Texas Children's Health Plan
Nonprofit profile at a glance
- EIN
- 760486264
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Bellaire, TX, USA
- Phone
- Member Services: CHIP 832-828-1002 (local), 1-866-959-6555; STAR 832-828-1001 (l
- Rating
- 70
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Group Health Practice (Health Maintenance Organizations)
Reported finances
- Revenue
- $2,791,870,131
- Expenses
- $2,877,699,810
- Assets
- $796,615,695
- Liabilities
- $489,792,147
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
26 people listed
Executive titles in this filing
- MICHAEL MURPHY (Board Member & President of TCHP)
- RYAN A THOMPSON (Treasurer through 1/15/24 / Assistant Vice President)
- LANCE A LIGHTFOOT (Former Officer / Senior Vice President Through 8/6/24)
- VIVIAN A WOZNIAK (Vice President)
Highest reported compensation
- MARK A WALLACE (Board Member and Chair through 10/03/24): $13,343,659 total reported compensation
- WELDON W GAGE (Board Member all year / Vice Chair as of 10/1/24): $3,114,390 total reported compensation
- MYRA L DAVIS (Board Member): $3,051,522 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Texas Children’s Health Plan helps keep children and women in Texas healthy. We offer support and education to help you make the most of your plan. We give you education and reminders on preventive care. And if you or your child have a more serious condition, we have a **trained support team** that can work directly with you. They can help set up doctor visits and help make a care plan. Rewards for You And who does not like to get rewarded? You can get some of the best rewards, just for taking steps to be healthy. Among the rewards we offer members:.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Member-benefit provider. The nonprofit used 82% of its reported program spending for member benefits.
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 few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 88
- Transparency & Controls: 67
- Accountability: 42
- Sustainability: 24
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 97.9%; rating input score 98
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
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: -3.1%; rating input score 16; 16th percentile among comparable filings
- Total-asset coverage ratio: 0.28; rating input score 9; 9th percentile among comparable filings
- Liabilities to assets ratio: 0.61; rating input score 27; 27th percentile among comparable filings
- Officer compensation ratio: 0.3%; rating input score 88; 88th percentile among comparable filings
Growth
- Program expense growth: 12.3% per year; rating input score 100; 82nd percentile among comparable filings
- Revenue growth: 12.6% per year; rating input score 100; 84th percentile among comparable filings
- Asset growth: 15.7% per year; rating input score 100; 87th percentile among comparable filings
Details
- What they do: 1 operating location identified
- Where the money goes: 100% of revenue deployed · 97.9% of spending went to programs
- Governance: 0 of 7 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.8B in reported program spending
- Leadership: top reported pay $13.3M · 26 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $88.5M reported
- Consistency: 36 of 37 current checks pass · 1 finding to review
- Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 11 filed money-flow records
- Related organizations: 11 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Accountability: Independent voting board scored 0/100.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- High — Sustainability: Operating margin scored 16/100.
- High — Sustainability: Total-asset coverage ratio scored 9/100.
- High — Sustainability: Liabilities to assets ratio scored 27/100.
- Moderate — Transparency & Controls: Fund balance restriction sum did not reconcile in the filed values.