Texas Childrens Health Plan Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
To create a healthier future for children and women throughout our global community by leading in patient care, education, and research.
- Income
- $2.8 billion
- Spending
- $2.9 billion
- Spent on programs
- 98%
- Reserves
- 0 months of spending
- Largest source of income
- fees for its services, 99%
- Employees
- 1,026
- Volunteers
- 0
- Highest pay
- $13.3 million, board member and chair through 10/03/24
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 42 out of 100. Higher than 18% of charities in its peer group (health care, over $100m).
Reserves
4 of 35Spendable reserves would cover -0.0 months of spending.
Debt
5 of 20It owes 61% of what it owns.
Living within its means
8 of 15Spending exceeded income by 3% of income.
Income trend
10 of 15Income fell 10% on the year before.
Spending floor
15 of 1598% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 80 out of 100. Higher than 14% of charities in its peer group (health care, over $100m).
Independent board
5 of 250 of 7 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $2.8 billion spent. TEXAS CHILDREN'S HEALTH PLAN ("TCHP") PROVIDES HEALTH CARE COVERAGE TO UNDERSERVED CHILDREN AND WOMEN WHO, WITHOUT MEDICAID, STAR, STAR KIDS, OR CHIP, WOULD NOT HAVE ACCESS TO AFFORDABLE HEALTH INSURANCE. TCHP PARTICIPATES IN MEDICAID, WHICH TARGETS CHILDREN UNDER 185-100% OF THE FEDERAL POVERTY LEVEL AND THE CHILDREN'S HEALTH INSURANCE PROGRAM, WHICH TARGETS CHILDREN BETWEEN 200-100% OF THE POVERTY LEVEL. TCHP WAS FOUNDED IN 1995 BY TEXAS CHILDREN'S HOSPITAL. TCHP IS THE NATION'S FIRST HEALTH MAINTENANCE ORGANIZATION CREATED JUST FOR CHILDREN. TCHP HAS A NETWORK OF 3,791 PRIMARY CARE PROVIDERS, 23,267 SPECIALISTS, AND 421 HOSPITALS TO COVER KIDS, TEENS, PREGNANT WOMEN AND ADULTS. AS OF DECEMBER 31, 2024, TCHP HAD 445,448 MEMBERS. Star: The State of Texas Access Reform (STAR) is a Medicaid program offered at no cost for children up to age 21, some adults and pregnant women who cannot afford health insurance. As of December 31, 2024, TCHP had 389,088 Star members. Star Kids: Effective November 1, 2016, TCHP began offering Star Kids, a new Texas Medicaid managed care program that provides Medicaid benefits to children and adults 20 and younger who have disabilities. Star kids offers regular Medicaid services along with long-term services and supports (LTSS) which include things like help in a home with basic daily activities and help making changes to a home so that members can move around safely. As of December 31, 2024, TCHP had 25,976 Star Kids members. CHIP: The Children's Health Insurance Program (CHIP) offers low-cost health coverage for children from birth through age 18. CHIP is designed for families who earn too much money to qualify for Medicaid but cannot afford to buy private health coverage. As of December 31, 2024, TCHP had 30,384 CHIP members.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since February 2005.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.