Texas Children's Governance

Since opening its doors in 1954, Texas Children’s has grown to become one of the best, largest and most comprehensive specialty pediatric and women’s hospitals in the nation. Today, Texas Children’s is a vast system comprised of multiple corporate entities, each formed for a specific and unique purpose (Figure 1). Collectively, these entities enable Texas Children’s to fulfill its mission to create a healthier future for children and women.

Figure 1: Texas Children’s Corporate Structure (click to enlarge view)

Corporate Structure Diagram

To us, creating a healthier future means providing the right care at the right time and place. Accordingly, we have created an integrated delivery system to provide a broad spectrum of coordinated care. The primary purpose of each Texas Children’s corporate entity is summarized below.

Click on each Texas Children’s entity below to learn more about it.

Texas Children’s Hospital

Texas Children’s Hospital (the “Hospital”) is a nonprofit corporation organized for the purpose of — including, but not limited to — owning, operating, managing and maintaining one or more hospitals in the greater Houston area and other locations throughout Texas that the Hospital shall deem necessary for the accomplishment of its mission. The Hospital includes Texas Children’s Hospital; the Jan and Dan Duncan Neurological Research Institute; the Feigin Center for Pediatric Research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology hospital focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston.

Texas Children’s Pediatrics and Urgent Care

Texas Children’s Pediatrics (TCP) is organized and operated to employ pediatricians and related specialists to provide a concentration of skills and resources necessary for the diagnosis and treatment of ill children from birth through adolescence, along with continuous evaluation and guidance to families and their children regarding healthy physical and emotional growth and development. TCP also provides parent and public education programs necessary to promote the prevention of illness in children and to encourage the early recognition of the need for health services.

Through TCP’s Community Cares Program, trusted, high-quality pediatric medical services are provided to children who otherwise would seek care from emergency rooms or possibly go without care or treatment due to low family incomes or lack of health insurance.

TCP is the sole member of Texas Children’s Urgent Care, which exists to provide a concentration of skills and resources necessary for the urgent diagnosis and treatment of ill children from birth through early adulthood.

Texas Children’s Health Plan

Texas Children’s Health Plan’s (TCHP) program service objective is to provide health care coverage to underserved kids, teens, pregnant women and adults who, without Medicaid, STAR, STAR Kids or CHIP, would not have access to affordable health insurance. TCHP is the nation’s first health maintenance organization created just for children.

Texas Children’s Health Plan – The Center for Children and Women

Texas Children’s Health Plan – The Center for Children and Women, in fulfilling its purpose of supporting Texas Children’s Health Plan, establishes patient and family-centered medical homes providing care to primarily Medicaid and CHIP patients who are members of TCHP. The medical homes are specifically in support of TCHP’s mission to provide care that is accessible, coordinated, comprehensive, continuous, culturally sensitive, community-based and family-centered.

Texas Children's Insurance Company, Ltd.

Texas Children's Insurance Company, Ltd. provides professional, general, excess and property insurance coverage to Texas Children’s.

Texas Children’s Global

Texas Children’s Global is organized to lead partnerships that advance healthcare equity through innovative collaboration in care, education and research globally. Partnerships with local governments and institutions ensure the sustainability and longevity of public health systems and provide the tools to build healthier, happier and more prosperous communities.

Texas Children’s Physician Group

Texas Children’s Physician Group performs managed care contracting, billing and collection services for Baylor College of Medicine faculty and other health care professionals who provide services at Texas Children’s Hospital or who participate in Texas Children’s programs.

Texas Children’s Hospital Foundation

The Texas Children’s Hospital Foundation, in fulfilling its purpose of supporting Texas Children’s Hospital, actively manages investments for the Hospital and Texas Children’s Health Plan. The investments are specifically in support of Texas Children’s Hospital’s advances in cutting-edge pediatric medical research and providing greater access to high-quality health care for women, children and families in the community.

The Gordon and Mary Cain Pediatric Neurology Research Foundation

The Gordon and Mary Cain Pediatric Neurology Research Foundation exists primarily to fund neurological research programs at Texas Children’s Hospital. The close relationship between Texas Children’s Hospital and Baylor College of Medicine permits Cain Foundation Laboratories (Cain Labs) to draw upon internationally renowned faculty and staff to accomplish their research goals. The laboratories are located within the Jan and Dan Duncan Neurological Research Institute (NRI) building in the Texas Medical Center.

These funds support education, training and research to understand the causes of and develop treatments for presently incurable neurological disorders in infants and young children, with an emphasis on childhood epilepsy and associated intellectual developmental disorders.

Effectively managing a system of this size requires the right balance of the elements that Texas Children’s President and Chief Executive Officer, Mark A. Wallace, describes in his leadership definition. He states that leadership is the sum of three things: vision + structure + people, with people by far being the most important element or ingredient in the leadership definition and equation. It is the people, at every level, who lead tirelessly in this organization.

One group of people that has governed this organization since the beginning is our Board of Trustees (Board/Trustees). Our Board functions as the highest-level governing body for the organization and ensures that all activities advance Texas Children’s mission. On October 12, 1950, the following individuals were elected to the Board of Trustees with a lifetime appointment.

Texas Children's First Board of Trustees

Trustee Officers Election to Board Term End Tenure (yrs)
J.S. Abercrombie Chairman 1950 1975 25
Leopold L. Meyer President 1950 1982 32
William A. Smith Vice President 1950 1991 41
Lamar Fleming, Jr. Treasurer 1950 1963 13
Herman P. Pressler Secretary 1950 1995 45
W.J. Goldston   1950 1950 0
Herman Brown   1950 1962 12
Douglas B. Marshall   1950 1967 17
J.W. Link, Jr.   1950 1984 34
James A. Elkins, Jr.   1950 2006 56

These Trustees were instrumental in guiding Texas Children’s and laid the groundwork for our Corporate Governance Framework. Each elected Trustee since the original Board has continued the legacy of exemplary stewards of Texas Children’s.

Currently, our Board is led by our Chair, Michael C. Linn, and Vice Chair, C. Park Shaper. Mr. Linn and Mr. Shaper are responsible for partnering with the CEO and executive leadership to make certain the Board’s directives, policies and resolutions are carried out, as well as championing the organization and advocating its mission to internal and external stakeholders.

Mark Wallace

Mark A. Wallace, President and Chief Executive Officer, Texas Children’s

Michael Linn

Michael C. Linn, Chair, Texas Children’s Board of Trustees


C. Park Shaper, Vice Chair, Texas Children’s Board of Trustees