBER BOARD'S AUDIT, COMPLIANCE, & RISK COMMITTEE HAS 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 DIRECTORS AND 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 VII, SECTION A, LINE 1A COMPENSATION DURING THE YEAR, THE ORGANIZATION ADOPTED A CHANGE IN ANNUAL ACCOUNTING PERIOD FROM A DECEMBER 31 CALENDAR YEAR END TO A SEPTEMBER 30 FISCAL YEAR END. ACCORDINGLY, THIS FORM 990 REPRESENTS AN INITIAL SHORT-PERIOD RETURN FOR THE PERIOD 1/1/2025 THROUGH 12/31/2025. AS A RESULT, COMPENSATION AND RELATED AMOUNTS REPORTED IN PART VII EXCLUDES COMPENSATION PREVIOUSLY REPORTED ON THE ORGANIZATION'S FORM 990 FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2024. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INTERCOMPANY TRANSFER OF FUNDS FOR PURCHASE OF LAND - 15325422; TOTAL - 15325422; TEXAS CHILDREN'S 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760461578 PARENT TX 501(C)(3) TYPE II NA false 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 false 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 false TEXAS CHILDREN'S HOSPITAL 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 741100555 HOSPITAL TX 501(C)(3) 3 TEXAS CHILDREN'S false 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 false 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 false 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 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 false TCH INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ KY11102 980176652 INSURANCE CJ NA C CORPORATION false 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 true true false false false true